traditional health practices Flashcards

1
Q

what is a world view

A

the way we think the world works, and how we fit into it

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2
Q

why should we know about traditional practices

A

turmeric, religious restriction, refuse surgeries example the whole in the heart problem becasue believe that the scare will be with them forever in t
future lives, johovah witness against blood transfusion

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3
Q

what factors influened justines health

A

justines grandmas - due to traditional pratices, led the mother feeling guilty. the grandma never went to the doctors

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4
Q

what is lifes Road Map

A
Worldview → Life’s Road Map
• Our worldview determines our:
– Decisions
– Our life goals
– What we think will makes happy
– How we spend our money
– How we treat others
• Really difficult to live according to what you dont think
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5
Q

hidden world view; Canon

A

image is everthing: image is more important than substance

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6
Q

hidden world view;thirst is everything obey your thirst

A

follow after your desires

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7
Q

Worldview evident in healthcare decisions

A

May appear indifferent in terminal illness due to
belief in reincarnation
• Belief in faith healing may contradict healthcare
recommendations, example?
• Preservation of life vs. denial of sustaining care
• Practitioner decision rather than family decision

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8
Q

what is the biomedical world view

A

• American (North American) majority worldview
• Conventional system of healthcare is biomedicine
– Based on scientific findings
– Treats disease using latest technologies
• 70 - 90% of sickness managed outside the biomedical
system
– Home remedies
– Popular therapies
– Complementary and alternative medicine
– 11 Billion to 40 Billion in USA (Past decade)
• Biomedical care often in conjunction with these other
systems

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9
Q

what percentage of people look for help outside the medical system- naturapath, example for a cold…

A

70-90%

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10
Q

why are some ppl hard to reach

A

• Healthcare professionals:
– Clients with different cultural background from
the majority:
Hard to reach
• Client with different cultural background:
– Health professionals who refuse to provide
culturally appropriate care:
Hard to reach

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11
Q

psychosomatic symptoms

A

– Symptoms outside the numerical confirmation:

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12
Q

what is the realtionship to nature

A

• Biomedicine adheres to the concept of mastery over
nature
• Health can be measured numerically
– Measurements outside the normal range indicate disease
• Standardized definition of diseases
– Symptoms outside the numerical confirmation:
psychosomatic symptoms
• No consideration of culture or ethnic background

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13
Q

Personal control vs. Fate

A
• Biomedicine: little room for chance
• Based on scientific rationality
• Personal responsibility to make the choices that
prevent diseases
– Food choices
– Physical activity
– Cigarette smoking
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14
Q

state of being

A
• Biomedical view:
– Active participation in cure
– Emphasis on doing, not being
• Other views:
– Client passivity (dont want to change anything just want medications)
– Acceptance of adverse conditions
– Recipients of healing not participants
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15
Q

role of the individual

A

Biomedical Worldview:
– Individuals are a single, biological units not a
member of a family or particular cultural group
– Cure dependent on personal behavior
– Assumption: Person desires privacy (ask father to wait outside)
• Keep medical matters quiet
– Provider-patient partnership

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16
Q

human equality vs. rank/status rank/stat

A

Biomedical Worldview:
– All patients deserve equal access to care
• Cost?
• Location?
• Convenience?
• Other worldviews:
– Service to younger people vs. older ill people
– Wealthy people can purchase care,
• A hierarchy of biomedical professionals
• Inferiority of the client

17
Q

aging

A

• Biomedical view: value on youthfulness
– Postponing aging process
• Plastic surgery
• Technological prolongment
• Alternative interventions for everlasting youth
• Direct conflict with other cultural worldviews
– Honor the wisdom that come

18
Q

perceptions of time

A
• Biomedical view:
– Future-oriented
– Act today, benefit tomorrow
– Long-term prevention strategies
• Diet
– Waiting list for
• Surgery
• Diagnostic methods
• Therapies
• Other
– Focus on urgent present health problems
19
Q

Degree of formality/directness

A

• Biomedical hierarchy
– Informal dialog between patient and provider
• Addressing the client by first name
• Expecting to be addressed with formal titles
• Limited time for a small talk
– Value honest, open communication
• Other cultural worldviews
– Value indirect communication
– Family not the patient, should be told about serious
conditions

20
Q

Materialism

A

• Biomedical view:
– Each disease has certain cause, specific symptoms, expected test
results, and predictable response to treatment.
– An illness isn’t real unless it is clinically significant
– Mind-body duality
– Emotional & social issues: not relevant
– Somatization
– Somatic symptoms; most common presentation of psychological
diseases
• Other cultures:
– Mind and body: unified whole
– Emotional needs of the patients needs to be addressed
– Spiritual intervention

21
Q

what is heALTH

A

• World Health Organization (WHO) “a state of
complete physical, mental, and social well-being, not
merely an absence of disease or infirmity.”
Other cultures include natural, spiritual and
supernatural dimensions of health.
• Health may be less dependent on symptoms than on
the ability to accomplish daily responsibilities.

22
Q

Meaning of health in other cultures

A
• Harmony with nature
• Absence of unpleasant environmental
forces
• Dependent on relationship with universe
• Pleasing ancestor spirits
• Mind-body-soul
• Can accomplish daily responsibilities
23
Q

WHAT ARE THE HEALTH ATTributes

A
• Physical
– skin color
– wt maintenance
– hair
• Normal body functions
• Bowel function
• Menstruation
• Undisturbed sleep
• Appropriate energy levels
• Behavioral norms
24
Q

body image

A

Perceptions of wt, health, & beauty differ worldwide
• Thinness is important in the western countries
– Historically associated with poor diet and disease
• Africans, Caribbean Islanders, Filipinos, Mexicans,
Middle Easterners, American Indians, Pacific
Islanders
– Value overweight
• Values change with immigration

25
Q

Three broad areas of intercultural agreement on

health habits

A

Diet
• Sufficient rest
• Cleanliness

26
Q

what are north american health habits compared to others

A
North American health habits
• 3 Meals a Day
• Daily shower/bath
• Alcohol?
• Smoking?
• Fat
• Fiber
• Calcium
• Fresh fruits and vegetables
• Exercise?
• Regular health checkups
Other cultures
• Dressing warmly
• Avoiding going outdoors
with wet hair
• Daily doses of cod liver oil (british)
• Molasses
• Natural amulets
– Camphor bags or garlic cloves
• Faith
– Blessings of the throat
– Wearing holy medals
27
Q

desease

A

Abnormalities or malfunctioning of body organs

and systems

28
Q

illness

A

– Perceptions of and reactions to a physical or

psychological condition

29
Q

sickness

A

– Entire disease-illness process

30
Q

explanatary models for health and desease

A

• Immediate causes
– Bacterial/vital infections, toxins, tumors, injury
• Underlying causes
– Smoking, high cholesterol, glucose intolerance,
nutritional deficiencies
• Ultimate causes
– Hereditary predisposition, environment, obesity

31
Q

Sickness due to the natural world

A
• Environmental
– Weather, allergens
• Wind or bad air
– Common in some cultures – enters body through pores,
orifices
• Humoral
– Disharmony with environment
• Astrology
– Determines fate
• Natural forces
– Lightning, falling rocks
32
Q

sickness du to the social world

A
Sickness due to the social world
• Evil Eye
– Common belief
– Children most vulnerable
– Can project harm on another person
• Conjury
– Illness directed towards a person by one with
imputed powers
• Brujos or brujas
• Sorcerers
• Root or herb doctors
• Voodoo or hoodoo doctors
33
Q

Sickness due to the supernatural world

A
• Caused by the actions of gods, spirits, or
ghosts of ancestors
• Spirit possession
• Wicked spirits
• Soul loss
34
Q

medical pluralism

A

• Consecutive or concurrent use of multiple healthcare
systems
– Complementary & Alternative Medicine 38% of adults,
12%children
• Acculturation is not associated with a rise in the use of
biomedical services
• Widespread in western countries
• Some unconventional therapies are effective
– physiologically or psychologically

35
Q

cultural imposition

A

– The tendency of health care providers to enforce their
beliefs, practices, and values upon clients, because they
believe their ideas are superior