examines the way people in a culture conceptualize health and illness
- health techniques: astrology, magic, rituals, indigenous medicine
- traditional healers: priest, shamans, herbalists.
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
study of all different genes that determine a drug's behavior within the human body
- 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
combination of traditional and western health practice
the use of traditional as opposed to conventional therapy
giger and davidhizer transcultural assessment model
- social organization
- biological organization
- environmental control
- 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.
use of touch and protection of modesty. be aware of patient's cultural beliefs about these things
include family and loved ones in healthcare settings as much as possible.
- linear time: present time flows into the future
- circular time: present has more stability and need to do things has less urgency
linear time is more......
time oriented, future oriented, feel the need to do things now
circular time is more
less urgent, will do things later. more likely to discontinue medication if they feel well
the use of "nature"
the impact our genes have on drug response, interactions, adverse effects.
- 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
- Anxiety related to unfamiliarity
- Impaired verbal communication
- Spiritual Distress, risk for
- the patient's healthcare needs will be met within a culturally competent framework
- the patient will effectively manage self-health care
- use appropriate translator
- include significant members of the social organization
- incorporate traditinal therapies with conventional medicine when appropriate
- provide health information in the patient's primary language
- use illustrations for prescriptions
- monitor for adherence
- evaluate physical, social, and psychological outcomes of prescriptive therapies