cultural considerations

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Pharmacology
Chapter 3
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pharmacology
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1

ethnomedicine

examines the way people in a culture conceptualize health and illness

  • health techniques: astrology, magic, rituals, indigenous medicine
  • traditional healers: priest, shamans, herbalists.
2

ethnopharmacology

a subdivision of ethnomedicine. the use of herbs, powders, teas, and animal prodcuts as healing remedies

  • can have a neutral, beneficial, or deterious effect on patient's health p
3

pharmacogenetics

study of all different genes that determine a drug's behavior within the human body

4

transcultural nursing

  • imperative to be sensitive to the beliefs and practices of all different groups concerning health and illness
  • it is importatnt to know all pharmatherapeutic agents a patient is using
5

complementary therapy

combination of traditional and western health practice

6

alternative therapy

the use of traditional as opposed to conventional therapy

7

giger and davidhizer transcultural assessment model

  • communication
  • space
  • social organization
  • time
  • biological organization
  • environmental control
8

communication

  • use a professional translator if you and the patient do not speak the same language
  • know that the same words may mean different things in the same language
  • be cognizant of preferences.
9

space

use of touch and protection of modesty. be aware of patient's cultural beliefs about these things

10

social organization

include family and loved ones in healthcare settings as much as possible.

11

time

  • linear time: present time flows into the future
  • circular time: present has more stability and need to do things has less urgency
12

linear time is more......

time oriented, future oriented, feel the need to do things now

13

circular time is more

less urgent, will do things later. more likely to discontinue medication if they feel well

14

environmental control

the use of "nature"

15

biologica variations

the impact our genes have on drug response, interactions, adverse effects.

16

nursing assessment

  • Assess a patient’s ability to communicate using standard English
  • Do a thorough health history
  • Inquire about patient preferences
  • Understand the patient’s concept of time
17

nursing diagnosis

  • Anxiety related to unfamiliarity
  • Impaired verbal communication
  • Spiritual Distress, risk for
18

planning

  • the patient's healthcare needs will be met within a culturally competent framework
  • the patient will effectively manage self-health care
19

nursing interventions

  • use appropriate translator
  • include significant members of the social organization
  • incorporate traditinal therapies with conventional medicine when appropriate
20

patient teaching

  • provide health information in the patient's primary language
  • use illustrations for prescriptions
21

evaluation

  • monitor for adherence
  • evaluate physical, social, and psychological outcomes of prescriptive therapies