1. Cultural Diversity Lisa B. Flatt, RN, MSN, CHPN

2. Objectives Describe Role of nurse Describe Role of nurse Identify differences between complimentary and alternative therapies and folk healing Identify differences between complimentary and alternative therapies and folk healing Define spiritual health Define spiritual health Describe methods to provide culturally sensitive care Describe methods to provide culturally sensitive care Understand benefits of holistic care Understand benefits of holistic care

3. Terms ( pg. 134)

4. Culture Learned and passed from generation to generation……. Learned and passed from generation to generation……. The group has a set of values, beliefs, customs, traditions, language, behaviors The group has a set of values, beliefs, customs, traditions, language, behaviors Diversity – differences between cultures/people Diversity – differences between cultures/people Awareness – recognition of what is different and the same (from sources not from myths and stereotypes) Awareness – recognition of what is different and the same (from sources not from myths and stereotypes)

5. The nurse who is culturally sensitive: Using last names (or what they choose to be called) Using last names (or what they choose to be called) Honest about lack of knowledge/understanding Honest about lack of knowledge/understanding Use terms they use, ie. Gay/lesbian, etc.. Use terms they use, ie. Gay/lesbian, etc.. Respect them as individuals Respect them as individuals

6. The culturally competent nurse… Recognize differences Recognize differences Add unique aspects to care plan Add unique aspects to care plan Works within their beliefs to address and resolve health problems Works within their beliefs to address and resolve health problems

7. Cultural Concerns Stereotyping Stereotyping Influencing factors Influencing factors Socioeconomic factors Socioeconomic factors Age-related perspectives Age-related perspectives Time orientation Time orientation Personal space Personal space Food and nutrition Food and nutrition

8. Healthy People 2010 Risk reduction goals Risk reduction goals Coronary artery disease Coronary artery disease Lipidemia control Lipidemia control Smoking cessation Smoking cessation Reducing homicides Reducing homicides Brain injuries in the elderly Brain injuries in the elderly

9. Health Care Beliefs Hispanics and native Americans = health – balance and harmony Hispanics and native Americans = health – balance and harmony European Americans = illness has known cause that can be treated and cured European Americans = illness has known cause that can be treated and cured

10. Spiritual Concepts and Practices Folk or faith healers and folk remedies Folk or faith healers and folk remedies African Americans – “root doctor”, voodoo priestess African Americans – “root doctor”, voodoo priestess Poultices, herbs, oils, roots Poultices, herbs, oils, roots Shaman Native American Shaman Native American Acupuncture, Reiki Acupuncture, Reiki Genetic differences between cultures Genetic differences between cultures

11. Alternative Medicine Accupuncture Accupuncture Reiki Reiki Roots Roots Herbs Herbs Weird things (buffalo pee, rhino horns, Tiger penis’) Weird things (buffalo pee, rhino horns, Tiger penis’)

12. Complementary Therapies Non-conventional treatment, enhances Western medicine Non-conventional treatment, enhances Western medicine Manipulative therapies (PT,OT, massage) Manipulative therapies (PT,OT, massage) Urine on jellyfish stings (acidic, vinegar) Urine on jellyfish stings (acidic, vinegar) Yoga Yoga Therapeutic touch Therapeutic touch

13. Nursing Process: Nurse: provider of care, manager of care, teacher, pt advocate Nurse: provider of care, manager of care, teacher, pt advocate Assessment Assessment Analysis Analysis Planning Planning Implementation – rationale Implementation – rationale Evaluation Evaluation