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Cultural Diversity. Lisa B. Flatt, RN, MSN, CHPN. Objectives. Describe Role of nurse Identify differences between complimentary and alternative therapies and folk healing Define spiritual health Describe methods to provide culturally sensitive care Understand benefits of holistic care.
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Cultural Diversity Lisa B. Flatt, RN, MSN, CHPN
Objectives • Describe Role of nurse • Identify differences between complimentary and alternative therapies and folk healing • Define spiritual health • Describe methods to provide culturally sensitive care • Understand benefits of holistic care
Culture • Learned and passed from generation to generation……. • The group has a set of values, beliefs, customs, traditions, language, behaviors • Diversity – differences between cultures/people • Awareness – recognition of what is different and the same (from sources not from myths and stereotypes)
The nurse who is culturally sensitive: • Using last names (or what they choose to be called) • Honest about lack of knowledge/understanding • Use terms they use, ie. Gay/lesbian, etc.. • Respect them as individuals
The culturally competent nurse… • Recognize differences • Add unique aspects to care plan • Works within their beliefs to address and resolve health problems
Cultural Concerns • Stereotyping • Influencing factors • Socioeconomic factors • Age-related perspectives • Time orientation • Personal space • Food and nutrition
Healthy People 2010 • Risk reduction goals • Coronary artery disease • Lipidemia control • Smoking cessation • Reducing homicides • Brain injuries in the elderly
Health Care Beliefs • Hispanics and native Americans = health – balance and harmony • European Americans = illness has known cause that can be treated and cured
Spiritual Concepts and Practices • Folk or faith healers and folk remedies • African Americans – “root doctor”, voodoo priestess • Poultices, herbs, oils, roots • Shaman Native American • Acupuncture, Reiki • Genetic differences between cultures
Alternative Medicine • Accupuncture • Reiki • Roots • Herbs • Weird things (buffalo pee, rhino horns, Tiger penis’)
Complementary Therapies • Non-conventional treatment, enhances Western medicine • Manipulative therapies (PT,OT, massage) • Urine on jellyfish stings (acidic, vinegar) • Yoga • Therapeutic touch
Nursing Process: • Nurse: provider of care, manager of care, teacher, pt advocate • Assessment • Analysis • Planning • Implementation – rationale • Evaluation