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MANAGING PAIN, ILLNESS AND
DEATH IN MULTICULTURAL
ENVIRONMENTS
Andres Molina
Medesalud 2013
¿What is Culture?
What we see of culture
Dress Language
Greeting Food
Customs Rituals
What we see of culture
Values
Beliefs
Assumptions
Dress Language
Greeting Food
Customs Rituals
What we see of culture
Individualism
Time & Space
Power Distance
Risk avoidance
Context
Values
Beliefs
Assumptions
Dress Language
Greeting Food
Customs Rituals
What we see of culture
A culturally coherent organization should:
• Have values and behaviors encouraging
cross-cultural synergy.
• Train personnel to assist cultural differences.
• Develop tools to adapt to new cultural
contexts.
DEATH
ILLNESS
PAIN
5 CULTURALLY
COHERENT
STRATEGIES TO
DEAL WITH
PAIN
1. Identify my own attitude
2. Respect different reactions to Pain
Pain
High Expression:
Look for Company
Value Courage
Eliminate the Cause:
Low trust on doctors
Future orientation
Low Expression:
Not necessarily stoic
Ask = Grant Permission
Eliminate the Pain:
Analgesics
Present
orientation
3. Properly Pain measuring
3. Properly Pain measuring
3 steps common to all cultures
Life
Stages
Childhood Adulthood Old-Age
…but with different length!
4. Get intercultural skills
• Touching and space management
• Family participation
• Patient’s expectations
• Image of Authority
• The context
5. Rolls and Responsibilities
What is allowed to
inform about pain?
ILLNESS’ MEANING
¿Why me?
¡Life is Life!
God knows what He does
I deserve it!
Religious Dimensions of Culture
EXPERIMENTAL
RITUAL
IDEOLOGICALINTELLECTUAL
BEHAVIOURAL
Acceptance of Death
Varies across cultures
¿What
caused
death?
¿What
happens
with the
body?
¿What
happens
with the
soul?
¿What
happens
with the
family?
Andres Molina
andres.molina@globalmanageronline.com
Tel: (+57) 312 842 3934
www.globalmanageronline.com
@globalmanager1
/global-manager

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Managing Pain, Illness and Death in Multicultural Environments

Editor's Notes

  1. Pregunto: qué diferencia entre japoneses y latinos? Entre colombianos y argentinos? Entre paisas y costeños? 2 conclusiones: 1) Siempre dijimos “ellos son así…” , nosotros no sabríamos decir qué es característico de nosotros y alguien de afuera sabría decirnos qué es lo nuestro. 2) hay infinitas culturas y subculturas y no se podrían aprender todas.
  2. Vamos a hablar de “coherencia cultural”
  3. Rech. A dolor: analgésicos, y creen en el Dr que les quita dolor, es present-oriented. Rech. a la causa no analgésicos y no creen en Dr hasta que les cure, y siguen mostrando cara de dolor x la enfermedad, future-oriented.
  4. Despectivo: “tercera edad” Nosotros 7: prenatal, infancia, niñez, adolescencia, juventud, adultez y vejez. Chinos un año en la primera Luna.