The Journey Of Cultural Practices

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

It is clear that cultural tradition delivers set foundations into a person’s lifetime, giving identity and sense of belonging to a person and their social group. It allows individuals to feel part of something and understand their ancestral values and customs. Several people believe that it is very important to preserve cultural traditions because they feel as if tradition is the main enabler to a shared identity and to a construction of social consistency and unity. People also believe that conservancy of cultural traditions forms exclusive bonds within members of the community, holding people with the same background together to pass on cultural values, and excluding those who aren’t part of the culture. They think that the actual preservation of traditions means not to change the customs and traditions, to not grow from our culture, for example not learning another language because you already know your mother tongue. It is a way to group up and tag everyone in a form of an alliance, and to have better organization and awareness of where everyone comes from.

The beginning of life is celebrated. Books and resources are shared among friends and family in preparation for becoming a new parent. So, what happens as one approaches the end of life? Unfortunately, the same care and sharing rarely occurs in those circumstances and many face the prospect of dying unprepared. Though most people state they would prefer to die at home, this is often not where death occurs. Many Americans spend their last days attached to medical apparatus that keeps the body alive, but it does not allow for communication with family and often requires heavy sedation. Additionally, this level of treatment comes at a high price. As a society, we must become as comfortable in addressing the end of life process as we

Arriving at a foreign country at the age of eleven years old was and exiting and yet intimidating experience. High buildings, wide roads, newer and nicer cars on the streets were some of the first things I noticed when I arrived to the city of Los Angeles CA. Living in a country where you were not born in could be difficult some times. Although Spanish is spoken at a grand scale in CA, it was difficult to communicate with and understand the teachers from my classes at the elementary level since all they spoke was English. Los Angeles is a city of great diversity, therefore it is believed to be the perfect place for any person arriving from another country to not feel like a foreign, such believe

In understanding the importance of cultural continuance is it necessary to understand its connection and direct relationship to Canada’s long history of colonialization. Although western art places Indigenous history within in a complete pre-contact lens, Indigenous art and histories are connected and shaped by both pre-contact and post-contact worldviews which have influence and shaped various works and understandings. Yet, one significant separation between settler and Aboriginal world views that is important to notes in the role of cultural continuation is the difference to the linear event based view of history that western society is predicated on. As opposed to many Indigenous nations view of history as always within motion, not static

St. Jude's Research Hospital provides an array of services to seriously to terminally ill children. St. Jude's Research Hospital also provides support to the parents, guardians, and families of the children in their care. This paper will describe cultural competency and explain its presence in areas such as health care and education. Cultural competency is one of several key assessments of professional efficacy, especially in areas such as health care and health services. The paper will evaluate the cultural competency of St. Jude's Research Hospital and explain why cultural competency is necessary in the provision of successful modern healthcare.

Throughout the years, health care leaders have tackled many challenges in the health care organization. Some of the challenges include knowing the difference between needs and wants, affordability, and sustainability, consequently these challenges can be confronted by evolving and transforming over to modern business models. For health organizations to be successful they must use planning, decision making, and training. Regardless of the changes, health care organizations must conserve excellent services. The purpose of this report is to recapitulate information shared throughout an interview between Dr. Kyle Grazier and Ronald G. Spaeth. The interview gave readers insight on Spaeth’s work, educational background, awards highlighted, and his philosophies or strategies for health care. This report will also enclose the biggest obstacles that Spaeth believes today’s health care administrator is facing in addition to the school of management theory he mostly used and why. In conclusion, I will state my opinions on Spaeth’s approaches and the lessons that individual’s can learn from the interview.

I have chosen to analyze an organization that has helped millions of individuals in Utah and Idaho with their healthcare needs, Intermountain Healthcare, (IHC). For the specific purposes of this paper I will be representing the homecare department of IHC, located in Ogden, Utah. The individual I have selected to analyze is the branch manager who is over the Ogden branch. I have selected this organization and leader as I had the opportunity to work for this company for over 3 years. I have a high level of insight and personal experience that I can bring to this paper which I feel is very advantageous. I hope to learn how to improve the organizational performance of this branch by analyzing previous management and leadership methods.

The profession of nursing is more than caring for the physiological health of an individual. It also includes caring for their spiritual, mental, and overall wellbeing. Nurses, and all health care workers, need to take into consideration a patient’s cultural preference in order to maintain their spiritual well-being. This paper will address Native American cultural considerations relating to end of life using the Giger and Davidhizar assessment model as explained in chapter 4 of Sagar (2012) Transcultural Nursing Theory and Models: Application in Nursing Education Practice, and Administration. It will overview the assessment model, then apply it to death in the Native American culture as well as present nursing implications.

Leadership is in many ways a responsibility, whether it’s an appointed job as a leader or a role you find yourself in unexpectedly you must perform adequately not just to accomplish the given task but to also have those following you achieve a given goal. Some are natural born leaders, taking responsibilities for self, never pointing fingers and possessing the ability to find solutions to the obstacles that arise. Others can learn how to lead and achieve the same results. In the medical field, when we look to our leaders it is so that they can lead us to be able to provide and deliver safe quality

Patient centered care is a core component of nursing practice. Understanding and practicing cultural competence is a central element of delivering patient centered care. One approach to understanding other cultures is by utilizing the Purnell Model for Cultural Competence. According to Larry Purnell (2002), cultural competence is defined as “the adaptation of care in a manner that is consistent with the culture of the client and is…a conscious process and nonlinear” (p. 193). In the model, culture is divided into 12 different domains: overview/heritage, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing practices, death rituals, spirituality, health care practices, and health care practitioner (Purnell, 2002). This model is an excellent framework for assessing and interpreting the cultural complexities of each patient so the best individualized care can be provided. I have used this model and each of its domains in an interview with my friend, Surbhi Patel, in an attempt to further understand her culture.

There were various different hospice organizations that were interviewed Good Neighbor and License Practicing Nurse (LPN), Pamela Larson informs the doctors of any concerns and watches the daily progress of the patients. While Pathways Hospice Michele Desnoes is the Care Provider Liaison and in this position, she will speak on behalf of the patient when the patient can no longer speak for them. Hospice Care of Boulder and Broomfield Counties Leann is a patient care advocate and she deals with the doctors and insurance companies and any medical or other issues that arise. Tony at Asera Care is a

    As of late, we’ve become familiarized with the concept of hospice through guest speakers and readings (Class notes, 2016). Through Descendants we learned the importance of advanced care directives and widened our EOL conversation to focus more on family than the patient (Payne). Through another guest speaker and lecture we also talked about expressive therapy and its imperativeness on patient and family care (Class notes, 2016). During our week not in class, we read articles on grief, coping, and social support and it’s importance to communication at the end-of-life, additionally, we saw the five stages of grief after watching the Scrubs episode (Class notes, 2016). Lastly, we closed with potpourri week in which we learned about the different religions/cultures and their views on the afterlife (Class notes, 2016).

One of the organizations that I’m familiar with and I think would benefit from a change is Season’s hospice. I used to work there part-time. Individuals become eligible for hospice upon reaching a 6 month or less terminal diagnosis. Individuals have the choice of dying comfortably in a hospital, nursing facility, or their home after electing hospice. Hospice care delivers palliative care to terminally ill patients. Patients with an identifiable short prognosis receive comprehensive interdisciplinary team-based palliative care through hospice in a place where they chose. There are various problems with the the design, delivery and maintenance of

This paper explores the Jewish culture and end of life within the Jewish culture. It will focus on the Giger and Davidhizar’s Transcultural Assessment Model, which has six phenomena’s; communication, space, time, environmental control, biological variation and social organization. This model will provide a framework to assess the Jewish culture and their beliefs during the transition period of end of life. This paper will discuss two implications of nursing care. From those implications, a culturally appropriate nursing intervention will be discussed.