Culturally competent health care
Issues related to access of
Orange County Health Needs Assessment. (2011). A look at health in Orange County’s Hispanic/Latino community [Special Report]. Retrieved from http://www.ochna.org/: http://www.ochna.org/publications/2011Survey…
Hypothesis: Patients with severe Chronic Kidney Disease who may require renal replacement therapy (RRT) either dialysis or renal transplantation have a increased risk ofdeveloping Cardiovascular Disease…
Diabetic Retinopathy, which is loss of vision and blindness, happens when tiny blood vessels grow in the eye, and the high concentration of glucose in fluid that are around the eye makes them fragile. Tiny bulges can be developed in the retina and it can develop in other areas in the eye, and if they start to leak or burst, the fluid and blood can spread throughout the eye. After it starts spreading, blood clot and scar tissue can start to form in front of the retina, which prevents light from hitting the retina, causing blindness. If the fluid is released it can cause swelling which leads to blurred vision. There is no treatment when this occurs ,but the prevention of the build up of glucose surrounding the blood vessels in the eye and the…
As described by Luquis (2014) the PEN-3 model, contributes to health promotion within ethnic and minority communities by including the cultural aspects of the community in the health education plan. Originally created to address the disease prevention of HIV/AIDS in Africa, the PEN-3 program consists of three domains or parts, each with a cultural approach (Luquis, 2014). The Pen-3 model incorporates the practices and beliefs of the community into the plan and focuses on the positive and unique qualities with in the different cultures. The PEN-3 model works well when discussing the health promotion needs of the Hispanic diabetic community.…
Hispanic/Latino Americans are less likely to take advantage of preventive care than non-Hispanic whites and other race. (Barker, 2013, p514). Within the standard of health care disparities, language and communication have been identified as critical additions to a culturally competent healthcare system. (Barker, 2013,…
Hispanic families and children are presented with many obstacles especially in accessing health care. The language barrier and lack of insurance make it difficult for them to access sustainable medical care. As a result, they become prone to communal diseases that are either water or air-borne. Hispanics and Latinos normally live in communities where their culture values relationships and the communal unit. This makes them more exposed to health hazards especially when there is an outbreak of a particular disease. Hispanic children enjoy playing and eating together in groups; whenever a child is affected with a communicable disease, their peers become affected. The lack of access to sustainable health care makes it even worse for them since they have to rely on caregivers to attend to them (Delese,2003). Moreover, the marginalized Hispanic community normally lacks the economic power required to take care of their families effectively.…
References: Askim-Lovseth, M., & Aldana, A. (2010). Looking beyond "affordable" health care: cultural understanding and sensitivity-necessities in addressing the health care disparities of the U.S. Hispanic population. Health Marketing Quarterly. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/21058099?dopt=Abstract.…
Health-care organizations will have to adapt quickly to meet their patients’ changing needs all while addressing health-reform requirements. In 1950, the population aged 65 and older represented 8.1 percent of the total U.S. population. That percentage is projected to reach 20.2 percent by 2050. This shift will place great demands on the nation’s health-care system. A report issued by the Institute of Medicine in 2008 found that the health-care workforce would be too small and ill equipped to meet the needs of the growing, aging population. While Latinos are the largest ethnic group, followed by African-Americans, population diversity has become more complicated, according to a two-part series, “Who We Are: Implications of the 2010 Census for Health Care” in Hospitals & Health Networks Daily. Americans have long-held beliefs that Latinos live in the Southwest and African-Americans live in the South. Cultural and religious diversity—well beyond communication barriers—is important as well. In some cultures, for example, a male physician won’t see female patients. Other cultures have complementary and alternative remedies that, when combined with traditional medicine, could have harmful consequences. Health-care providers also need to keep patients’ religious beliefs and traditions in mind. Hospitals and health systems must regularly assess their community’s makeup to accommodate specific health needs and socioeconomic circumstances. Since the census is conducted every 10 years and population makeup can change rapidly due to economic downturns or natural disasters, health-care organizations should rely on data from the American Community Survey, a mandatory annual sampling of the population conducted by the U.S. Census Bureau, for their planning…
We need to be aware of the disparities of our patient population in order to be able to provide the education and resources needed to improve health promotion and prevention for them. Some of the disparities among the Hispanic population are education, cost, language, and prevention. In regards to education, a larger percentage that of non-Hispanics did not complete high school and therefore many are unable to read and write adequately to get the information that they need. Also, a high percentage don’t speak English and they are unable to communicate with health givers, especially if there is no one to translate. Since a large percentage has not graduated from high school, they are in low income a job which puts them in less than the federal poverty level, and are more likely to be in high-risk positions. Also, Hispanics are more likely to be unemployed as compared to non-Hispanics. Due to their low-income, Hispanics are less likely to seek medical attention because of cost. They will provide medical care for their children first and themselves last. Many use home remedies handed down through the generations. With regards to blood pressure control, which could be regulated in a clinic visit, only a small percentage had blood pressure control as compared to…
She is a first generation Mexican-American whose parents and grandparents immigrated to the United States from Mexico in the late 1960s. LD was raised with what she believes are traditional Hispanic beliefs and values. She answered questions about socioeconomic factors, family values, religion, and health beliefs and practices. LD based her answers on the cultural beliefs and values that were instilled in her by her parents and…
The biggest barrier in implementing this intervention is language barrier as many do not speak fluent English. The use of interpreter may be necessary. Another nursing intervention would be to offer education about preventative exams one can do one their own to protect their health. Many do not have health insurance and self-exams offer at least partial preventative care. The biggest barrier to implementing this intervention is that many Mexicans are very modest and self-breast, testicular, or skin exams can be embarrassing. The use of videos and models to teach such topics may help make the subject less uncomfortable. Another nursing intervention is to help Mexican Americans with diabetes maintain healthy blood glucose levels. One effective method for teaching Mexican Americans about diabetes control is peer educators and mentors (Thompson, Horton, & Flores, 2007). Participants can relate to the peer counselors who have some of the same barriers to treatment as they do such as cost of testing…
I have selected to expound upon the Hispanic population. What makes this population so unique is that they include several Spanish cultures that falls under the Hispanic population umbrella such as Puerto Rician, Mexican, Cuban and South or Central American (CDC, n.d) The Hispanic population is one of the fastest growing in the U.S reaching 57million in 2015 (Krogstad. J.H,2016). Texas and California are two states where the Hispanic community have a strong presence with numbers ranging in the millions. Growing at such a rapid rate they are the largest minority race in the United States. This is a population where families are large, income is low, and morbidity is of great concern. The poverty rate for Hispanics stands at 22.6 percent but,…
Racial disparities among African Americans aren’t the only problematic race in America. Latinos are also runner up in racial problems. US health racial disparities have been neglected despite the fact that Latino communities range from mixes of all different other races. This researched compared the mortality rate among Latin Americans and other races in the United States. Most Latin Americans are immigrants, so they are unable to receive the best health benefits if even any at all. Most of the disparity has come from mostly birth problems (i.e. low birth weight, maternal infections, and smoking.)Just like the Black race, “weathering” has been a high risk for Latinos. Psychological and environmental stressors cause a high risk of health problems.…
End stage renal disease can manifest as a variety of symptoms that include general malaise, weakness, dry skin, pruritus, and headaches, loss of appetite, and sometimes nausea and vomiting. Also, drowsiness, confusion, muscle twitching or cramps, easy bruising, nosebleeds, edema, low urine output, etc. If kidney failure is untreated, it can develop to seizures, coma, and death. With that being said, we have to remember that when people deal with life challenges, they experience emotional anxiety especially if encounter a difficulty for the first time (Clarice and her family). They experience fear ("loose a wonderful mother and grandmother much too soon"), anger ("She felt even God had let her down "), grief and depression (Hadn’t she always…
I can remember seeing my mom curled up on the floor moaning in pain but refusing help. None of us knew what to do or how to help. Eventually, we knew that something had to be done. She finally agreed to get some help and learned that she had developed chronic kidney disease. In this case my mom developed chronic kidney disease through genes passed down to her, and in fact her uncle had suffered from chronic kidney disease as well. Chronic kidney disease is a slowly progressive disease, and by the time my mom had found out she was in need of a kidney transplant. My mom was put on the list for a transplant and given a pager. All we had to do now was wait for a donor. Simple right? This eventually turned into three years of dialysis, blood testing,…