Chapter 11


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  • You’re familiar with David Letterman, Mary Tyler Moore, Saturday Night Live, Bewitched, the Flintstones, Sesame Street, Mr. Rogers, Bill Cosby, Bugs Bunny, Donald Duck, the Fonz, Archie Bunker, Star Trek, the Three StoogesYou’re fairly likely to believe in God; if not, you’ve certainly been approached by people asking whether you know that you’re going to Heaven.You don’t consider insects, dogs, cats, monkeys, or guinea pigs to be food.A bathroom may not have a bathtub in it, but it certainly has a toilet.It seems natural to you that the telephone system, railroads, auto manufacturers, airlines, and power companies are privately run; indeed, you can hardly picture things working differently.School is free through high school.You think a tax level of 30% is scandalously high.If a politician has been cheating on his wife, you would question his ability to govern.Labor Day is in the fall.If you have an appointment, you’ll mutter an excuse if you’re five minutes late, and apologize profusely if it’s ten minutes. An hour late is almost inexcusable.How to tell if you’re from the Pacific NW Jeff FoxworthyYou stand on a deserted corner in the rain waiting for the Walk signal.You consider that if it has no snow or has not erupted, it is not a real mountain.You know how to pronounce Sequim, Puyallup, Issaquah, Oregon, Yakima, Puget, Skagit, Willapa and Willamette. What about Tillicum and Steilacoom and Kalaloch?You have no concept of humidity without can point to at least two volcanoes, even if you cannot see them through cloud cover.You say the mountain is out when it is a pretty day and you can actually see measure distance in hours.You often switch from heat to ac in the same day.You know all the important seasons: almost winter, winter, still raining, road construction, deer & elk season
  • Who IS the healer in this vignette?Have you other health rituals that you’d like to share?Name a home remedy used by your family.
  • Components of Cultural DiversityAgeismGenderSexual orientationEthnic backgroundEducational preparationLife experiencesSpiritual influencesRole models and mentorsEconomic influencesValuesInternal milieuCan also add music, pace of life, architecture, sports, literature, language, eye contact, level of emotional display, artViews about leadersTolerance for changeAssumptions about relationshipsRole of the familyComfort with riskImportance of work and jobsBeliefs about human naturePast, present or future focus
  • Understanding Cultural DiversityLevel 1 – Level 2 – Level 3 – Level 4:Person is unaware that they lack knowledge of cultural diversityPerson becomes aware that he/she lacks knowledge of diversityPersons begin to learn about cultural diversityPersons automatically provide culturally sensitive care w/o thinking about itGoal is to function in 3rd and 4th level
  • What causes illness:Poor eating habits Wrong food combinationsViruses, bacteria, other organisms Punishment for GodEvil eye Hexes, spells or envyWitchcraft Environmental changesExposure to drafts Over/under workGrief & lossCulture also influences methods of maintaining, protecting and restoring health (including physical, mental and spiritual aspects)Methods to maintain healthAlways clean the floor (China)Drink carrot juice (Cuba)Make sure food on table for everyone (Ethiopia)Never go outside after bath (Greece)Exercise in form of chores (Jamacca)Herbal enemas (Lithuania)Chicken soup and vodka (Ukraine)Methods to protect healthDrink brown ale after cleaning a sick room to prevent catching disease (England)Promote sweating (AustriaWrap salted herring and wear around your neck (Germany)Don’t go to bed with wet head (Ireland)After working in fields, soak feet in salted water (Philippines)Keep feet and head covered (Russia)Drink vodka (Ukraine)Methods to restore healthScoop inside of black radish, fill cavity with rock candy and bake it, then drink contents for chest cold (Austria)Scratch the back with a coin (China)Cook onion and place on stomach for cramps (Columbia)Use pig skins as bandages to cure cuts (Cuba)Apply pitch from pine tree to draw out infection (Russia)Cover insect bites with mud mixed with urine (Turkey)Drink vodka (Ukraine)
  • Chapter 11

    1. 1. MEDA 112<br />Chapter 11<br />A cultural Perspective for Health Professionals<br />
    2. 2. How to tell if you’re an American<br />Playboy<br />Big Bands<br />John Wayne<br />Tony Hawk<br />Apple Pie & Baseball<br />Run, Forrest, run<br />Hippie<br />Christmas Tree<br />Woodstock<br />Did somebody say McDonalds?<br />Mosh pit<br />Reality TV<br />Hip Hop<br />There she is….Miss America<br />
    3. 3. Vignette: Who is the healer?<br />Page 153<br />In a Southwestern region of the United States, a Native American healer was called at the same time as an ambulance. Before the ambulance crew could begin their work, the healer performed a “purification” or “healing ritual” on the afflicted person.<br />
    4. 4. Cultural Diversity<br />Cultural differences exist within cultures<br />Culture defines who we are, how we think, what is right/wrong and how we are expected to behave<br />
    5. 5. Cultural Congruent Care Levels<br />Level 1: person is unaware they lack knowledge<br />Level 2: person become aware they lack knowledge<br />Level 3: person begins to learn about diversity<br />Level 4: person automatically provides culturally sensitive care<br />
    6. 6. Tips<br />Identifying acceptable behavior within patient’s culture helps to understand patient reactions to illness.<br />Culture also influences whether person will/will not talk about symptoms/emotions with practitioner<br />Culture accounts for what people believe causes illness<br />Culture also influences methods of maintaining, protecting and restoring health (including physical, mental and spiritual aspects)<br />