Evidence Based Cultural Considerations Flashcards
____ _____ may discontinue medications once symptoms subside, often doubting the need for further therapy.
African-Americans
______ ______
Touch is viewed as an essential part of healthcare; personal space may be minimal.
African- Americans
African American:
Heavily rely on religious rituals and a ______ advice
minister’s
African American:
4. Health viewed as a gift from ___.
a. Illness and suffering may be God’s will or evil
influences.
b. Folk healers and folk medicine may be common.
i) Cod liver oil to prevent colds
ii) Copper or silver bracelets to protect from harm
c. Allopathic healthcare often not a priority for prevention
d. May believe in voodoo (especially Haitians and
Africans)
God
African American:
b. Folk healers and folk medicine may be common.
i) Cod liver oil to prevent ____
colds
African American:
ii) ____ or silver bracelets to protect from harm
Copper
African American:
c. Allopathic healthcare often ____ a priority for
prevention
not
African American:
d. May believe in ____ (especially Haitians and
Africans)
voodoo
________
Often believe it is unnecessary to continue pharmacotherapy once symptoms abate
a. Especially problematic for diabetics in which ongoing
medication is required
Hispanic
Hispanic
Esteem the _____ or grandmother, especially from the husband, as the primary decisionmaker of health related issues
mother
Hispanic
Balance of “hot and cold” is essential.
a. “___/____” illnesses and medications
Hot/cold
Hispanic
Balance of “hot and cold” is essential.
b. “___/____” concepts
Wet/dry
Hispanic
Balance of “hot and cold” is essential.
c. Illness is treated with the opposite type medicine:
Hot for cold, and cold for hot
i) May not take penicillin (PCN) for a “____” illness
because PCN is viewed as a “‘_____” medicine
hot
Hispanic
Illness may be caused by ____ ___ ___ (evil eye)
a. Healthcare workers can inadvertently give this look.
Mal de Ojo
Hispanic
Strong religious association
a. Health is a gift from God and reward for good
______.
behavior
Hispanic
Illness prevention strategies: Eating proper foods,
working the proper amount of time, wearing religious
medals and sleeping with ______
relics
Hispanic
Use of ________ (holistic healer) may be common.
a. Treat with a variety of herbs, teas, visits to shrines,
medals, candles, and promises to God to change
behavior
curanderas
Hispanic
Often concerned about the potential for _______ when taking medication for prolonged periods of time
addiction
Hispanic
May expect _______ as a necessary component of
effective treatment for disease
a. Taking oral medications may be viewed as a less
effective treatment.
injections
Asians
Vast array of ______ remedies are used: Potential for drug-drug interactions
herbal
______
Eye contact may be a sign of disrespect
Asians
Asians
Using the word “_____” is common; it usually means “I’m being polite” (and maybe, understanding what is being said)
yes
Asians
Esteem _____’ views, wishes, and “authority” among other members of the family
elders
Asians
______ is relatively less common in Asians.
Diabetes
Asians
Dietary requirements may be difficult to follow given dietary ______.
traditions
Asians
Well insured in comparison to other races
a. 18% of U.S. Asians uninsured, ____ of all minority
groups
lowest
Asians
Approximately only _____ of Asians over the age of 65 make as many visits to healthcare providers as Caucasians.
one-half
Asians
_____ life expectancies and lower death rates from all causes than the general population
Longer
Asians
Many influenced by _____, a religious orientation
a. Evil is caused by outside spirits (pleasing good
spirits is important to health).
Shinto
Asians
Japanese:
a. Japanese (and other Asian) females may be open to
talking with a female healthcare provider, but not a
_____.
male
Asians
b. Japanese esteem drug safety more than
effectiveness
i) May explain the usual belief and practice of
using ______ doses of medication and resultant
fewer reported side effects
lower
Asians
Chinese:
a. Health is a result of forces that rule the world: ____ (cold) and _____ (hot).
Yin (C)
yang (H)
Asians
i) Cold illnesses (diarrhea) are treated with ____ herbs
and food.
hot
Asians
ii) Hot illnesses (hypertension) are treated with
______ herbs and foods.
cold
Asians
iii) Illness may be diagnosed by pulses and color
and/or texture of the ______.
tongue
Asians
b. Traditional Chinese medicine may pose that one can remove not only the cause of symptoms for an underlying disorder, but ______ remove the disease state, as Well.
permanently
Asians
______:
a. Subscribe to yin and yang.
Filipinos
Asians
b. God’s will and ______ forces determine illness as
a punishment for violations.
supernatural
Asians
c. Amulets and religious medals may be worn as a shield from ______ or as a good-luck charm.
witchcraft
Asians
i) Often use American medicine for acute illnesses
and surgery and fall back to ____ medicinal
practices to treat long-term conditions.
Chinese
Native Americans
1. The term “_____” in the Native American community denotes a position of leadership, based on experience, spirituality, and community service, rather than on chronological age.
elder
Native Americans
a. Many tribes consider ___ years of age and older as qualifying as an “elder.”
50
Native Americans
In some tribes and/or nations, causes of illness may be considered an “______” between the spiritual, mental, physical, and social interactions of the individual and his family or clan.
imbalance
Native Americans
Must consider the spiritual aspect of an _______, since healing is considered sacred work in many Native American traditions
individual
Native Americans
Many contemporary Native Americans use “____ ____ ____” to treat “caucasian man’s diseases” such as diabetes, cancer, and cholelithiasis.
caucasian man’s medicine
Use “____ _____ medicine” to treat what are considered “Native American problems” such as:
a. Pain
b. Disturbed family relationships resulting in physical symptoms:
i) Mental illness
ii) Alcoholism
Native American
Caucasians
Generally viewed as ______ to pain while other cultures accept pain as a part of life
intolerant
Caucasians
Perceive eye contact as communicating interest and ______
honesty
Caucasians
Most hold high _______ that disease will be cured and/or managed through powerful medications.
expectations
Caucasians
Strong family ties: Historically; ____ are viewed as the dominant force and/or decisionmaker.
Strong religious ties
males
Increasing number of Caucasians using:
a. Alternative sources of ______
b. Herbal therapies
healthcare
Caucasians
Most believe and expect that a ________ is a necessary component when seeking care in the doctor’s or practitioner’s office.
prescription
Caucasians
a. Religious ______ and rituals are often used to prevent illness and heal.
medals
