Reflection About Spain

-Roark, James L., Michael P. Johnson, Patricia Cline Cohen, Sarah Stage, and Susan M. Hartmann. The American Promise: A Concise History. Boston: Bedford/St. Martin's, 2014. Print.

In 1490 there was no such country as spain, yet within a century it had become the most powerful nation in europe and within another century had sunk to the status of a third rate power. Describe and analyze the major social economic and political reasons for spains rise and fall.

The Purnell Model for Cultural Competence places communication as one of the dominants (Purnell, 2002). Speaking the language of the patients would be the best tool that healthcare worker can use. It helps avoid many misunderstanding that may arise.

During the last decades, Madrid has surfaced as the heartbeat of modern business, art, technology, and fashion. Traveling to Spain on a tourist travel will only show me a glimpse of what Spain’s history treasures are, but this program will unveil many aspects of the Spanish culture that are unique and exclusive to the country. In addition, it will be a great opportunity to learn about my own culture a little better. As we already know, Spain conquered a vast majority of what is now the American continent. While in Madrid, and since I will be only a few hours from Seville, Spain; I would love to be able to visit the General Archive of the Indies which holds the records and complete documentation of the historical administration and discoveries made by the Spaniards in the New World during its prominent years in exploration. As a native Guatemalan, it would be fascinating to learn about my own roots from the accounts of the Spaniards who set foot on my country and many of the other American countries that were conquered by Spain. Sometimes, we get a better appreciation of history when it is viewed from both perspectives. It’s not the same to learn history of a country based on the narratives of a textbook, than to be actually experience it from its culture and people. The study abroad program will consist of a total of ninety classroom hours of interaction with native Spanish students and professors. In addition, one of the courses will be taught fully in Spanish, which will benefit me greatly by strengthening my Spanish speaking, reading, and writing skills. While in Spain, I hope to be able to interact with Spaniards and exchange information in order to compare and contrast their culture from my own. I’d also like to explore the city of Madrid,

In the 17th century England and Spain were both in a race to settle the New World. After Christopher Columbus had reached this New World Spain almost immediately sent people over to explore and colonize. After the Treaty of Tordesillas secured their land, Spain’s empire quickly expanded across The Americas. England had a bit of a late start when it came to colonization. Even though their first few attempts such as Jamestown, and Roanoke were not very successful England kept at it. Eventually, England and Spain became the two most powerful nations in the Americas. Even though both nations had the same goal, their political, religious, and economic development were very different.

During the 15th century, many considered Spain insignificant. However, within a century it became a world-dominant power in Europe. Although Spain only took a brief time to rise, it was also short-lived. The rise of Spain was due to its flourishing culture, stable political system and successful voyages to the New World. On the other hand, its decline was due to religious control, resistance from other countries and inflation.

Language is one social and cultural barriers that may have made it difficult for the doctors to communicate with Jessica’s family. It creates the trust that exists between a patient and a doctor and their guardians. When using a translator, meanings may change and the desired communication result may not be achieved. The trust that should exist between the doctor and the patient and the guardians

Lor et al. (2016) examined the growing problem of language barriers for patients in the United States and around the world. The use of interpreters is often the solution to bridge the gap between languages. The purpose of this study was to examine patient perception of interpreter services.The population for this study included 10 English proficient Hmong patients and 10 Spanish speaking patients. The participants ranged from age 33 to 75 years old. The intervention was that poor quality interpretation could lead to poor relationships among patients, interpreters and providers. In addition poor interpretation could end up in the patient being unable to follow through with treatment plans. Lastly, poor quality interpretation can lead to emotional distress for patients. Comparison was that patients have expectations on how the

(1997). The spirit catches you and you fall down: A Hmong child, her American doctors, and the collision of two cultures. New York: Farrar, Straus, and Giroux. Karliner, L. S., Jacobs, E. A., Chen, A. H., & Mutha, S. (2007). Do professional interpreters improve clinical care for patients with limited english proficiency?

In a culture as diverse as the United States it is of utmost importance that individuals in settings such as the health care field learn to communicate with people from different cultures. This type of setting offers many chances for misunderstanding, miscommunication, and mistrust. It is imperative for the health care field to have an effective strategy to minimize these negative consequences of poor intercultural communication. One must also remember when implementing a communication strategy that there are many elements that effect the experience; cultural variations, personal dignity, and interpersonal relationships. An effective intercultural

Consequently, the need for qualified interpreters in the clinical settings is of great essence in the reduction of

Jacobs, E. A., Shepard, D. S., Suaya, J. A., Stone, E. (2004). Overcoming language barriers in health care: costs and benefits of interpreter services. American Journal of Public Health, 94 (5), 866-869.

Medical professionals should be banned from using biased interpreters for patients that have limited to no English proficiency. One of the most important things to have in the medical field, is a good relationship and good communication between the doctor and patient. People of all languages and cultures live in the United States, and they also must all see a doctor. There are major communication issues between doctors and patients with limited to no English proficiency. Doctors must be able to know and communicate with their patients. Patients must be able to know and understand their medical diagnosis and what treatment options are available, but that is not always possible. This issue brings in interpreters. There are many cases where interpreters should have been used but weren’t, ways to develop a strategy in practices for interpreters, and boundaries when using interpreters in the medical field.

In today’s society, being able to communicate or participate in the exchange of information effectively is an essential skill for much of the healthcare providers in America today. Providing patient-centered care involves learning to communicate effectively with various barriers even with those patients who speak a different language than English. There are patients with other ethnicities and culturally influenced health behaviors that can be different than the health care beliefs of the most clinicians in this country.

The fascinating and beautiful country of Spain is one of the largest countries in Europe. The history that Spain has had has left great stories to tell and remarkable landmarks to visit. Spain is located in the south west corner of Europe, with its neighboring countries, Portugal and France. It has a population of forty million plus people, but almost one-third of the nation’s population is foreigners that reside in its territory. One of the most important facts about Spain is that its economy is one of the largest in the world. Spain is currently in a recession, with low employment rates and poverty.