dq8Transcultural Perspectives in the care of Older Adults.

19FALLF-NUR3655-DL-AD - CULTURE IN NURSING-DL-AD EDDIE CRUZ

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Lilisbet Alonso Fuentes on Wed, Oct 23 2019, 8:25 PM

 

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Citations (13/13)

1. 1Another student's paper

2. 2 https://cbhd.org/bioethics/cross-cultural-bibliography

3. 3Another student's paper

4. 4Another student's paper

5. 5 https://soc.utah.edu/sociology-faculty-publications-2015-2017.php

6. 6 https://faculty.utah.edu/u0780875-AKIKO_KAMIMURA/research/index.hml

7. 7Another student's paper

8. 8Another student's paper

9. 9Another student's paper

10. 10Another student's paper

11. 11Another student's paper

12. 12Another student's paper

13. 13Another student's paper

Running head: TRANSCULTURAL PERSPECTIVES IN OLDER ADULTS HEALTHCARE 1

TRANSCULTURAL PERSPECTIVES IN OLDER ADULTS HEALTHCARE 2

Transcultural Perspectives in Older Adults Healthcare Lilisbet Alonso

1 Florida National University

Nursing Department

BSN Program

NUR 3655 Culture in Nursing

Prof. 1 Eddie Cruz, RN MSN

October 23rd, 2019

Transcultural Perspectives in Older Adults Healthcare

Introduction

Ethnogenic issues in healthcare are deep-rooted in the cultural perspective, which includes both foods and way f life. As a result, there is a sense of accountability and responsibility that is taken into consideration when looking at the overall definition of key indicators in that society. In this way, it becomes easier to identify specific demographic characteristics that can be used for more evidence-based practice hence a more systemic approach in the differentiation of approach by age, gender, hierarchy and societal divisions. This is because, these are identifiable issues that often affect nutrition, assumptions in healthcare practice and fears associated with perceived view on healthcare in general for the specific target groups. This paper will look at the transcultural perspectives of healthcare in older adults within the Pima Indians community especially with regard to diabetic and related health complications. By looking at the stereotypes within this society, the paper addresses the view of the community towards management and living with diabetes as part of the nursing and healthcare management planning efforts. In this way, it will look at the community education, the family setting, the sensitization to food and nutrition, and the awareness of hereditary factors when it comes to diabetes and its identification and management (Adler, 2004). 

Learning the Cultural belief ad Practises in Nutrition and Diet

As a nurse just assigned to the healthcare of the Pima Reservation community, the first aspect is to take the living conditions as part of an overall assessment for an ethnographic study. In the older age demography, the main issue of concern is to respect; this allows the collaboration of the community especially since in this community the older the person is the wiser they are considered to be (Seegert, 2014). Therefore, learning about nutrition is first to find out what the individual likes taking more. In asking the questions, it becomes easier to identify the nutritional value of the types of food that they take and in that way categorization of the gaps in their diet. Direct questioning gives the patients a sense of respectability of their opinion and views which gives more motivation for the cooperation. In addition, in this community, there is great respect for the traditional healer. 

As a result, cooperation with the healer will help in the identification of common practices that are done by the elderly, data on common ailments, and the types of suggestions and ‘cures’ that are givens. In this way, there is more cooperation in the way of life and identification of key indicators of the most probable countermeasures on the main ailments. By taking into account, the elderly views and the views of the ‘healer’ there is additional data that can be used in direction of a specific question to the caretakers of the elderly within the community. This can be done through participation in the communal events, actively getting involved in gatherings and communication with the females and young girls who are responsible for most of the cooking within the community. This becomes a process of integration of the modern healthcare and evidence-based nursing to the existing systems of management in the community as part of the practice and policy change and development (Booth, Nourian, Weaver, Gull, & Kamimura, 2017). 

Sensitization on Diabetic Diet and Exercising Management

The Pima Community are proud of their identity as groups, which means that community service is valued above individualism and thus a tool that can actively be used in helping the elderly. Therefore, the participation of the family is important in support of the elderly grandmother. Using the grandchildren, assigning tasks in cooking, in shopping, and in the identification of alternative types of food grown within the community is one of the main objectives. Finding someone in the community who would supply is essential, as it will be a constant supply and thus a well-developed system of nutritional management. However, in terms of exercising, it is hard to change norms over time, this means that the aspect of respectability within the community of the elderly and the older way of life can be used. Having the grandmother walk a distance every day to a designated area to get involved in teaching the younger generation of a particular practice such as education of the area will be a part of exercising routine as well as an awareness session that is involving. 

Eating Habits Assessment

Two methods would be effective in this setting when it comes to the eating habits assessment of the elderly woman. The first is using the designated carer in the family to have a subjective measure, often can use one specific food container to understand the daily intake. In this way, there is a record of intake that can be subjectively measured. As a result, when intake is less than normal, the subjective measure can be understood and easily remembered. At the same time, having the caretaker and the grandmother develop a predefined format, there is cooperation in the remembering of the frequency of food intake, the amount that was taken and thus cooperation that can easily be recorded at least in every monitoring visit (Shim, Oh, & Kim, 2014). 

Family Participation in Diet management

One way that exercising can be a habit within the family is the simple walking by assigning each member of the family a day to walk with the grandmother. In this way, there is direct involvement each day and thus active participation at least twice a week for each member. At the same time, the children have to go to school daily, meaning that walking to school can be encouraged, or coming from school on foot. In this way, there is at least a daily mandatory simple exercising for each of them. In addition, setting up a community forum where all youths within the community can participate in different activities would help in encouraging socializations well as an active life for the children. It will be an indirect involvement as a means of management of weight using existing community networks (Faller & Marcon, 2013). 

Reference

Adler, R. (2004). 2 Introduction to Cross-Cultural Health Care for Older Adults. In R. Adler and H. Kamel (Eds.) Doorway Thoughts: 2Cross-cultural Health Care for Older Adults. Boston: 3 Jones and Bartlett Publishers. 

4 Booth, C., Nourian, M., Weaver, S., Gull, B., & Kamimura, A. (2017). 5 Policy and Social Factors Influencing Diabetes among Pima Indians in Arizona, USA.  6 Public Policy and Administration Research 7, 35-39. 

Faller, J. 7 W., & Marcon, S. S. (2013). 7 Health care and socio-cultural practices for elderly patients in different ethnic groups.  8Escola Anna Nery Revista De Enfermagem 17(3), 512-519.  9Retrieved from http://dx.doi.org/10.1590/S1414-81452013000300015

Seegert, L. 3 (2014, September 4).  10 Cultural perceptions of aging affect health status, caregiving. Covering Health. 11 Association of Health Care Journalists.  12 Retrieved from https://healthjournalism.org/blog/2014/09/cultural-perceptions-of-aging-affect-health-status-caregiving/ Shim, J. S., Oh, K., & Kim, H. C. (2014). Dietary assessment methods in epidemiologic studies. Epidemiology and health, 36, e2014009. DOI:10.4178/epih/e2014009. 13 Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154347/