Cultural DiversityCultural Diversity

Lisa B. Flatt, RN, MSN, CHPNLisa B. Flatt, RN, MSN, CHPN

ObjectivesObjectives

• Describe Role of nurse Describe Role of nurse • Identify differences between Identify differences between

complimentary and alternative complimentary and alternative therapies and folk healingtherapies and folk healing

• Define spiritual healthDefine spiritual health• Describe methods to provide Describe methods to provide

culturally sensitive careculturally sensitive care• Understand benefits of holistic careUnderstand benefits of holistic care

Terms ( pg. 134)Terms ( pg. 134)

CultureCulture

• Learned and passed from generation to Learned and passed from generation to generation…….generation…….

• The group has a set of values, beliefs, The group has a set of values, beliefs, customs, traditions, language, behaviorscustoms, traditions, language, behaviors

• Diversity – differences between Diversity – differences between cultures/peoplecultures/people

• Awareness – recognition of what is Awareness – recognition of what is different and the same (from sources not different and the same (from sources not from myths and stereotypes)from myths and stereotypes)

The nurse who is culturally The nurse who is culturally sensitive:sensitive:

• Using last names (or what they Using last names (or what they choose to be called)choose to be called)

• Honest about lack of Honest about lack of knowledge/understandingknowledge/understanding

• Use terms they use, ie. Gay/lesbian, Use terms they use, ie. Gay/lesbian, etc..etc..

• Respect them as individualsRespect them as individuals

The culturally competent The culturally competent nurse…nurse…

• Recognize differencesRecognize differences

• Add unique aspects to care planAdd unique aspects to care plan

• Works within their beliefs to address Works within their beliefs to address and resolve health problemsand resolve health problems

Cultural ConcernsCultural Concerns

• StereotypingStereotyping

• Influencing factorsInfluencing factors

• Socioeconomic factorsSocioeconomic factors

• Age-related perspectivesAge-related perspectives

• Time orientationTime orientation

• Personal spacePersonal space

• Food and nutritionFood and nutrition

Healthy People 2010Healthy People 2010

• Risk reduction goalsRisk reduction goals

• Coronary artery diseaseCoronary artery disease

• Lipidemia controlLipidemia control

• Smoking cessationSmoking cessation

• Reducing homicidesReducing homicides

• Brain injuries in the elderlyBrain injuries in the elderly

Health Care BeliefsHealth Care Beliefs

• Hispanics and native Americans = Hispanics and native Americans = health – balance and harmonyhealth – balance and harmony

• European Americans = illness has European Americans = illness has known cause that can be treated and known cause that can be treated and curedcured

Spiritual Concepts and Spiritual Concepts and PracticesPractices• Folk or faith healers and folk remediesFolk or faith healers and folk remedies

• African Americans – “root doctor”, African Americans – “root doctor”, voodoo priestessvoodoo priestess

• Poultices, herbs, oils, rootsPoultices, herbs, oils, roots

• Shaman Native AmericanShaman Native American

• Acupuncture, ReikiAcupuncture, Reiki

• Genetic differences between culturesGenetic differences between cultures

Alternative MedicineAlternative Medicine

• AccupunctureAccupuncture

• ReikiReiki

• RootsRoots

• HerbsHerbs

• Weird things (buffalo pee, rhino Weird things (buffalo pee, rhino horns, Tiger penis’)horns, Tiger penis’)

Complementary TherapiesComplementary Therapies

• Non-conventional treatment, enhances Non-conventional treatment, enhances Western medicineWestern medicine

• Manipulative therapies (PT,OT, Manipulative therapies (PT,OT, massage)massage)

• Urine on jellyfish stings (acidic, Urine on jellyfish stings (acidic, vinegar)vinegar)

• YogaYoga

• Therapeutic touchTherapeutic touch

Nursing Process:Nursing Process:

• Nurse: provider of care, manager of Nurse: provider of care, manager of care, teacher, pt advocatecare, teacher, pt advocate

• AssessmentAssessment

• AnalysisAnalysis

• PlanningPlanning

• Implementation – rationaleImplementation – rationale

• EvaluationEvaluation