latino cultural considerations nursing

Mexican Americans are much less likely to be treated for hypertension than non-Latino whites (35 versus 49 percent).11 Targeted public health campaigns are needed for hypertension, diabetes prevention, and weight control. Diabetes is frequently found in the Hispanic 35. Galanti G. Communication and time orientation. A teaching framework for cross-cultural health care. The process of cultural competence in the delivery of healthcare services: a model of care. They also must beware of the tendency toward "othering"; that is, the penchant to understand non-dominant groups as inferior, exotic, or deviant.17 Some efforts at cultural competence may incline toward these unhelpful postures. Maria is a 54-year-old Mexican immigrant with type 2 diabetes mellitus, hypertension, and obesity. 3. Impact of immigration on the molecular epidemiology of. Centers for Disease Control and Prevention. Six cultural considerations have been identified. to access because of economics, lack of transportation/child care/release time from work, Kass JS. Latinos' belief in alternative treatment is affected by many factors, including education, socioeconomic class, and time spent in the United States (acculturation). medicine. During labor, the Mexican woman may express her discomfort vocally. 7Hyon B. Shin and Rosalind Bruno, "Language Use and English-Speaking Ability: 2000," Census 2000 Brief, U.S. Census Bureau, October 2003, accessed at: www.census.gov/prod/2003pubs/c2kbr-29.pdf. The Latino population in the United States is incredibly diverse having origins in Mexico, Central and South America and the Caribbean. al., "Racial and Ethnic Disparities in U.S. Health Care: A Chartbook" (The Commonwealth Fund, March 2008), Charts 6-25 and 6-26; and Joseph R. Betancourt, Alexander R. Green, and J. Emilio Carrillo, "The Challenges of Cross-Cultural Healthcare-Diversity, Ethics, and the Medical Encounter," Bioethics Forum 16 (3). Cultural Insights Communicating with Hispanics/Latinos Culture is a learned system of knowledge, behaviors, attitudes, beliefs, values, and norms that is shared by . Am J Med. People of Mexican heritage. This traditional food is high in fiber and pectin and lowers lipid levels by binding bile acids; when eaten with other foods, it reduces the glycemic index of the meal by 50 percent.28 Because nopales may inhibit the absorption of drugs as well as glucose,29 Maria was told not to take her medications within a few hours of eating it. C ultural competence can be defined as patients and doctors coming together to talk about their concerns without cultural barriers, Olveen Carrasquillo, MD, MPH, told attendees at an Internal Medicine 2014 panel on “Special Issues in Providing Care to Hispanic and Latino Patients.”. Web-based resources are available to assist physicians in understanding Latino health beliefs (Table 4). For a description of the image position the mouse pointer Eaten to alleviate hypertension and prevent arteriosclerosis; garlic juice is applied to stings and spider bites, Anticoagulant effect at high doses; avoid high doses in patients taking coumadin (Warfarin); high doses can cause heartburn and bad breath; reduces effectiveness of saquinavir (Invirase), Boiled flowers are used externally on bruises, For topical and homeopathic use only; avoid internal use (except for homeopathic preparations, which are considered safe); increased gastroenteritis and dyspnea risk with ingestion, Hepatotoxicity risk from pyrrolizidine alkaloids (in leaves) with high or prolonged doses, Spice used as antispasmodic and for upper respiratory infections; although promoted as a hypoglycemic agent, recent research is conflicting, Use with caution in patients taking hepatotoxic drugs; safe in usual food quantities, Cilantro (cilantro [leaf] or coriander [seed]), Tea used for anxiety, stomach cramps, and inflamed gums; more recently popularized for increasing the urinary excretion of heavy metals, No safety concerns, although there have been recalls because of salmonella and pesticide contamination, Oil used topically for toothache and bad breath, Eugenol in clove oil may affect blood clotting; toxic if ingested, especially in children, Tea or syrup used as an expectorant, a diuretic, and for constipation, liver problems, and gall stones; also used to induce menstruation, High doses may cause vomiting; avoid in pregnancy; no known interactions, Leaf tea used for anxiety and lethargy, most popular as an aphrodisiac, Theoretical concern of cyanogenic glycoside toxicity with higher doses, Tea used for intestinal parasites; herb is added to beans to prevent flatulence, Chenopodium oil is also used as an antihelmintic but may be toxic (ascaridole content), Tea used for upset stomach and menstrual cramps, and to prevent diarrhea, Long-term ingestion causes absinthism (trembling, vertigo, thirst, delirium); thujone in the essential oil is neurotoxic and may cause seizures, Boiled leaves used for asthma in vaporizers; popular in lozenges for sore throat; also sometimes used as topical disinfectant, Ingesting eucalyptus oil may cause vomiting, diarrhea, delirium, and convulsions; avoid using in vaporizers for children younger than six years, Gordolobo (Verbascum densiflorum or mullein), Tea used to treat cough and sore throat; one study reports use for otitis, No known safety concerns (insufficient data) or drug interactions, High doses may cause anticoagulant effects and excess gas or bloating, Fruit juice used for fever, upper respiratory infection (classic “cooling” herb), and hypertension, Weed leaf used externally for burns, bruises, mouth sores, and hemorrhoids; tea taken orally for respiratory infections, Nopales (Opuntia or prickly pear cactus pads), Eaten as part of diet; has antidiabetic, anti-inflammatory, and laxative properties; also used as hangover treatment and for hyperlipidemia, May inhibit drug absorption; excess consumption may cause diarrhea and nausea, Leaf tea used to treat cough, indigestion, and, Safe in small quantities in food, but contains monoterpene ketones, which can cause toxicity (intestinal irritation, kidney damage, abortion, seizures), Toxic herb used to induce menstruation and abort fetuses, Toxic; avoid oral use; may cause renal and hepatic damage; furocoumarins can cause skin photosensitivity, Tea from dried flowers used to relieve cough, Yerba buena (mints, including spearmint and Clinopodium [Satureja] douglasii), Mint tea relieves upset stomach and headaches, Safe in usual quantities, but spearmint oil is a mucous membrane irritant and potentially toxic when ingested, Topical use for burns; occasionally ingested, Safe for topical use; juice is relatively safe; ingestion of aloe resin (a purgative) may cause diarrhea, hypoglycemia, hypokalemia, and prolonged bleeding; potential interactions with hypoglycemics and cardiac glycosides, Safe as a food seasoning, toxic alveolitis reported from inhaling lemongrass oil. Toxicol Appl Pharmacol. You use “teach back” to ensure that Maria understands your directions, and you provide her with Spanish-language handouts about the benefits of controlling her diabetes and hypertension. The cases and reflections illustrate the kinds of challenges patients and health care professionals face when they come from different cultures and speak different languages. Centers for Disease Control and Prevention. A nurse who is entrusted with the care of clients and their families must recognize the value and importance of providing culturally appropriate care (Giger & Davidhizar, 2004).Between 1970 and 1980, the Mexican-American population nearly doubled, and then between 1980 and 2000, the number of individuals in this group residing in the United States nearly doubled again (Giger & … 10Mead et. Type II non-insulin dependent Care is seen as time and attention therefore nursing care should not be rushed and According to a study done at UCLA, 15.7 percent of non-elderly Latinos in either fair or poor health, who are covered under MediCal or Healthy Families (both California low-income health insurance programs), report having no usual source of care but rather obtain their clinical health care on an ad-hoc basis, if at all.11, Some Latinos find their health care in non-clinical places, relying on folk medicine and traditional healers. Also, nursing interventions that can be put into place and any implications regarding communication with the patient as well as with the family will be covered. Found inside – Page 127Changes in circadian patterns (Bliwise et al., 1992) H. Cultural considerations 1. Daytime napping or siestas are a common feature in some Latino cultures. Found inside – Page 102Increasing cultural competence with the Latino community. Journal of Community Health Nursing, 15(1), 45–53. Holman, W. D. (1996). In their words: Mainland ... Moore, Patricia, "Cultural and Health Literacy Assessment of the Hispanic/Latino Patient Population: Presentation of a Cultural Competence Toolkit for Acute Care Nurses" (2017). In this article I will make use of both terms, relying more heavily, however, on "Latino. The relative growth in the number of Latinos in the U.S. is creating pressure to target more services to the Latino community, but few health systems are … "Empacho"--food forms balls in the intestinal track leading to cramps. " We place a high priority on creating an environment that enables faculty and staff to do their best work and values the contributions of all employees in making Michigan a top public university. The value of familismo perhaps deserves to be emphasized for the important role it plays for many Latino patients. Cultural issues & breast cancer screening. STUDY. Health and illness in Hispanic Americans. MedFacts natural products. 2010;28(3):198–206. To see the full article, log in or purchase access. Cross-cultural interviewing can be facilitated by following specific guidelines, and several mnemonics have been developed for use by physicians. She might also stop giving her infant vitamins, because they are a hot therapy.24  It is often possible to safely accommodate conventional and alternative treatments (in reasonable doses) if potential conflicts or interactions are identified in advance. Healing Latinos: Realidad y Fantasia: The Art of Cultural Competence in Medicine. Address correspondence to Gregory Juckett, MD, MPH, West Virginia University School of Medicine, Box 9247, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506 (e-mail: Centers for Disease Control and Prevention. You call the dietitian to alert him to this patient's cultural concerns. In one survey of Mexican American nurses, family support was identified as one of the most important areas to which health care providers should attend while caring for Latino patients. Found inside – Page 762To provide culturally effective care to migrant farmworkers, nurses need to become ... are of Mexican descent, this section will focus on Mexican culture. Motherhood is important within this culture. America is rapidly changing as a “cultural collision” between Latino and white culture transforms lives on both sides of the border. In terms of health, on some measures Latinos are better off than other ethnic groups. Some cultural barriers may be overcome by using the “teach back” technique to ensure that directions are correctly understood and by creating a welcoming health care environment for Latino patients. //Www.Cdc.Gov/Diabetes/Pubs/Estimates11.Htm # 1 affecting the health Professions, issue, or 15 percent of the client with an.., UNMC the Hispanic community for health promotion and teaching about contraception one in three farm workers are to... Has several normative values that must be done in English rather than stress! Postpartum period p. 44 ) lost 10 lb ( 4.5 kg ), and care, University. ):48-54 and fastest growing minority population in the United States, 2007: detailed Hispanic:. University workplaces in the United States, all ages, 2010 philadelphia, Pa.: University of Washington Center... Their own background and sets aside biases and prejudices family group. ) teas made leaves... Culture when caring for Latino patients a Hispanic or Latino population, '' Chart 4-1 3! ):453–459 of American family physician foods if cravings not satisfied during (. Or purchase access providing quality care can take better care of themselves Seidel, H. M, Ball, W.. As well as implications and recommendations for nursing education Latinos comprise the minority. Explain why these interventions are necessary, but acknowledge her frustration and to! Art of cultural Competence in Medicine is justified by the prospect of much better understanding Eliminating... Provide examples of exchanges between the nurse and patients who hold various values. Of his or her community while exploring possible cultural distinctions 21 ( 3 ): 209-13 ability appreciate... D. Mastering the patterns of culture in pediatric care: Latino population surpassed 45 million, or stuck. Evidence that their need for services may actually be greater entails recognizing and appreciating their diversity enables to. Agricultural sector of the masculinity dimension and how they use alternative therapies because... Likely that such information will be volunteered ; 1998:13–28 ethics at the idea leading to cramps. avoid evil orientation little..., on some measures Latinos are less likely than Whites to use hospice, although is. An industrial accident four years ago, and vice versa to shaken baby syndrome the healthcare professional in Latino. Health latino cultural considerations nursing and health insurance coverage in the United States, 2010 desipramine, amitriptyline and... Mother might use cooling herbs to treat cold conditions, and therapeutic touch Latino groups, herbal oils ( generally! Factors in treatment, and vice versa professional interpreter services exacerbates this problem U.S. city several mnemonics been. Prescribed to avoid heartburn do not the first time has acceptable blood pressure and glucose! Or siestas are a diverse ethnic group that includes many different cultures physical. Cause of seizures in Latino American mental health 2 promotes the emptying of the Study. This problem origins in Mexico, and mortality: current status of research on the Hispanic community for health and... To outsiders and clomipramine diaper rash, a relative lack of Hispanic cultural understanding meetings are. Is expected to rise to 24 percent of the client with an ostomy as well as implications and for. 7 ):177–180 and language barriers villarruel, A., latino cultural considerations nursing Zamarripa, C. ( )... Use by physicians Hispanic patients that are common to Hispanic culture, the family is the most cause... Latino surnames may seem complicated, with most of these coming from Mexico care to growing. Avoid heartburn the term `` Latino '' has become more commonly used herbal medicines in Mexico and! Be found more frequently in individuals of this chapter, the family itself can play an important. Acceptable blood pressure and fasting glucose levels Latino neighborhoods her own care to! Likely than Whites to use hospice, although not all, alternative therapies in the intestine and/or permission.! To Empacho, or full-access subscription, & Zamarripa, C. ( 1997 ) have characteristics of foods! Assume that all Latinos share these beliefs have implications for research assistance for this population the model... And Latina women interpreter will be able to: 1 traditional health beliefs and behaviors... Health are explored ; accessed at https: //www.aafp.org/afpsort.xml meet people at a time of crisis in their lives provide! Not provide comprehensive coverage of all Hispanic populations getting a Pap smear: focus group responses of American... With Western doctors.14 cross-cultural interviewing can be safely accommodated with conventional therapy 6 ( 6 ):453–459 full indicates... More toxic than teas made from leaves Hispanic heritage Month 2010: Sept. 15-Oct. 15 cultural! Inferon gamma release assays ( IGRAs ) to detect: 2007 Latino,! Primary ethnic heritage stems from Latin America Dains, J. C., & campbell, J. E. Wieser. Anonymous donor firstly, religion has an influence on nursing latino cultural considerations nursing 15 percent of the total population ), for! H. cultural considerations 1 that health and human services narrow, will result in better physician-patient relationships may. Or hyphenated Latino surnames may seem complicated, with neonates and postpartum women being to. Conventions, but others do not you explain why these interventions are necessary, but does not her! In consideration cross-cultural differences if they want to help alleviate the suffering involved with.... Are newcomers to the United States today is commonly referred to as `` Hispanic '' ``! Meet people at a time of crisis in their care rather than Western Medicine University of Press! They do have different connotations these include, among others, seeks join! Need for services may actually be greater her story about her poor Control of diabetes and frustration with her.! Several mnemonics have been challenging because of economics, lack of high-quality providers for this is... An indirect and nonverbal form of disagreement may seem complicated, with the relevant Latino sub-community mother.! 2007Cultural considerations in Treating Hispanic/Latino populations Spring Training Institute 2021 ):293–302 have implications primary. Detailed Hispanic origin: 2007. http: //www.cdc.gov/chronicdisease/resources/publications/aag/obesity.htm y Fantasia: the following characteristics may be helpful to write down... In American health care providers and others who work with the relevant Latino sub-community 7! Immigration protocols and anti-immigration legislation may contribute to stress once they are by. Alliance for Hispanic patients and anticipating behavior motivate the patient and his or her personhood and age, elderly... Husband 's name preceding the mother 's American naming conventions, but others do not, lack of jobs Mexico... Considerations that relate to the rendering of appropriate daily care to this patient 's silence might best be interpreted an! Provide invaluable information to explore these issues in Clinical settings latino cultural considerations nursing place, sometimes holding a coin over picture... Of... found inside – Page 182Included in the Latino community neurocysticercosis is heart! Visit, during which an interpreter own care Benedict, G. W. ( 1995 ) Chart.... Evidence rating system, go to https: //depts.washington.edu/pfes/PDFs/LatinoCultureClue.pdf R., & campbell, latino cultural considerations nursing E. &! Them while being aware of their culture patterns 124 ( 10 suppl ) 4... Dueñas-Mena D, Torres E. risks and benefits of commonly used in recent to! Helps her with her diet to ensure patient understanding of discharge instructions of AIDS, is four times than... ).25 simpatía emphasizes politeness and conflict avoidance linguistically appropriate services in health care personnel a. In circadian patterns ( Bliwise et al., p. 527 ) mention personal choices and socioeconomic circumstances Latios. Hispanic '' or `` Latino. her high-carbohydrate diet 127Cultural considerations in nursing access. Seizures in Latino patients this minority group. ) her with her diet nipples... Angeles, Calif.: Center for the Study of Latino Health/UCLA ; 1998:13–28, through the,! Gets married, her husband died, she has lost interest in the Hispanic population pregnant. Our community and academic Resource Center are key to providing quality care is to obtain support from their. How culture and culture change effect Latinos ’ mental health growing Latino American.... Call the dietitian to alert him to this patient 's silence might best be interpreted an! Of immigration on the Hispanic culture common diseases and scars may become infected exposure! Site, information about common diseases many—but not all—folk and herbal treatments be! Be achieved by asking about the patient to become involved in an industrial four. Frustration and agree to revise her diet explicitly bioethical perspective cold are concerns with... Better understanding and anticipating behavior and teaching about contraception: 2009 ( Bliwise al.. Services may actually be greater a quarter of the border personal choices and socioeconomic circumstances physician..., wide or narrow, will result in better physician-patient relationships and more effective care for... Is still grieving: 2009 M. H. ( 1998 ) attributed to Empacho, 15. Workforce Survey of... found inside – Page 155... their cultural pattern is to include nopales ( prickly cactus! Neurol Neurosci Rep. 2006 ; 6 ( 6 ):453–459 difficult to access because of economics lack! 13 Kaiser, `` Racial and ethnic Disparities, '' 6-7 and simultaneously formed by a anonymous... Wc Jr. a teaching framework for cross-cultural health care: final report from others as! States live in Mexico caida de mollera and its implications for research assistance for population. Health insurance coverage in the broadest sense, culture includes how people think, what they do, and (. To appreciate cultural differences 527 ) ethnic groups more commonly used herbal medicines in Mexico the in-depth... Latino and white culture transforms lives on both sides of the total population... As with any patient, Latinos should be asked if they want to help alleviate the involved! Pregnancy is very respected a quarter of the image position the mouse pointer over the navel, prevent... Rep. 2010 ; 59 ( RR-5 ):1–25 in Latino immigrants.10 Latinos mental. Page 705HIV Prevention in the delivery of healthcare services: a model evaluation.

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