Culture and Health Beliefs Flashcards by Unknown Unknown

Leininger’s Theory of Cultural Care Diversity and Universality

founder of transcultural nursing
defines culture as the specific pattern of behavior that distinguishes any society from others and gives meaning to human expressions of care

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Leininger’s Sunrise model

recognizes that care is influenced by many cultural features (tech, religion, spirituality, kinship, social structures, values and practices, legal and political systems, economics, education)
all shapes one’s worldview

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AA most common religion

Christian

-prayer, gospel music, Bible reading, engagement with faith community

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Head of household of AA

female

matriarchal

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Latino head of household

female

matriarchal

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Latino cultures may consult with who

folk healers

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Susto

Latino cultural illness

-fright

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Mal ojo or mal de ojo

“evil eye”

Latino folk illness usually of baby/child
when adult who stares with envy at the child
hex broken when person staring touches the child
or to pass an egg over the child with prayers and place the egg under the bed overnight

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Evil eye is similar to which other beliefs

Muslin and Mediterranean cultures

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Who primarily does the healing in Native American groups

shaman using prayers, dance, fasting, smudging, and sometimes ingesting hallucinogenic plants

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What is smudging

-ritualistic burning of an herb to help clenase a person or place

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What do Native Americans die at a higher rate from

-chronic liver disease
-cirrhosis
-diabetes
-accidents
-assault/homicide
-self harm/suicide
chronic lower respiratory disease

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Group with highest rates of rape and assault

Native American women

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Who is in charge of delivery of health care to Native American population

Indian Health Service

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What is considered a sign of respect by Asian people

listening quietly without questioning

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Ancestor veneration

the custom of venerating deceased ancestors who are considered still a part of the family and whose spirits are believed to have the power to intervene in the affairs of the living

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Vietnamese people may stop taking medication because..

they think they are cured once symptoms resolve or only one visit is needed for cure

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Who may think blood loss worsens illness

-Vietnamese

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Belief of Buddha and physical health

believe physical suffering is an inevitable part of life and believe in karma and cycle of rebirth
some may experience anxiety about being reborn into a lower form or less desirable life

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Diet of Buddhists

many vegetarian

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Buddhists may refuse narcotics T/F

True

-value clarity of mine and refuse medication that may alter consciousness

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Yin is what gender

Female

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Yang is what gender

Male

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Traditional Chinese Medicine believes acupuncture and cupping can correct what

Study These Flashcards

energy imbalance

What is coining

rubbing a coin vigorously on skin to make welts

What practice can be misinterpreted as signs of abuse

cupping and coining

Sikhs code of conduct

- one wears five symbols of Sikhs identity - uncut hair - sword - shorts - hair comb - iron wrist ring

What will Sikhs not consume

- meat - alcohol - stimulants

What is the usual color of Sikh turbans

white

Can Sikh items be removed

no, unless negotiated with patient.

Hindus typical practice

- remove shoes indoors - sprinkle water around plate of food to symbolize purification - regular bathing - cleaning mouth and teeth prior to eating - foods selected to enhance inner purity (no meat) - wear talisman that should not be cut or removed

Hijab covers what

- head scarf | - hides hair, ears, neck

Burqa or abaya covers what

full veil/robe that covers body

Muslims: left hand is reserved for what

bodily functions unclean use right hand to shake

Muslims prefer clinicians of same gender T/F

true

Muslim women need permission from male figure to see a clinician

- yes - unmarried women needs her fathers permission - married women needs husbands permission

Muslim women and men

- women are not allowed to be alone or visit with men who are not family members - if seen by a male HCP, husband or other male family member must be present in the room

What does the Qur'an forbid

- drinking alcohol - eating pork - eating meat not slaughtered in the "halal" manner

What is Ramadan

-holy month of 30 days of fasting -forbidden to eat or drunk fluids/water during daytime but can eat or drink from sunset to before sunrise

Ramadan and medication

-if possible, schedule oral medications after sunset

People exempt from Ramadan

- those who are sick - pregnant - physically or mentally ill people - children are not expected to fast until puberty

Orthodox Jews prefer clinicians of the same gender T/F

true

Male Hasidic Jews may refuse to shake a female practitioners hand T/F

true

Shabbat (Sabbath)

observed from sundown Friday to sundown Saturday as a holy day that forbids any form of work - some believe electricity is a form of work and may stop using it during Shabbat - some may not drive or use cell phone during this time

The physician may have to turn off the lights for which group of people

Jews during Sabbath

Kosher dietary laws

- kashrut - not mixing meat and dairy products within specified time frame - eating only meaty foods certified as kosher - may have 2 separate kitchens at home: kosher and nonkosher

Jehovah's witness may refuse to do what

- refuse to donate blood - store blood - accept own blood (autologes transfusion) - but accept nonblood plasma expanders and blood components without RBCs

Jehovah's witness and child that requires blood transfusion

- parents may still refuse | - may require a court order

Jehovah's witness and major civil holidays

They do not celebrate these

Jehovah's witness and advanced directives

- recommend to carry one around - such as a card from church - in urban locations, hospital liaison from church may be available

Seventh day adventists lifestyle

- vegetarian - abstain from tobacco - no alcohol - no caffeine

With Jews, who also participates in Sabbath

-Seventh-Day Adventists

How to Amish/Mennonites pay for health care

community pays | -does not participate in Medicare or Social Security

Amish/Mennonites health practices

- folk practitioners and folk/alternative medicine | - if surgery or expensive test needed, need permission from church elders

Amish/Mennonites have higher rates of what

- genetic disease - maple syrup urine disease - Cirgler-Najjar syndrome (type of dwarfism) - cystic fibrosis - metabolic disorders

Difference between Amish and Mennonites

Mennonites not prohibited from using technology

Church of Latter-Day Saints (Mormons)

- may wear temple garments under hospital gown or clothing | - treat it with respect

Individualistic society

value individual over family, organization, or group

Collectivistic society

value rights, needs, and wishes of the family or group over those of the individual

Culture and Health Beliefs Flashcards

(59 cards)