Culture In Nursing DQ4

Read chapter 4 of the class textbook and review the attached PowerPoint presentation. Once done answer the following exercise;

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During a diabetes education, Fatima indicates that she is Muslim and that for Ramadan she fasts from sunrise to sundown.
Using Leininger’s Sunrise Model, analyzed the dietary significance of fasting.
Discuss the possible nursing interventions to accommodate Fatima’s religious practice. Please explain why you use the interventions.
How might Fatima respond if she was told she couldn’t fast and why?

As stated in the class syllabus please present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 4 discussion questions”. The assignment must include at least 2 evidence-based references (excluding the class textbook) no older than 5 years. References must be quoted in the assignment in order to comply with APA.

CultutalNursingchapter_041.pptx

Chapter 4: The Influence of Cultural and Health Belief Systems on Health Care Practices

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

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Cultural Belief Systems #1

Cultural meanings and cultural belief systems develop from the shared experiences of a social group and are expressed symbolically.

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Cultural Belief Systems #2

Worldview

The set of metaphoric explanations used by a group of people to explain life’s events and to offer solutions to life’s mysteries

Permeates every aspect of life within the culture

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Cultural Belief Systems #3

Worldview (paradigm) includes the assumptions, premises, and linkages that hold together a prevailing interpretation of reality; typically slow to change.

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Question #1

Is the following statement true or false?

All clients refer to illness and disease in the same context.

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Answer to Question #1

False

Rationale: Not all clients relate to health and illness in the same context. A client’s worldview influences his or her cultural belief system.

These are often the reasons why nurses may encounter challenges when communicating with those who have a different worldview than theirs.

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Health Belief Systems #1

Health and illness worldviews are influenced by a person’s attitudes, beliefs, and practices.

This concept is his or her health belief system.

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Health Belief Systems #2

The three major health belief systems are:

Magico-religious

Scientific

Holistic

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Health Belief Systems #3

In the magico-religious paradigm:

The world is an arena in which supernatural forces dominate.

The fate of the world and those in it depends on the actions of God, or the Gods, or other supernatural forces for good or evil.

The cause of health or illness is mystical.

Examples: Voodoo, Christian Scientists

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Health Belief Systems #4

In the scientific paradigm (biomedical model):

Life is controlled by a series of physical and biochemical processes, which can be studied and manipulated by humans.

Determinism (cause and effect for natural phenomena).

Mechanism (control life processes through mechanical, genetic and engineered processes).

Reductionism (all life reduced to smaller parts).

Objective materialism (what is real can be observed/measured).

Example: most Western cultures

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Health Belief Systems #5

In the holistic paradigm:

The forces of nature itself must be kept in natural balance or harmony.

Everything in the universe has a place and a role to perform.

Disturbing natural laws create imbalance, chaos, and disease.

Examples: yin/yang, hot/cold

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Question #2

Is the following statement true or false?

Asians and Native American Indians should be assessed for holistic health beliefs.

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Answer to Question #2

True

Rationale: The holistic paradigm has existed for centuries in many parts of the world, particularly in Native American Indian cultures and Asian cultures.

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Health and Illness Behaviors #1

Health behavior (prevention/early detection)

Illness behavior (illness/remedy)

Sick role behavior (illness/coping)

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Health and Illness Behaviors #2

Influencing factors:

One’s beliefs

Personal factors

Cues to action

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Types of Healing Systems #1

The term healing system refers to the sciences, arts, and techniques of restoring and preserving health that are used by any cultural group.

Example: utilizing health care practitioners along with healers, religious figures, etc.

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Types of Healing Systems #2

Self-care

Professional care systems

Folk healing system

Complementary, Integrative, and Alternative Health Systems (CIH)

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Types of Healing Systems #3

Complementary Health Approaches/CIH:

1. Alternative medical systems

2. Natural products

3. Mind and body practices

4. Manipulative and body-based methods

5. Energy therapies

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Question #3

What is the focus of allopathic or biomedicine?

Replacing conventional medicine

Adding to conventional medicine

Killing bacteria and suppressing symptoms

Healing with naturally occurring substances

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Answer to Question #3

C. Killing bacteria and suppressing symptoms

Rationale: Allopathic medicine is the practice most physicians and nurses are educated in. Life is controlled by a series of physical and biochemical processes that can be studied and manipulated by humans through allopathic medicine or professional care systems. Culture In Nursing DQ4

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