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The Significance Of The Purnell Model

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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. Moreover, specific data is studied, tested and logically expressed in theories and …show more content…

Facilitate visitation from elders or Angalkuq as part of care when possible. Be aware of any therapeutic interventions they may try to administer for treatment of illness along with herbal remedies be respectful of any praying or chanting. (Napoleon, 1996, pp 4-9). Health Care Practice and Health Care Practitioner Essentially these domains may prove to impact patient care the most. Greater understanding of health care practices and health care practitioners can bridge communication between the two worlds. Being respectful and education centered around the cultural needs is essential to patient's wellness and nursing care. Identification of patients perception of pain and illness is crucial in developing an understanding of cultural relationship between spiritual and medicinal care (Purnell, 2002). High-Risk Behaviors Although we may see some activities as high risk behaviors in the yup’ik culture maybe a daily occurence. Therefore addressing high-risk behavior in a nonjudgmental way and express the importance of abstaining from these activities during treatment if related to the possible interactions with medications for example drinking or hunting (Napoleon, 1996, pp …show more content…

One may focus on particular domains to establish pertinent nursing care related to desired outcome nevertheless, Heritage, Communication, Family Roles and Organization, Biocultural Ecology, Nutrition, Death Rituals, Spirituality, Health Care Practice, Health Care Practitioner and High-Risk Behaviors can assist during an acute care

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1566 Words | 7 Pages

Using Anne Fadiman’s book The Spirit Catches You and You Fall Down I have created a cultural assessment of the Hmong people and their experiences with the American healthcare system. This small Southeast Asian minority known as the Hmong began moving to the United States towards the end of the Vietnam War. This brought a whole new set of challenges for the healthcare providers of the United States due to their cultural beliefs and native practices which made it difficult to perform certain forms of medicine. Doctors and nurses had to find different ways to treat these patients without violating their cultural beliefs or upsetting them.

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206 Words | 1 Pages

After reading Dr. Galanti 's articles about culturally competent healthcare please answer the following questions: What did you gain from reading Dr. Galanti 's article? Dr. Galanti provides insight into the relationship between cultural diversity and heath care providers. Dr. Galanti’s briefly states the difference between “stereotype and generalization”. The author recognizes that generalization may be a key factor used by workers in the health care community to bring awareness and a better understanding of cultural differences among patients. The article explains that although cultures differ in values, traditions, and beliefs, there are questions (the 4’C’s of culture) that may open up the line of communication, between provider and

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227 Words | 1 Pages

This article is related to Unit 1 lecture on Ethics and Values taught by Mrs. Townes. To provide optimal care for individuals of different religious cultures, practices and beliefs nurses must be skilled in identifying best practices when caring for patients. Understanding a patient’s religious beliefs and values will determine if that patient receives efficient and standard care based on their own beliefs. Buddhist may deny certain medication based on the make-up or components of the medication and whether medications will alter their normal state of mind. The best care for a patient of Buddhist ethnicity is to provide them with a calm environment that will allow patients to meditate, practice relaxation techniques, and chanting rituals.

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927 Words | 4 Pages

“During the mid-eighties, the Nationalities Service of Central California in Fresno received a short-term federal grant of $100,965 to establish what it termed ‘an integrated mental health delivery service utilizing Hmong healers and western health providers (269).’” Which resulted in treating 250 patients with mental health problems. It also provided Hmong’s 8 Txiv neebs and 18 healing ceremonies. In addition, the Merced County Health Department developed a cross-cultural education program named; “Bridging the Gap.” This program trains nurses with interpreting and advocacy skills. As well as “cultural competence,” in order for these nurses to understand their patients better and help treat them in the way they would feel comfortable.

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1860 Words | 8 Pages

The Spirit Catches You and You Fall Down by Anne Fadiman, explores cultural competence, ethics in medicine, and the provision of culturally competent health care in the United States by following a family of Hmong culture in their struggles with mainstream U.S. society and healthcare. Fadiman has implemented her studies to highlight the differences between Hmong and Western practices and perspectives on health care, illness, spirituality, and the body. Through her extensive research, Fadiman is able to express cultural differences and the impact ignoring this crucial piece can have. Healthcare in the U.S. is described as the best in the world, but Fadiman is able to highlight the weaknesses this healthcare system has in regards to culturally

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623 Words | 3 Pages

The Spirit Catches you and you Fall Down” is an astonishing book that reveals the need for improvement of cultural competency in the American healthcare system. This book teaches me the importance of the role of healthcare administrator as a cultural advocate between the patients and the providers. This book also influences me in realizing the differences between patients’ culture and providers’ culture. Moreover, I can relate to Jeanine Hilt, a social worker who truly cares for the Hmong culture and the Lees Family. Healthcare administrators must be aware of the cultures of the population that reside in the region that your facility is located.

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1370 Words | 6 Pages

Cross-cultural methods and approaches should be taken to accommodate for the diverse patient population in our communities. I will introduce the culture clash by first describing the Hmong point of view on health and illness. Then, I will proceed my analysis by comparing it with the Western perspectives and practices on healing. Social stigma will also be emphasized as another negative factor

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471 Words | 2 Pages

Cultural competency can be described as the ability to interact with different cultures in a positive manner. Many cultural differences can become apparent in a number of situations. According to Fadiman, doctors have a moral duty to save lives even if they don’t agree with the values or beliefs of someone else’s culture (1997). This paper will address the topic of cultural competency, with a concentration on the importance of cultural competency in the medical field. It is hard to imagine how frustrating it may be to come across a patient that resists a professional’s opinion because they have solid beliefs or do not understand what doctors are attempting to convey.

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1622 Words | 7 Pages

My dedication to this statement has been reinforced both through my academic courses and my practical experiences in healthcare. In my final year of my undergraduate education, I took an anthropology course titled “Living Medicine”. This course exposed me to diverse healthcare systems globally, highlighting the pivotal role of cultural attitudes and practices on patient outcomes. In this study, we viewed a TedTalk given by Dr. Atul Gawande, a surgeon and a writer. Gawande describes how the healthcare system in the United States was shaped based on a culture that values independence, self-sufficiency, and

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254 Words | 2 Pages

Cultural competency is increasingly important in healthcare today. In America today, we are facing a lot of tension between cultures today. America is a very diverse country with many cultures co-existing and in order to properly care for patients professionals need to be able to understand and tend to their cultural needs. Whether it be a difference in language, understanding that someone is a veteran and how that may affect them psychologically, or any other set of circumstances that surround a specific culture. Having the knowledge and resources that cater to different cultures makes for better experiences across the board and, consequently, makes for more effective healthcare visits.

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1564 Words | 7 Pages

Nurses working in the healthcare industry meet patients from many different backgrounds and cultures. It is important for a nurse to know beliefs of different cultures in order to provide culturally competent care to patients. The purpose of this paper is to teach about the health practices and beliefs of

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809 Words | 4 Pages

Cultural competency: Indians Culture competency is defined as one has the knowledge, the abilities and the skill to deliver care congruent with the patient’s cultural beliefs and practices (Purnell, 2013). As a nurse or a health care provider, increasing ones consciousness of culture diversity improves the possibilities for health care practitioners to provide competent care (Purnell, 2013). Nurses and all health care providers should be aware of other cultures to provide the best care that they can for that individual. Developing a relationship with diverse cultural groups involves good interpersonal skills and the application of knowledge and techniques learned from the physical, biological, and social sciences as well as the humanities (Purnell, 2013). I am choosing to select the Indian culture for my first assignment.

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1617 Words | 7 Pages

The way a person thinks about health, “whether that is our ‘philosophy’, our ‘worldview’, our ‘framework’ influences what we do as individuals in practice,” as well as how we deliver the health service. These elements allow us to think about healthcare in our own culturally acceptable way, this isn’t always an acceptable way of delivering the service to people with views different to our own. Cultural competence is an approach that aids in influencing the service and the education of healthcare professionals. (Taylor, K., & Guerin, P., 2010). Cultural competence is defined as a knowledge and understanding of cultures, histories and contemporary realities and awareness of protocols, combined with the proficiency to engage and work effectively in a cultural context congruent to the expectations of the people of that culture.

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1023 Words | 5 Pages

Purnell’s Model of the 12 elements influencing culture applies to all people of every culture. These elements are evident in my cultural upbringing, as well as the cultures I was exposed to as a child. However, some of these cultural elements will pose a challenge in my future career as a nurse.

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1240 Words | 5 Pages

The family upbringing was very strict and preservative parenthood in catholic religion and community also have outdated ideas and conventional gender ideologies, which was the environmental setting that influenced me as a cultural self. Working as a nurse in multicultural health care setting, I do believe that these childhood experiences would help me to understand and communicate with the people those with stereotypes about gender roles and a pre-modern way of thinking and as well as the people with the new generation with different culture by catering patient oriented care, which can be a good value for health professionals working in culturally diverse health care settings. This would aid to establish rapport and provide culturally attentive care to the patient (Bok-Myung, 2010; Dreachslin, 2012). Moreover my family history and circumstances helped me to comprehend different cultural identities and values and also realise the needs of effective communication skills. In order to become a culturally competent health care professional in multicultural health care environment, “intercultural communication skills” is not only beneficial to enhance the communication gap between patients and practitioners in relation to current health care service and but also can be a successful management tool to alleviate work related stress for health professionals (Eubanks et al., 2010).

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