McLeigh starts off by giving some background context of historical trauma and the effects of it. She states that the effects are domestic violence, alcoholism, depression, child neglect, etc. She provides evidence from a cultural psychiatrist from the historical event of forcefully assimilating indigenous populations into boarding schools. It shows that the emotional distress, loss of language, and systematic oppression from this event is prevailing in populations today through transgenerational effects. She brings to attention the mental health problems created by this, and explains how social and political actions should be the solution to fixing these.
Yuuyaraq: The Way of Human Being (1994) describes the social issue of alcoholism as crippling a whole society. Napoleon hopes to shed light on the cultural breakdown that contributed to this phenomenon. Describing his personal battle with alcoholism, along with how it has changed the course of his life. Through Napoleon’s account of the Yup-ik history, we will compare the difference in science, religion and apply The Purnell Model for Cultural Competence to understand the cultural significance of this event. Western Science Western science follows a distinct set of rules and reasoning, problem-solving using mathematical equations and hypothesis.
Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients. Furthermore, a qualitative study conducted by Henrich et al. (2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected.
Howe seeks to fix these stereotypes through pointing out these errors in assumptions and educating her readers about the effects that their stereotypes may have on a specific society (Shaawano). The assumptions made about the Choctow nation changed the perceptions of outsiders, and this may have influenced the abilities of the Choctaw people to receive aid
Nursing interventions and rationales include: assess influence of cultural beliefs, norms, values and client’s ability to modify behavior; assess the effect of fatalism on a client’s ability to modify behavior; clarity culturally related health beliefs and practices; provide culturally targeted education and health care services (Ackley & Ladwig, 2014, pp. 413–414). Ideally nurse would possess certain level of knowledge about the patient culture or asked the coworkers to assist. On the other hand it would be impossible to posses knowledge about every culture and its customs. Nurse should explain details of procedures or necessary changes that would bring positive healthy results, withhold the judgement and attempt to understand the patient
Cocktail Party is a true tragedy. The Okinawans are victims under the American Occupation; the daughter is the victim of a sexual assault, conducted by an American soldier; the protagonist is the victim of an unrealistic friendship which everyone talk with their masks on. Peripherally, the American military appearance is the significant cause of the misery and suffering of the Okinawans. However, I would argue that it is the unbalanced power dynamics that cause the evitable conflicts between the Okinawans and the
However, curanderismo allows other cultures to accept Chicanos due to stressing the importance of intercultural communication skills in society. For instance, even though some Chicanos have insurance, they tend to follow these holistic practices and are afraid to mention it to their primary physicians because they fear being rejected from society. According to Maritza Montiel, “A recent study concluded that 69% of Mexican Americans do not report the use of herbal remedies to their physicians” (Montiel 83). Becoming aware of the cultural differences, encourages cross cultural sensitivity by reducing the tensions between other cultures and practices. In addition, professionals can understand their patients’ needs by understanding the social framework of the biological illness.
Emotions are also bound to rush. Families become torn between the decision. But after deciding, they also help themselves from the constant pity and feeling sadness from seeing the patient. Emotions influence mental health. “Psychological factors that cause people to think of euthanasia include depression” (BBC- ethics-euthanasia: Ethics…, 2014).
Here we can clearly see how Fadiman wants to show how people should treat others from a different religion. She says that she needs to “more like a Hmong” to understand their culture, religion and traditions. Doing so will help her understand why it is that they do what they do and why they have little trust on American doctors and medicine. If the doctors at the Merced hospital had tried to put themselves in Lia’s parent’s shoes to try and understand their culture they would of been able to come up with solutions that would of helped Lia more in the long run. Simply ignoring the fact that they are dealing with a completely different and trying to do what they can under the circumstances they should of been able to work with the parents.
The purpose of this paper is to review and synthesize the existing literature related to the potential impact of increasing minority representation in health care system on ethnic disparities. Therefore, the research question is: “How does minority representation in the healthcare workforce affect ethnic disparities in the medical field?” First of all, I will discuss the conflict of ethnic disparities in the United States. Second, I will discuss the impact on minority’s interest and communication. The following sections will explore discrimination
A common theme that has been discussed regarding the adversities that immigrants experience when arriving to the America are the social and cultural clashes between immigrants and citizens. What I find interesting is the conflicts pertaining to the health care system. Based on previous lectures, immigrants tend to mistrust the American healthcare system due to difference in medical remedies and the language spoken. I know first hand that my mother would perfer to have a Ghanaian physician, as opposed to the general white American doctor. Anne Fadiman wrote a successful award-winning book called, The Spirit Catches You and You Fall Down, which highlights how the cultural differences between the Hmong culture and American medicine jeopardized the health of a little girl named Lia Lee.
Many immigrants have an extremely difficult time migrating to different parts of the world due to cultural differences, language barriers, and homesickness. Nowadays, there are translators and help available for those that are migrating from different countries. However, what if someone had migrated to the United States and barely had any of that support? The Spirit Catches You and You Fall Down is an incredibly touching book speaking of the struggle of the Hmong immigrants and the walls that were built between them and Americans, particularly the American doctors and medical system. The book focuses on a particular child, Lia Lee, and her family - specifically her parents, Foua Yang and Nao Kao Lee.
Doctors report that they now spend more time explaining to patients why an expensive new drug is no better than the one they already take, or that the patient isn 't suffering from a nebulous condition like fibromyalgia, just the normal aches and pains of aging.” This pressures physicians to prescribe when patients come in requesting a particular newer (not necessarily better), more expensive medication by name. 70% of physicians complied with requests when a patient requests a medication by name (Freundlich). Rather than advertising a new drug, education on the condition itself would be more effective. If the government would regulate and limit DTC drug advertising, it would reduce healthcare spending. Three bills have been proposed to solve this: Families for ED Advertising Decency Act (bans ads for prescription sexual aids like Viagra from prime-time television due to children possibly seeing it), prohibiting
Placebo effects play a big role in people’s recovery since a lot can be achieved with solely the mind. People who tend to be in situations that support their welfare will tend to heal or stave off illness overall. People that have pets, or loved ones, or practice yoga, all that sorts of stuff. Sheldrake’s main point isn’t that mechanistic medicine doesn’t work, just that the mind and well being can do a lot of healing in place of