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competence
cont attempt by nrs to gain knowledge and skills allowing them to effectively provide care for pts of different cultures.
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sensitivity
awareness of different cultures
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sensitivity entails
knowledge, assessment, mutual respect, and negotiation
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knowledge means
learning abt diff cultures
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assessment means
talking to pts abt their ind beliefs
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mutual respect
respectful of their customs, rites, rituals, behaviors and beliefs. develops trust
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negotiation
giving quality care w/o compromising pts beliefs and values
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diversity
the many differences in the elements of culture in groups of ppl in society (melting pot)
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UNIQUENESS
all persons are unique but have similarities
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bias
interpreting a word/action according to some cult-derived meaning assigned to it, leads to danger
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ethnocentrism
attitude that one groups way of doing things is better than that of groups w diff cultures
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stereotype
inaccurate generalization used to describe all members of a spec group wo exception; making false assumptions and ignorance involved
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prejudice
intolerance of a cult group; hostile attitude
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discrimination
withholding rights and privileges from a person/group because of their cultural/religious beliefs
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summarize philosophy of ind worth
unique value each human for care and their right to beliefs
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areas of cultural diversity
family structure, food preference, religious beliefs
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family diversity
- child rearing practices
- nuclear fam vs ext fam struct
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food preferences
what, when. and how
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relig beliefs
personal to ind, imp aspect of culture
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diversity concept of time
clock or linear time
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diversity communication
speak dif lang, different view of reality
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diversity education
adapt you explanation to a level of their understanding
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diversity economic level
related to education
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diversity wellness/illness belief
good health to one may be sickness to another
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pregnancy and birth
welcome new babies in dif ways
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terminal illness and death
special taboos and prohibitions
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year 2050
50% Americans ethnic minority
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stigmas
ageism and sexism
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assess pts beliefs/needs
- data on adls and beliefs
- fact sheet
- reference guides
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when pts are not following plan of care
suspect cultural dif
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spiritual care help pt develop awareness to maintain
inner strength, self-awareness, lifes purpose, relationships, relationship higher power
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needs for additional spiritual care
- hospitalization
- pain
- incurable dis
- dying
- familys of deceased
- facing undesirable illness
- lost control
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meeting thier needs
- ask
- show interest
- listen
- respond natural
- face reality
- encourage involvement
- families participation
- no false reassurance
- supportive and empathetic
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interventions spiritual
- open-ended qs
- active listening
- eye contact
- nonjudemental
- dont give advice
- dont change pt belief
- nonverbal messages
- empathy
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pastoral care team
ministers, priests, rabbis, laypersons
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religious self refers to
specific beliefs held by an individual in regard to a higher power
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person may feel comfort and solace
in refuge of God,, passing into another life after death
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denomination
organized group of ppl who share a philosophy that supports their particular concept of God or higher power, worship experiences
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agnostics
hold the belief that the existance of God neither proved or disproved
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atheist
do not beleive in God or supernatural existance
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rituals are
a series of actions w religious meaning
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rituals provide
- comfort during crisis
- symbols
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symbols importance valued by
their faith
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respect rituals and
incorporate them into care plan
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prayer is a
- spiritual practice
- puts pt in touch w god
- decrease anxiety
- cope
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do not assume
- all individuals are religious
- same organization - same belief
- indiv differences
- clarify w pt
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church of god
- no alcohol/caffeine
- lacto-ova vegans - avoid pork
- no overeating
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buddhism
- no alcohol
- lacto-ovo
- eat fish, avoid beeg
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roman catholic
- no meat ash wed and fri during lent
- optional fasting lenten
- exempt are children, pregnant and ill
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latter day saints - mormom
- no alcohol, coffee, or tea
- limited meat
- first sun of mo optional fasting
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hinduism
- many vegans - no beef or pork
- fasting varies but not kids
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