...with traditions, diversity and cultural values. In the scenario, Grandma Ella has been experiencing various issues with regard to having alternative treatments and medicines. Ella’s decision is hugely influenced by her cultural and traditional expectations that may influence directly or indirectly on the care given to her in her end of life days. In addition to that, there are other systems like micro, mezzo, and macro influences affecting Ella and her family members due to her medical condition of having cancer for more than 10 years and its prognosis. The debate is over whether Grandma Ella would have advantages or disadvantages by receiving end of life care at a hospital setting or hospice and palliative care will be given for her at home. As a social worker, I have a big responsibility for deciding on Ella’s treatment plans which may get affected by her other family members who have to take care of their own medical and personal problems. Outline I. Introduction A. Background Information 1. Grandmother Ella’s condition has significant implications on her life and the lives of other family members 2. Cultural and traditional issues, context of health care setting as well as psychological and social issues affect decisions on privilege of care given 3. Micro, mezzo and macro are the important issues that will influence on the care given to Grandma Ella. B. Thesis Statement The debate of examining and understanding the various influences which are evident in Ella’s...
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...five weeks a team of five individuals have had the opportunity to better understand, empower and evaluate themselves on Cultural Competence in a Multicultural Society. We have researched issues such as how we view health, how we view roles of men and women in today’s society, what values and beliefs influence our lifestyle behavior, what decisions influence when we should seek treatment and how culture influences our choices and decision. This course has opened our eyes to various differences in culture and in the professionals hired to help all types of people. Our country is constantly undergoing demographic changes, which ultimately alter and increase the diversity confronting human service professionals daily in their agencies. The complexities associated with cultural diversity in the United States affect all aspects of professional practice, requiring human service professionals to strive to deliver culturally competent services to an increasing broad range of clients. In the field of human services cultural diversity has primarily been associated with race and ethnicity, but diversity is taking a broader approach to include socio-cultural experiences of people of different genders, social classes, religious and spiritual beliefs, sexual orientations, ages, and physical and mental abilities. As team this course has not only introduced us to cultural competence in human services, but as individuals it has heightened consciousness of how unique, how different and how similar...
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...Communicating in Healthcare Tiffany McLean HCS 320 February 13, 2013 David Harrell Communicating in Healthcare “The World Health Organization (WHO) defines health as a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity” (Pre du, 2005) therefore proper communication with one’s healthcare physician is critical. Knowing how to communicate is the key. Communication within all types of the workforce is a vital piece of the daily operations of businesses regardless the line of work performed. Health care communication is held to a higher regard due to the outcome of the patient and the organization. Within this brief essay the topics of how does effective communication incorporate the basic elements of communication, how the basic elements of effective communication differ from the basic rules of health care communication, how a provider might encourage a reluctant consumer to communicate candidly, and how cultural differences influence communication will be discussed. “There is more to effective communication than putting thoughts into words. Communication is the process of understanding and sharing meaning” (Pre du, 2005). Process and personal goals are some areas covered in effective communication (Pre du, 2005). When having an effective conversation, the ability to process the information being received and its placement within life can be considered as having productive communication. The knowledge of a personal...
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...Sheryl Workman Communication Opinion Paper Health care communication is an important factor in proper health care. If there is no communication or trust between the health care provider and the consumer, this could affect the quality of care for the consumer. This paper is an overview of effective communication, the basic elements of communication, the encouragement of a reluctant consumer, and the impact cultural difference that may influence communication. To incorporate the basic elements of communication, providers must first examine what exactly effective communication is. This involves more than just sharing an understanding, it involves feelings, thoughts, wants, needs, and the intentions of the communicators (Cheesbro, O’Conner, & Rios, 2010). According to Cheesbro, O’Conner, and Rios, there are six components to the communication process; sender and receiver, encoding, decoding, message, channel, and feedback (Cheesbro, O’Conner, & Rios, 2010). In the first component a person will act as a transceiver, meaning he or she is sending and receiving messages. Encoding is the process of changing thoughts and feelings into symbols and decoding is assigning meaning to those symbols. The message will be the thought or idea, the channel is how the message travels, and feedback is the to the senders message. In order for a provider to encourage a reluctant consumer to communicate candidly, he or she must influence what people expect form doctors and nurses. It...
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...Ramy Barrett * OUT LINE: “Cultural competence an important skill to a health care practice”: * What is cultural competence? What is not? 1. It’s not cultural awareness, cultural sensibility. 2. According to the anthropologist, Williams Haviland: Cultural 3. According to the office of Minority Health, defined Cultural and linguistic ( Website: www.competence (http://minorityhealth.hhs.gov/) 4. Kate Berardo as Cultural Awareness is the foundation of communication. 5. Stephanie Quappe and Giovanna Cantatore( 2007). * Why is cultural competence important in the health field? 1. I’ am an immigrant (My experience) : I have seem poor quality of care 2. Personal experience as an interpreter. (Example). * The Benefit and the lack of cultural competence:(Negative & positive effects): 1. Zborowski, M. (1952). Cultural Components in Responses to Pain. Journal Of Social Issues, 8(4), 16-30. 2. Dr Elyse R. Pork PhD from, Massachusetts General Hospital/Harvard Medical School, Boston, MA, (2006) 3. http://xculture.org/why-cultural-competency 4. Used: Schwartz, M. C. (1978). Helping the worker with counter-transference. Social Work, 23(3), 204. 5. Cultural Competence in Psychosocial and Psychiatric Care: A Critical Perspective with Reference to Research and Clinical Experiences in California, US and in Germany. Social Work In Health Care, 39(3-4), 231-247. doi:10...
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...THE HERITAGE ASSESSMENT TOOL: A CULTURAL VIEW OF THE PATIENT The Heritage Assessment Tool: A Cultural View of the Patient Grand Canyon University: 439v March 11, 2012 The Heritage Assessment Tool: A Cultural View of the Patient The Heritage Assessment Tool is a series of 29 questions designed to determine a patient’s ethnic, cultural, and religious background. The tool gives nurses an understanding of the patient’s traditional health and illness beliefs and practices so that culturally appropriate interventions can be initiated (Flowers, D.L., 2005). The following paper summarizes the assessment results of three culturally different families, and uses those results to show how the nurse would proceed with health promotion based on the differences in health traditions between the three cultures. Health Maintenance The value a patient places on family values and their perceived support system can greatly influence their overall health maintenance. With two of the families interviewed, one with a Hispanic ethnic background and the other from an American Indian background, both families placed great value in their family relationships. Both families were able to express knowledge of an extended family network and were active participants of that social system. The family unit is the most important support system to both cultural groups. Askim-Lovseth & Aldana (2009) explains that in an extended family network all “family members are expected...
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...Running head: CULTURAL COMPETENCE: CULTURAL CARE Cultural Competence: Cultural Care Grand Canyon University: NRS 429V September 24, 2011 Cultural Competence: Cultural Care Introduction Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of the United States surpassed 300 million. The largest and fastest growing populations are the Hispanics followed by blacks, then Asians. With the ever-growing diverse population, it stands to rationale the importance of learning cultural aspects of health and illness. Cultural beliefs effect health decisions. Health care providers face the challenge of delivering effective care to diverse populations in a respectful manner that takes into consideration the values and preferences of their culture. Cultural care is a concept that encompasses the patient’s cultural needs, beliefs, and health care practices (Edelman & Mandle, 2010). This paper will examine different cultural health traditions and the effectiveness of applying a heritage assessment...
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...The Influence of Culture and Values in Community Health Nursing Stephanie D. Patton Professor D 26 August 2013 A 69 year old woman with colon cancer. AS a 69 year old African American female presented to the community nurse with complaints of weakness in the hands and severe fatigue. She also had undergone menopause and attributed these changes in health to it. Her menstrual periods had been very heavy and irregular. She experienced recent weight loss of over 15 pounds over the past 9 months. The patient reported that she had cases of constipation and hemorrhoids. Her last mammogram 12 months ago was normal. The patient has had no screening colonoscopy and is currently taking ibuprofen 800 mg for pain. The patient stated that she did not want to take more meds than she had to due to her religious beliefs. The nurse stated that she understood the wishes of her patients and would do all that she could to comply with her wishes in preparing a plan of treatment for her care... The influence of Culture and Values in Community Health Nursing is the care provide by educated nurses in a particular place and time and directed toward promoting, restoring and preserving health of the total population or community. Families are recognized as an important social group in which values and knowledge are learned and health related behaviors are practiced. Culture refers to the beliefs, values and behavior that are shared by members of a society that provide a design or “map” for living...
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... Grand Canyon University Family-Centered Health Promotion NRS 429 V Jen Costello October 6, 2013 Heritage Assessment Paper Because of the multicultural population dynamic existing in our country today as well as the increasing diversity of culture expected in the future, nurses need a streamlined means to determine both patients and families’ cultural history as well as current relative cultural practices to better meet the needs of the population they serve. The utilization of the health assessment tool serves to be an efficient means in which to accomplish this endeavor. This paper will explore and compare the cultural influences and views of three families of various cultural backgrounds to include their cultural beliefs of health maintenance, health protection, and health restoration. Additionally, this paper will also distinguish as well as evaluate their common health traditions and evaluate family traditions. Heritage Assessment Tool It is important that nurses have a framework to comprehensively and systematically assess a patent as well as a families’ heritage and cultural background in order to better understand the values, beliefs and attitudes they embrace toward health care. At the same time it is equally important that the nurse understand the specific considerations, approaches, and manners in which health care should be implemented to be sensitive...
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... University of Phoenix Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. Cultural Competence When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but also encompasses “other inseparable...
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...or her world through the interaction of around them, genetic influences, and learned factors often model by a child’s parents and teachers. “Among the areas of cognitive development are information processing, intelligence, reasoning, language development, and memory” (Blumberg, 2004), however historically cognitive development in children has been studied in a variety of ways, and has been explained in several different manners. While most psychologists believe there is a developmental cognitive stage the each explains the stage differently in order to defend their findings and information. Recently I read four different articles relate to cognitive development, and realized that although all psychologists believe this stage to exist, they all understand it differently, and explain it differently as well. While many believe cognitive development is solely representative of one’s surroundings, others believe it can be influenced by one’s genetic making, or situational circumstances. In the first article I read, cognitive development was explained as something highly influenced by a person’s cultural surroundings, creating the understanding that our culture background meaning; believes, customs, food, and language have much influence on our cognitive development. It explained that cognitive development is a cultural process, and stated that “children develop knowledge and thinking skills, according to their cultural practices” (Gauvain, 2011). In this article, the authors describe...
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...cultures, nationalities and which helps healthcare professional to build a cultural competencies. The tool is used to investigate a particular ethnic group or population. As the United States becomes more racially and ethnically diverse, every individual’s basic needs to be addressed. Heritage assessment tool helps to identify and acknowledge one’s own cultural heritage and beliefs and how it influences one’s attitude and behavior in providing care .Culture is a specific pattern of behavior, which include belief, custom knowledge, and skills that distinguishes any society from others. Heritage assessment tool determine how much a person adhere to their traditions. A traditional person always observes his or her traditional culture very closely. This tool is useful in performing heritage assessment depending on how deeply a person identify and answer question and also help to understand health tradition of a person. The greater number of positive response shows the person’s greater identification with traditional heritage. Assessing an individual’s cultural heritage is the first and most important step to Identify the communication barrier of a person from another culture. Each culture views the world differently. Based on their beliefs and practices, people from different ethno cultural heritage define health and illness differently. Their cultural background, religion, influences a person’s health and beliefs .A nurse must understand these diverse cultures and their impotence...
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...Teaching Team | Community Services and Health Nursing | Student Name | Binta Bah | Student No. | 4101568315 | Teacher | Amanda Holborow | Semester/Year | | Program Name and Code | HLT51612 Diploma of Nursing | Unit Name and Code | HLTHIR403C / HLTHIR404D ATSI & Cultural Diversity | Assessment (AS) No. Description and Version | One | INSTRUCTIONS TO CANDIDATES: Short and Long Answer Questions Please type your responses to the following questions into a word document and upload via the Assessment Task 1 folder located under ASSESS in the online HLTHIR403C / HLTHIR404D unit on my.tafe A minimum of 150 words is required for each response Please note: this word minimum also applies if there is more than one answer required for the question. For example, Question 1: a. minimum 100 words b. minimum 100 words Please use APA referencing to acknowledge your sources of information: APA Referencing Guide (located under ‘Tools’ in the HLTHIR403C_HLTHIR404D unit on my.tafe). Question 1 Using the latest Australian Bureau of Statistics data answer the following questions: a. Using current statistical information, discuss the inequality between Indigenous and non-Indigenous mortality rates in Australia b. Discuss the factors that influence Indigenous mortality. Include the following in your discussion: * social determinants that impact on Indigenous health * historical and cultural influences such as ‘stolen generation’, self determination ...
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...Cultural Diversity: Clients, Context, and Caring Health Promotion and Caring for Communities and Families ------------------------------------------------- Week 4: Friday October 11, 2013 Prologue Care is the essence of nursing. Care involves recognizing and transcending the barriers and challenges established by cultural differences. The nurse considers the common threads that are held by all, as well as the unique elements maintained by the client What is Culture? * Culture is a learned, patterned behavioural response acquired over time that includes implicit versus explicit beliefs, attitudes, values, customs, norms, taboos, arts, and life ways accepted by a community of individuals. Culture is primarily learned and transmitted in the family and other social organizations, is shared by the majority of the group, includes an individualized worldview, guides decision making, and facilitates self worth and self-esteem * “The learned, shared, and transmitted values, beliefs, norms and lifeways of a particular culture that guides thinking, decisions and actions in patterned ways and often intergenerationally” (Leininger, 2006 as cited in Stamler& Yiu, 2012, p. 125) * Culture is more than beliefs, practices, and values (Aboriginal Nurses Association of Canada, 2009) * Culture is learned, shared, and changes. It also encompasses all aspects of our lives. What we have learned to value represents our assumptions about how to perceive, think, and...
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...Emerging Standards of Care: Cultural Competence Nur 531 July 29, 2013 Instructor Greg Friensz Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but encompasses “other inseparable factors of culture...
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