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Transcript

  • 1. Chapter Fourteen Culturally Appropriate Health Care
  • 2. Transcultural Health
    • Who besides the Native Americans and Eskimos are the “real Americans”?
    • “ Melting pot” or “fresh salad”?
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 3. Transcultural Health (continued)
    • Read over the case at the beginning of the chapter
      • How does this relate to the concept of culture shock?
      • Why would the ethnocentric or xenophobic practitioner be especially harmful in a nation such as the United States?
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 4. Traditional Chinese Medicine
    • The ancient traditions of Chinese medicine seem to follow a form of virtue ethics:
      • Virtues of the “good practitioner”
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 5. Traditional Chinese Medicine (case problem)
    • Review the case study “A Difference in Perception”
    • Assume you agree that traditional practitioners are more humane, caring, and skillful than Western health care providers
    • List three remedies that would not lower our standard of care
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 6. Two Traditions – East and West
    • How they are the same?
    • How they are different?
    • Holistic nature of TCM
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 7. Revolutionary Humanitarianism
    • Communist health care ethics were to be built upon:
      • Revolutionary zeal – classless society
      • Communist morality - serve the people with all your heart, mind, and soul
      • Discipline – service before self-interest
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 8. Revolutionary Humanitarianism (continued)
    • In this form of virtue ethics, how would the “good practitioner” act?
    • How would this differ from a Western practitioner?
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 9. Modern Chinese Health Care
    • In the early 1980s, the leadership of China began a program of fiscal reform that attempted to bring the free market economy into China
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 10. Modern Chinese Health Care (continued)
    • Traditional and revolutionary ideas of health care provision call for practitioners to follow a set of virtues
    • Review the virtues: Will they be sufficient to guide Chinese practitioners in free market medicine?
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 11. India
    • Historical traditions:
      • Dharma: “It is better to do one’s dharma poorly that to do another’s dharma well”
      • Samsara
      • Atman and Brahman atman
      • Three debts
      • Three paths to Moksha
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 12. Medical Ethics in India
    • Abortion:
      • Opposing positions within the tradition
      • Current practice in India
    • Euthanasia
    • Hindu code of medical ethics:
      • What basic principles are promoted by the directives contained in the Hindu Code of Ethics for Physicians?
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 13. Islam
    • Historical background
    • Basic message
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 14. Islam (continued)
    • Five Pillars of the Faith:
      • Belief in Allah, and in his prophet Muhammad
      • Prayers
      • Charity or alms
      • Fasting during Ramadan
      • Hajj or pilgrimage
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 15. Islam and Health Provider Guidelines
    • Food service (halal and haram foods)
    • Hygiene requirements
    • Religious observance
    • Modesty
    • Grieving and bereavement
    • Modifying conditions
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 16. Health Care Ethics: Islamic Perspective
    • Abortion, euthanasia, suicide:
      • “ No Soul can die except by Allah’s permission”
      • Abortion only to save life of mother
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 17. Health Care Ethics: Islamic Perspective (continued)
    • Prolongation of life by artificial means:
      • Everyone has been created for a particular lifespan
      • Quality of life is to be considered along with quantity
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 18. Health Care Ethics: Islamic Perspective (continued)
    • Transplants:
      • Conditional acceptance
    • Biotechnical reproduction:
      • Conditional acceptance
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 19. Review Exercises
    • Exercise B
      • What is to be done? Remember, many of the specialty codes require you to obey the law.
    • Exercise C
      • While tolerance is a virtue, is it possible to cross the line in regard to traditional practices?
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 20. Key Concepts
    • Why do American practitioners have a special obligation to provide culturally appropriate care?
    • Culture shock:
      • Why would health care be an arena where you might expect it to surface ?
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.
  • 21. Key Concepts (continued)
    • What basic principles seem to require that we be culturally sensitive in our practice?
    Copyright ©2009 Delmar, Cengage Learning. All rights reserved.