Chapter 8: Transcultural Perspectives in the Care of Older Adults Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins Copyright © 2020 Wolters Kluwer • All Rights Reserved 1 Transcultural Perspectives in the Nursing Care of Older Adults #1 Longer life spans and the aging baby boomer generation will lead to a large population of older adults aged 65 years old and older who will seek health services. Delivering culturally appropriate care to clients is set by how available and affordable national, state, and local health care resources are for older adults. Copyright © 2020 Wolters Kluwer • All Rights Reserved 2 Transcultural Perspectives in the Nursing Care of Older Adults #2 There are three areas of influences for older adults that guide their help-seeking behaviors: Societal and economic factors; affordability and accessibility Cultural values, practices, patterns of caregiving, and available community resources Family, individual lifestyles, health, and coping behaviors Copyright © 2020 Wolters Kluwer • All Rights Reserved 3 The Older Adult in Contemporary Society: Factors Affecting Health Care Societal level Demographics: ethnicity and income level, low literacy Socioeconomic status: fixed income, increased health-related expenses, delayed retirement Theories of aging: explain patterns of behavior Copyright © 2020 Wolters Kluwer • All Rights Reserved 4 Question #1 Is the following statement true or false? The health status of non-Hispanic Whites is typically better than other minority ethnicities. Copyright © 2020 Wolters Kluwer • All Rights Reserved 5 Answer to Question #1 True Rationale: At all ages, the health status of Hispanics, Asian Americans, African Americans, Native Americans/Alaska Natives, and Native Hawaiians/Other Pacific Islanders has long lagged behind that of non-Hispanic Whites. Also, approximately 40% of Hispanics and African Americans have no private savings for their retirement and will look to government-funded assistance. Copyright © 2020 Wolters Kluwer • All Rights Reserved 6 The Older Adult in the Community: Cultural Influences #1 Cultural level Differences in culture and ethnicity shape health and illness behaviors and actions. Specifically: Physical functioning: mobility/exercise Social and emotional well-being: acculturation, family/peer support Quality of life: satisfaction and happiness Beliefs and practices: remedies, traditional healers, self-care Copyright © 2020 Wolters Kluwer • All Rights Reserved The Older Adult in the Community: Cultural Influences #2 Cultural level (cont.) Culture change: relocating, migrating Caregiving: willingness of family to offer support, responsibility to care for elders Copyright © 2020 Wolters Kluwer • All Rights Reserved 8 Question #2 Is the following statement true or false? It is generally not recommended for older adults to utilize self-help strategies to maintain their health. Copyright © 2020 ...