Cultural Diversity Lisa B. Flatt, RN, MSN, CHPN Objectives • Describe Role of nurse • Identify differences between complimentary and alternative therapies and folk healing • Define spiritual health • Describe methods to provide culturally sensitive care • Understand benefits of holistic care Terms ( pg. 134) Culture • Learned and passed from generation to • • • generation……. The group has a set of values, beliefs, customs, traditions, language, behaviors Diversity – differences between cultures/people Awareness – recognition of what is different and the same (from sources not from myths and stereotypes) The nurse who is culturally sensitive: • Using last names (or what they choose to be called) • Honest about lack of knowledge/understanding • Use terms they use, ie. Gay/lesbian, etc.. • Respect them as individuals The culturally competent nurse… • Recognize differences • Add unique aspects to care plan • Works within their beliefs to address and resolve health problems Cultural Concerns • Stereotyping • Influencing factors • Socioeconomic factors • Age-related perspectives • Time orientation • Personal space • Food and nutrition Healthy People 2010 • Risk reduction goals • Coronary artery disease • Lipidemia control • Smoking cessation • Reducing homicides • Brain injuries in the elderly Health Care Beliefs • Hispanics and native Americans = health – balance and harmony • European Americans = illness has known cause that can be treated and cured Spiritual Concepts and Practices • Folk or faith healers and folk remedies • African Americans – “root doctor”, voodoo priestess • Poultices, herbs, oils, roots • Shaman Native American • Acupuncture, Reiki • Genetic differences between cultures Alternative Medicine • Accupuncture • Reiki • Roots • Herbs • Weird things (buffalo pee, rhino horns, Tiger penis’) Complementary Therapies • Non-conventional treatment, enhances Western medicine • Manipulative therapies (PT,OT, massage) • Urine on jellyfish stings (acidic, vinegar) • Yoga • Therapeutic touch Nursing Process: • Nurse: provider of care, manager of care, teacher, pt advocate • Assessment • Analysis • Planning • Implementation – rationale • Evaluation