HA final chapters

they have minimal understanding of the modern health care delivery system and modern medical and nursing practices, and they speak and understand minimal or no English. Need to tailor care to meet their needs

unusual and disproportionate frequency of a given health problem (diabetes, hypertension) within a population when compared with other populations

• culturally sensitive-
• implies caregivers possess some basic knowledge of and constructive attitudes toward the diverse cultural populations found in the setting in which they are practicing

• culturally appropriate-
• implies that the caregiver apply the underlying background knowledge that must be possessed to provide a given person with the best possible Health Care

• culturally competent-
• implies that the caregivers understand and attend to the total context of the individual's situation, including awareness of immigration status, stress factors, other social factors, and cultural similarities and differences

• Culture-
• the thoughts, cmns, actions, beliefs, values, and institutions of racial, ethnic, religious, or social groups

• Ethnicity-
• pertains to a social group within the social system that claims to possess variable traits

• Spirituality-is borne out of each person's unique life experience and his or her personal effort to find purpose and meaning in life. 
• -one can be spiritual but not religious

Religion-refers to an organized system of beliefs concerning the cause, nature, and purpose of the universe, esp belief in or the worship of God or gods

Socialization-the process of being raised within a culture and acquiring the characteristics of that group

Naturalistic-some Asians believe in the yin/yang theory in which health is believed to exist when all aspects of the person are in perfect balance.

• Mexico- Mal ojo (evil eye)
• cause kids to cry and have diarrhea due to stranger's stare

Africans- low blood, anemia, high blood (too much red meat), or thin blood (women and children)

realize- you must know & understand pt's heritage

examine- the pt within context of their cultural health

select- questions that are not complex

pace- questions through the PE

encourage- pt to discuss meanings of health and illness to you

check- pts understanding acceptance of recommendations

touch- only within the cultural boundaries

• African American-
• high BP, diabetes, sickle cell

• Pacific Islander-
• diabetes

• Jewish-
• Tay Sachs

• Asian-
• osteoporosis