Health 14
PART 1
Review the brief case study below (adopted from Understanding Cultural Diversity in Healthcare, 2019):
Amiya Nidhi was a young woman in her twenties who had recently immigrated to the United States from India. She was in the hospital to give birth. Her support person was her sister, Marala. Marala kept telling her to get an epidural, but Amiya said that even though she would like one, she could not get one; her husband would not allow it. Cindy, her nurse, overheard the conversation. Having learned that husbands are the authority figure in the traditional Indian household, she went to speak with Mr. Nidhi. She explained why an epidural would be advisable. She said that he seemed pleased that she came to him about it. He said he would think about it, and let her know.
Write a 2- to 3-page paper (page count does not include title or reference pages) that addresses the following:
1. What is the issue from a cultural perspective?
2. Identify the 4C’s of culture to this case study ( The 4C’s of Culture ).
3. What would have you done differently? Why?
4. What responsibilities do health care providers have in this situation?
Understanding Cultural Diversity in Healthcare. (2019). Case studies. Retrieved from https://www.ggalanti.org/case-studies-field-reports/
PART 2
Read the following articles.
Purcell, N., & Cutchen, L. (2013). Diabetes self-management education for African Americans: Using the PEN-3 model to assess needs. American Journal of Health Education, 44(4), 203-212.
Lindberg, N. M., Stevens, V. J., & Halperin, R. O. (2013). Weight-loss interventions for Hispanic populations: The role of culture. Journal of Obesity, 2013, 542736.
Choose ONE of the articles’ topics to focus on for the rest of the SLP. You will use the information in the selected publication as you go through the phases of applying the PEN-3 model to develop a hypothetical health education program.
Write a three-page paper that includes the following:
1. Provide a brief overview of the health issue among the population in the article selected above, statistics about the scope of the problem, and its implications for health. You may consider selecting one of the Module readings:
· Whembolua, Conserve & Tshiswaka, 2015: Selected population is African Americans, and the Health issue is Diabetes; or
· Shahbazi, Ghofranipour, Amiri & Rajab, 2018: Selected Population is Hispanics, and the Health issue is Obesity.
2. Describe the Cultural Identity of the population. Specifically address how each of the PEN-3 model’s three factors within Cultural Identity applies to the chosen population and provide examples. Use subheadings to clearly show that you have addressed each of the three factors. For instance, for the Whembolua, Conserve & Tshiswaka, 2015 article:
· Person – Describe cultural values, beliefs, attitudes unique to African Americans and how these individual characteristics relate to individual health seeking behavior
· Extended Family – Describe the role of the extended family in health decision making, cultural beliefs on health and illnesses etc.
· Neighborhood – Describe the role of community influence on health behaviors, community support structures, if any etc.
· Support your discussion with references from scholarly and professional references (not just your opinion).
3. Reflect on the required readings, the article you choose for this assignment, and your own beliefs. Then, briefly describe how culture influences health care and what you learned that could help you effectively interact with diverse cultures in the health care setting.
Length: 3 pages, excluding the cover page and the reference list.