By Wen-Shing Tseng M.D., Jon Streltzer M.D. (auth.)
Cultural Competence in healthiness Care
A consultant for Professionals
Wen-Shing Tseng, collage of Hawaii, Honolulu
Jon Streltzer, collage of Hawaii, Honolulu
Between a growing to be pan-ethnic sufferer base, the necessity to resolve inequalities of care, and the medical desirability of viewing consumers of their entirety, utilized cultural wisdom is rising as an important aim of scientific and public wellbeing and fitness perform. Cultural Competence in health and wellbeing Care bargains a wealth of this important wisdom with emphasis on day by day medical paintings. Authors Tseng and Streltzer, recognized specialists on transcultural medication and treatment, commence by means of differentiating among affliction and disease and recommend on a number of functional concerns, from discussing culturally delicate topics to negotiating compromises among conventional therapeutic and verified drugs, in order that readers will achieve either worthwhile operating ideas and worthy empathy with consumers. Case stories spotlight scientific matters as they follow to numerous minority (and majority) teams, and 8 insightful chapters demonstrate cultural dimensions expressed in:
- Concepts of disorder and disease behaviors.
- Assessment, interviews, and symptom presentation.
- Hospitalization, medicine, family members involvement, consent issues.
- Highly charged scientific components, e.g., soreness administration, transfusions, reproductive matters, organ donation.
- Frequently stigmatized stipulations similar to AIDS, STDs, melanoma, and psychiatric disorders.
- Care by way of non-medical execs, together with social employees, actual therapists, and nutritionists.
Cultural Competence in future health Care is both suited for use through practitioners and scholars in medication, psychology, nursing, social paintings, and affiliated fields. and because it’s one of many merely practice-oriented books at the subject, cross-cultural classes in education courses will locate it particularly useful.
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Additional resources for Cultural Competence in Health Care
Example text
For many contemporary Westerners, it may be easy to talk about sexual orientation and even sexual behavior. The words sexual intercourse are easily used nowadays. However, it is rather difficult and even taboo for people from some cultures. Intimacy between husband and wife or bedroom business may be used instead. Menstruation and Menopause Although menstruation and menopause are biological phenomena, these are sexrelated subjects. Monthly cycle, or women’s cycle (or business), are some of the terms used to avoid the embarrassing feeling associated with the word of menstruation.
A better outcome might have been achieved if the doctor had found a way to be sensitive to the culture-based needs of the parents while maintaining the proper role as an advocate and confidant for the patient. The doctor could have listened carefully and seriously to the parents, and then offered to see the daughter privately. Informing the daughter about the confidential nature of his evaluation, he could assess the daughter’s situation, counsel her as necessary, and examine her if appropriate, with her permission.
High-risk behaviors among African-Americans can be inferred from the high incidence of HIV/AIDS and other sexually transmitted diseases, teenage pregnancy, violence, unintentional injuries, smoking, alcoholism, drug abuse, sedentary lifestyle, and delayz in seeking healthcare. Health Beliefs and Practice Many African-Americans, particularly those of low-income, have been described as holding beliefs about illness that can be separated into two categories (Snow 1983). Natural illness occurs as a result of God’s will, or when a person comes into unhealthy contact with the force of nature, such as exposure to cold or impurities in the air, food, or water.