culture 2 Flashcards
Factors which impact on providing
health care to Aboriginal Australians
Historical factors
Social factors
Physical and environmental factors
Mortality and morbidity data
Historical factors
aboriginal
such as interactions with European
settlers, and detrimental government and healthcare
policies & practices.
Social factors
aboriginal
s including welfare issues, education and
employment.
Physical and environmental factors
aboriginal
including housing,
access to safe water and sanitation and necessary
services (electricity, phone etc).
Mortality and morbidity data
aboriginal
The life expectancy gap
between Indigenous and non-‐ Indigenous Australians is
currently estimated to be 11.5 years for men and 9.7
years for women. This may make experiences of grief
and loss especially profound.
Key practice principles to applying
culturally appropriate care to
Aboriginal Australians
Every single person should be asked the question on admission.” Do you identify as
Aboriginal or Torres Strait Islander?”
Engage with Aboriginal organisations and personnel in the planning and provision of
palliative care.
Communicate with the Aboriginal patient, family and Health Care Workers in a way
that is culturally sensitive.
Determine if there are any grief or bereavement issues facing the client.
Acknowledge the correct person to speak to and identify the key decision makers.
Provide information to ALL personnel to enable the provision of culturally sensitive
palliative care to Aboriginal people
important concepts in the
Aboriginal culture
Language, kinship and “the land”
12 interlocking processes that should be used
to provide palliative care for Aboriginals.
- Employing Aboriginal Health Care workers.
- Ensuring effective respect for language differences.
- Addressing psychosocial and practical problems.
- Building services in the community.
- Encouraging family meetings.
6.Organising educational opportunities for communities and
professionals. - Addressing relocation issues, with the emphasis on staying home.
- Understanding and supporting cultural practices.
- Developing culturally appropriate health care facilities.
- Offering carer and escort support.
- Providing respite.
- Respect and support Indigenous grief practices
Orthodox Jew
Cessation of treatment is not permitted in Judaic law.
some patients might refuse palliative
care because form of “giving up” onhealing.
they might feel that it demonstrates a less than perfect faith that God will heal.
However, Jewish law allows treatment to relieve suffering, even if this may shorten life.
When a Jewish patient dies, no-one but Jewish people are allowed to handle the body.
They should be buried within 24 hours
Amputated body parts to be buried with body.
Autopsy forbidden unless coroner’s case required
Islam
Treatment to reduce pain and suffering is mandated in Islam.
Pain relief by analgesic, including morphine, to prevent suffering is allowed and recommended, even if it hastens death, since actions are judged by
their intention.
The Muslim believes that pain expunges
ns, but pain must be treated
because God opposes human suffering
A second foundational aspect of the palliative approach is that death is
not the enemy.
In Islam, death is inevitable and occurs only with a command from God
death islam
When death approaches and is unavoidable, Islam directs that thepatient be allowed to die without heroic measures or supreme efforts.
At the same time, Islam forbids acts that expedite death.
Withdrawing care is permissible in two circumstances in Islam.
The first is when a diagnosis of brain death has been made.
The second is when the current treatment, be it curative or
palliative, is no longer curing or palliating suffering but merely
prolonging a natural and inevitable death
Withdrawing care is permissible in two circumstances in Islam.
diagnosis of brain death
The second is when the current treatment, be it curative or palliative, is no longer curing or palliating suffering but merely prolonging a natural and inevitable death
burial islam
Muslims encourage burial asap preferably on the day of death.
Cremation or organ donation is forbidden.
Only family members or the Islamic burial society do the ritual washing and laying out of the body
Amputated body parts to be buried with the body
Chinese
Some Chinese have assimilated into Western culture.
There are a billion Chinese in China: they don’t all have their own
language, religion or culture.
In general, the elderly are cared for as the ”head “ of the family, and they
make the decisions.
We need to find out who the head of the family is
