CH 3: Diversity Flashcards
by 2040, ethnic groups will represent __ of US older adults
34%
effects of ethnicity and culture on health of older adults
ethnogeriatrics
how can we help erase stereotypes/biases interfering with care
understanding of cultural differences
ethnic norms influence what parts of medical care
diet, compliance, self-care, medical treatments, trust in healthcare system
how to we help provide culturally sensitive care
An understanding of general traditional characteristics of various groups
how do Hispanic Americans view states of health and illness
actions of God
what do Hispanic Americans think brings health
treat body with love and respect
praying
living a good life
Hispanic Americans: violation of good practices brings:
illness and “punishment from God”
Hispanic Americans reasons for lack of medical care
Traditional practitioners that practice healing
Families avoid institutionalization
Less likely to visit physicians and get preventative care
Difficulty in obtaining care
many reasons for health problems in the black community
poor access
higher rates of poverty
low standards of living
Black Americans have a higher incidence of what chronic diseases:
Hypertension, heart disease, cancer, obesity, HIV/AIDS, asthma, influenza, and diabetes
asian americans views on male healthcare providers
inappropriate for women to receive a physical exam from a man
asian american views on health care and old age
Stoic with pain
Achieving old age is a blessing
Respected and sought for advice
Reluctant to seek services
May use traditional practices instead of Western medicine
Strong family networks with low nursing home admission rates
religious practices of jewish americans
Sundown Friday to sundown Saturday is Sabbath opposed to medical procedures
Head and feet to be covered at all times
Kosher diet (no pork, shellfish; no serving milk and meat at the same meal or from same dishes)
Fasting on holy days
ethical and medicals dilemmas for the Jewish community
Rabbi consultation for ethical dilemmas
Washing the body and sitting with it until burial; oppose autopsy
Illness draws family together
Network of their own health services
percentage of Native American older adults in the US
8%
provides free, universal access to healthcare for NA who reside on reservations
Indian Health Services
Native Americans view the state of health linked to:
good/evil forces/punishment
Native American intervention used to treat illness
spiritual rituals
medicine men
herbs
homemade drugs
mechanical interventions
how are elders viewed in Native American cultures
leaders, teachers, and advisors
Native Americans have higher rates of what conditions
heart disease
cancer
diabetes
stroke
cirrhosis
chronic lower resp. disease
Beliefs of Muslims
Believe Allah is God and Muhammad is his messenger
view of older adults in Muslim community
high esteem and treat with respect
meal preferences for Muslims
Only eat meat that has been slaughtered based on religious requirements (halal)
No pork/pork products
Water consumed with every meal
Medications during fasting for medications
If fasting during medication times, may not take meds (need to respect it)
View of gender and medical care in Muslim community
prefer care of someone from the same gender
body exposure to a minimum
what happens with terminally ill in the Muslim community
should face Mecca (west to northwest)
other considerations for
