culture and aging

  1. Factors contributing to a nurse's cultural sensitivity
    • Know your own ethnocentism- believing your belief is better than someone else
    • Effective culture competence includes knowledge about ethnicity, culture, language, and health beliefs, as well as skills to optimized intercultural communication.
    • when you embrace the pt as a whole it will help them to heal
  2. Cultural skills
    • based on mutual respect:
    • - listening carefully
    • - attending to both verbal and non verbal communication
    • - understanding the meaning behind the "story"- like why they don't want meds or PE
    • Explain the nurse perception without judgement
    • - acknowledging the difference/similaries between the nurse's perception of the goals and the elder- tell them about urs which will help build trust
    • developing a plan that considers both perpectives and is mutually acceptable
  3. health disparities
    • are associated with person's of color
    • the goal of healthy people 2020 is to achieve health equity, eliminate disparaties, and improve the health of all groups
    • - gerontological explosion: rapid incre in total # of older adults > 85 yrs, compared to the # of older adults in the other countries in the world
    • - recognition of significant health disparities and inequities in the US: differences in the state of health and health outcomes between people
  4. Reduction of disparities
    • Increase cultural competence"
    • - nurses learn personal bias, prejudices, attitudes and behaviors
    • Increase cultural awareness
    • - calls for the nurse to reflect on any bias of ageism and racism
    • obtain culture knowledge
    • - is formally and informally obtain by the nurse
    • trying to learn much about the pt....
  5. Western or biomedical system
    • disease is the result of abnormalities in the structure and function of body organs and systems caused by the invasion of germs
    • treatment destroys the invading organism
    • prevention involves avoiding pathogens, chemicals, activites and dietary agents that are thought to cause abnormalities
  6. Personalistic or Magicoreligious system
    • believes that supernatural entities, such as gods, dieties or non human being that include gods, ancestors or spirits cause illness
    • health is viewed a blessing or reward
    • rituals such as laying of hands and prayer circles are performed
  7. Naturalistic or Holistic health system
    • is based on the concept of balance
    • disturbance of balance results in disharmony and subsequently illness
    • stems from civilization of china, india, and greece
    • diagnosis requires determination of the type/extent of imbalance
    • treatments are methods to restore balance and harmony
    • ie the ying and yang
    • reduce stress
  8. Use of Interpreters
    • interpreters tells the older adult client what the nurses has said and then tells the nurse what the client has said
    • a translator deals with the written word
    • communication needs to be respectful
    • eye contact is disrespectful with some cultures
    • sentences should be short
    • metaphors are avoided
    • language lines for organizations that do not have interpreters- face pt
  9. Working interpreters
    • meet prior to explain purpose of session
    • - encourage the interpreter to meet w/pt prior to determine their level of understanding and depth and type of info and explanation needed
    • Look and speak to pt not interpreter
    • be patient
    • short units of speech: simple, avoid technical terms/argon
    • encourage pt's own words: encourage interpreter to avoids his/her ideas
    • listen to patient and watch non verbal
    • clarify patient's understanding, make sure interpreters are telling you in the pt's own words.
  10. Implications of the Gerontogical nurse and healthy aging
    • nurses listen to their client as the nurse tried to understand the situation
    • tools are used to elicit health care beliefs
    • nurses collaborate with traditional or alernative healers if approriate to pt's culture
    • understanding the clients belief will provide quality care to promote aging
  11. The Learn Model**
    • L- listen carefully, both verbal and non verbal, listen to their perception of the situation. desires and goals
    • E- explain your perception of identified situation and problems
    • A- acknowledge and discuss the similarities and differences of identified goals, perceptions the elder
    • R- recommend a plan of action that takes both perspectives into account
    • N- negotiate a plan of action that is mutually acceptable
  12. Long term care for culturally diverse older adult
    • families are expected to care for older adults in certain cultures
    • long term care takes place in the home, assisted living, skilled nursing facility, and hospice
    • Modifications to LTC services to enhance care of ethnically diverse elders includes:
    • - ensure resident has access to interpreter services
    • - develop programs that reflect diversity of residents
    • - consider monocultural facilities/units where warranted
    • attempt to employ staff that reflect diversity of residents
  13. Maslow's heirarchy of needs
    • proverty is most common in people of color thus not meeting their basic needs which makes it difficult to get off of level one
    • nurses need to be sensitive to clients concerns
    • culture identity may be a major element of self concept and a key to self esteem
    • nurses can facilitate self actualization by facilitating expression of the uniqueness of the individual
  14. What is ageism
    • examples of intentional ageism: target them
    • unintentional agesism: like calling them sweetie or hunny, dear
Card Set
culture and aging
aging and culture