Chapter Fourteen Culturally Appropriate Health Care
Transcultural Health  <ul><li>Who besides the Native Americans and Eskimos are the “real Americans”? </li></ul><ul><li>“ M...
Transcultural Health  (continued)   <ul><li>Read over the case at the beginning of the chapter </li></ul><ul><ul><li>How d...
Traditional Chinese Medicine  <ul><li>The ancient traditions of Chinese medicine seem to follow a form of virtue ethics: <...
Traditional Chinese Medicine  (case problem) <ul><li>Review the case study “A Difference in Perception” </li></ul><ul><li>...
Two Traditions –  East and West <ul><li>How they are the same? </li></ul><ul><li>How they are different? </li></ul><ul><li...
Revolutionary  Humanitarianism <ul><li>Communist health care ethics were to be built upon: </li></ul><ul><ul><li>Revolutio...
Revolutionary  Humanitarianism  (continued) <ul><li>In this form of virtue ethics, how would the  “good practitioner” act?...
Modern Chinese Health Care <ul><li>In the early 1980s, the leadership of China began a program of fiscal reform that attem...
Modern Chinese Health Care  (continued) <ul><li>Traditional and revolutionary ideas of health care provision call for prac...
India  <ul><li>Historical traditions: </li></ul><ul><ul><li>Dharma: “It is better to do one’s dharma poorly that to do ano...
Medical Ethics in India <ul><li>Abortion: </li></ul><ul><ul><li>Opposing positions within the tradition  </li></ul></ul><u...
Islam  <ul><li>Historical background </li></ul><ul><li>Basic message </li></ul>Copyright ©2009 Delmar, Cengage Learning. A...
Islam  (continued) <ul><li>Five Pillars of the Faith: </li></ul><ul><ul><li>Belief in Allah, and in his prophet Muhammad <...
Islam and  Health Provider Guidelines <ul><li>Food service (halal and haram foods) </li></ul><ul><li>Hygiene requirements ...
Health Care Ethics:  Islamic Perspective  <ul><li>Abortion, euthanasia, suicide: </li></ul><ul><ul><li>“ No Soul can die e...
Health Care Ethics:  Islamic Perspective  (continued) <ul><li>Prolongation of life by artificial means: </li></ul><ul><ul>...
Health Care Ethics:  Islamic Perspective  (continued)   <ul><li>Transplants: </li></ul><ul><ul><li>Conditional acceptance ...
Review Exercises <ul><li>Exercise B </li></ul><ul><ul><li>What is to be done? Remember, many of the specialty codes requir...
Key Concepts <ul><li>Why do American practitioners have a special obligation to provide culturally appropriate care? </li>...
Key Concepts  (continued) <ul><li>What basic principles seem to require that we be culturally sensitive in our practice? <...
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Chapter14

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