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Heath Care  Cultural Influences on Context
If you are not in tune with the universe, there is sickness in the heart and mind. Navaho saying
We will focus on: <ul><li>Beliefs about health care and treatment and prevention of illness  </li></ul>We will also look a...
 
Theories of health and disease causation <ul><li>Generally theories of health and disease/illness causation are based on p...
Theories of health and disease causation <ul><li>Generally theories of health and disease/illness causation are based on p...
Health Care Belief Systems <ul><li>Supernatural/magico/religious </li></ul><ul><li>Holistic </li></ul><ul><li>Scientitic/b...
Supernatural/Magico/Religious Tradition <ul><li>Comes from a belief system in which the world is perceived as an arena whe...
Hmong  of SE Asia <ul><li>Often attribute disease to spiritual forces such as malevolent spirits or ghosts. </li></ul><ul>...
Phillipinos <ul><li>Some Phillipinos may believe that disease may be caused by a sorcerer who causes a poison to be introd...
Latinos and Phillipinos <ul><li>Among some Latinos and  Phillipino ’ s  health and disease is deemed to be consequences of...
The Evil Eye  – Jealousy and Envy <ul><li>One of the oldest superstitions is the evil eye, the belief that someone can pro...
Treatments -- Shamanism <ul><li>Treatments are carried out by healer-practitioners known as shamans. </li></ul><ul><li>In ...
Shamanism <ul><li>Shamanism is neither a religion or a science but an activity that takes place in a world that is ordinar...
Shamanism <ul><li>Powers of a shaman  may include hands-on power to heal by removing harmful spirit stuff from the body an...
Treatments: Korea <ul><li>“ Hanyak, ”  which has its roots in ancient Chinese medicine. </li></ul><ul><li>Diagnoses impala...
Treatments: Korea <ul><li>Light complements dark; males complements female. </li></ul><ul><li>Various organs are associate...
Treatments: Cuba,  Haiti,  Puerto Rico, Brazil <ul><li>“ Santorini. ”  Santero is contracted who consultas a orisha deity ...
Holistic Tradition – Underlying Premises <ul><li>Holistic health is based on the principle that a whole is made up of inte...
Holistic Tradition – Causes <ul><li>For people to be healthy, they must remain in harmony with nature’s laws and willingly...
First Nations Peoples <ul><li>Although many First Nations tribes have different worldviews most consider the earth to be a...
First Nations Peoples <ul><li>Believe that is the earth is harmed, humankind itself is harmed. </li></ul><ul><li>Conversel...
Scientific/Biomedical Tradition -- Premises <ul><li>Evidence-based approach the relies on laboratory test. </li></ul><ul><...
Scientific/Biomedical Tradition <ul><li>Is geared to conquer disease by battling microorganisms and diseased cells. </li><...
Scientific/Biomedical Treatment <ul><li>Attempt to return the body to a normal state through surgery, medications, chemoth...
Intercultural Competence <ul><li>Cultural awareness </li></ul><ul><li>Cultural knowledge </li></ul><ul><li>Cultural unders...
Intercultural Competence -- attributes <ul><li>Culturally diverse staff </li></ul><ul><li>Interpreters who speak patients’...
Communication strategies, include <ul><li>Allow patients to be open and honest </li></ul><ul><li>Do not discount effects o...
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Healthcare

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  • Barang - the use of beetles to inflict pain and sickness in a person Haplit - using a doll to represent the victim; the Filipino sorcerer&apos;s equivalent of using a voodoo doll Paktol - paktol means to &amp;quot;knock on the head&amp;quot;; the use of a skull or some other representation of the victim. Any insult done the representation, the victim feels the corresponding harm Anyaw - the art of courting the favor of malign spirits with food containing no salt; the sorcerer then asks the spirit to bring harm on an intended victim Là-gà - &amp;quot;to boil&amp;quot;, the sorcerer boils objects belonging to the victim; the victim suffers from unease, sleeplessness, fatigue, malaise and later, death
  • Southeastern Europe, Middle East Turkey and North America
  • Transcript of "Healthcare"

    1. 1. Heath Care Cultural Influences on Context
    2. 2. If you are not in tune with the universe, there is sickness in the heart and mind. Navaho saying
    3. 3. We will focus on: <ul><li>Beliefs about health care and treatment and prevention of illness </li></ul>We will also look at <ul><li>Cross-cultural medical competence </li></ul><ul><li>Language complications </li></ul>
    4. 5. Theories of health and disease causation <ul><li>Generally theories of health and disease/illness causation are based on prevailing worldview held by a group. </li></ul><ul><li>These worldviews include a groups health-related attitudes, beliefs and practices. </li></ul><ul><li>Are frequently referred to as health belief systems. </li></ul>
    5. 6. Theories of health and disease causation <ul><li>Generally theories of health and disease/illness causation are based on prevailing worldview held by a group. </li></ul><ul><li>These worldviews include a groups health-related attitudes, beliefs and practices. </li></ul><ul><li>Are frequently referred to as health belief systems. </li></ul>
    6. 7. Health Care Belief Systems <ul><li>Supernatural/magico/religious </li></ul><ul><li>Holistic </li></ul><ul><li>Scientitic/biomedical </li></ul>
    7. 8. Supernatural/Magico/Religious Tradition <ul><li>Comes from a belief system in which the world is perceived as an arena where supernatural forces predominate. </li></ul><ul><li>Hold strong beliefs in sorcery, magic, and evil spirits. </li></ul>
    8. 9. Hmong of SE Asia <ul><li>Often attribute disease to spiritual forces such as malevolent spirits or ghosts. </li></ul><ul><li>Believe an individual’s spirit is the guardian of the person’s well being </li></ul><ul><li>If the spirit is happy, then the person is happy and well. </li></ul>
    9. 10. Phillipinos <ul><li>Some Phillipinos may believe that disease may be caused by a sorcerer who causes a poison to be introduced into the body. </li></ul>
    10. 11. Latinos and Phillipinos <ul><li>Among some Latinos and Phillipino ’ s health and disease is deemed to be consequences of God’s approval. Good health is by the grace of God. </li></ul>
    11. 12. The Evil Eye – Jealousy and Envy <ul><li>One of the oldest superstitions is the evil eye, the belief that someone can project harm by gazing or staring at another. </li></ul><ul><li>The Nazar is thought to ward off the evil eye. </li></ul>
    12. 13. Treatments -- Shamanism <ul><li>Treatments are carried out by healer-practitioners known as shamans. </li></ul><ul><li>In some cultures, known as medicine men, Kahunas, santeros, or spirit healers. </li></ul>
    13. 14. Shamanism <ul><li>Shamanism is neither a religion or a science but an activity that takes place in a world that is ordinary, yet spiritual – sacred. </li></ul><ul><li>A healing or helping technology. </li></ul>
    14. 15. Shamanism <ul><li>Powers of a shaman may include hands-on power to heal by removing harmful spirit stuff from the body and restoring energy. </li></ul><ul><li>Also, a visionary power to see into the body of a sick person and power to retrieve the lost soul or spirit of the sick. </li></ul>
    15. 16. Treatments: Korea <ul><li>“ Hanyak, ” which has its roots in ancient Chinese medicine. </li></ul><ul><li>Diagnoses impalances in the body that are believed to cause illness and then prescribing herbal remedies. </li></ul><ul><li>Balance of opposites – yin/yang. </li></ul>
    16. 17. Treatments: Korea <ul><li>Light complements dark; males complements female. </li></ul><ul><li>Various organs are associated with the five elements of the world, fire water, wood, metal, and earth. </li></ul>
    17. 18. Treatments: Cuba, Haiti, Puerto Rico, Brazil <ul><li>“ Santorini. ” Santero is contracted who consultas a orisha deity to assist in the cure. </li></ul><ul><li>AKA voodoo. </li></ul>
    18. 19. Holistic Tradition – Underlying Premises <ul><li>Holistic health is based on the principle that a whole is made up of interdependent, interacting parts. </li></ul><ul><li>Holistic health is about more than just not being sick. It is an approach to life that focuses on connections of mind, body and spirit. </li></ul>
    19. 20. Holistic Tradition – Causes <ul><li>For people to be healthy, they must remain in harmony with nature’s laws and willingly adapt to changes in the environment. </li></ul><ul><li>Do not believe they have the right to control nature. Many Asians possess a perspective where people must adjust to the physical world rather than controlling. </li></ul>
    20. 21. First Nations Peoples <ul><li>Although many First Nations tribes have different worldviews most consider the earth to be a living organism – the body of a higher individual with a desire to be well. </li></ul>
    21. 22. First Nations Peoples <ul><li>Believe that is the earth is harmed, humankind itself is harmed. </li></ul><ul><li>Conversely, when humans harm themselves, they harm the earth. </li></ul><ul><li>Cause and effect relationship with the earth creates an eternal chain. </li></ul>
    22. 23. Scientific/Biomedical Tradition -- Premises <ul><li>Evidence-based approach the relies on laboratory test. </li></ul><ul><li>This system usually disavows the metaphysical and holistic. </li></ul>
    23. 24. Scientific/Biomedical Tradition <ul><li>Is geared to conquer disease by battling microorganisms and diseased cells. </li></ul><ul><li>This Western biomedical ethnocentrism can often be a serious barrier to effecgtive health care communication and result in derisive response to alternative supernatural or holistic approaches. </li></ul>
    24. 25. Scientific/Biomedical Treatment <ul><li>Attempt to return the body to a normal state through surgery, medications, chemotherapy, radiation, antibiotics. </li></ul>
    25. 26. Intercultural Competence <ul><li>Cultural awareness </li></ul><ul><li>Cultural knowledge </li></ul><ul><li>Cultural understanding </li></ul><ul><li>Cultural sensitivity </li></ul><ul><li>Cultural skill </li></ul>
    26. 27. Intercultural Competence -- attributes <ul><li>Culturally diverse staff </li></ul><ul><li>Interpreters who speak patients’ languages </li></ul><ul><li>Training for providers about culture/language </li></ul><ul><li>Multilingual signage and instructions </li></ul><ul><li>Culturally specific health care settings. </li></ul>
    27. 28. Communication strategies, include <ul><li>Allow patients to be open and honest </li></ul><ul><li>Do not discount effects of belief in supernatural </li></ul><ul><li>Employ empathy </li></ul><ul><li>Be restrained in relating bad news </li></ul><ul><li>Follow patient’s lead in communication style </li></ul>
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