The teach back technique should be incorporated into the cross-cultural patient encounter to ensure patient understanding of discharge instructions. Poor communication with health care providers is often an issue. Latinos have disproportionately higher rates of obesity and diabetes mellitus. The specific herbs mentioned in this study for use of treatment of diabetes included: nopal (cactus), aloe vera, nispero (loquat leaves), garlic, and diabetina. These terms are derived from the Spanish verb curar, which means to heal. Vari Hall, Santa Clara University500 El Camino RealSanta Clara, CA 95053408-554-5319, Ethical Considerations for COVID-19 Vaccination, Hackworth Fellowships Project Showcase 2021, The Ethics of Going Back to School in a Pandemic, Systemic Racism, Police Brutality, and the Killing of George Floyd, COVID-19: Ethics, Health and Moving Forward, The Ethical Implications of Mass Shootings, Political Speech in the Age of Social Media, Point/Counterpoint: Democratic Legitimacy, Brett Kavanaugh and the Ethics of the Supreme Court Confirmation Process, https://depts.washington.edu/pfes/PDFs/LatinoCultureClue.pdf, Culturally Competent Care for Latino Patients. Cross-cultural interviewing can be facilitated by following specific guidelines, and several mnemonics have been developed for use by physicians. For literate patients, it may be helpful to write things down, even if this must be done in English rather than Spanish. ", In 2007, the total U.S. Hispanic or Latino population surpassed 45 million, or 15 percent of the total U.S. population. As with any circumscribed ethnic group, there is, of course, enormous cultural heterogeneity among Latino patients-to the point where it seems almost ludicrous to try to identify broad cultural tendencies across such diversity. The final commentary, drawing on the others, seeks to join the issues from an explicitly bioethical perspective. How traditional medicine can play a key role in Latino health care Mexican Americans with hypertension are less likely to be treated than non-Latino whites (35 versus 49 percent). In today's United States, these terms are often thought . dissertation, University of Southern Cali-fornia, 1973. New Drugs For Treating Fatty Liver Disease And Cirrhosis For at least the past century, a relative lack of jobs in Mexico has been driving many Mexicans north in search of work. Nevertheless, Hispanic Americans are very heterogeneous in the circumstances of their migration and in other characteristics. Treatment innovations are described that address the combination of intergenerational and cultural differences that occur among youths and their Hispanic parents. Specifically, to Latin America, to people from the Caribbean, South America, and Central America. Physicians must be sensitive to Latino cultural values of simpatia (kindness), personalismo (relationship), respeto (respect), and modestia (modesty). Hispanics generally use multiple methods to treat themselves which involve prayer, folk medicine, prescription medications left over from friends as well as new medications prescribed by physicians. 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. Emotional distress often presents with headaches (dolor de cabeza) or other physical symptoms instead of depressed mood.9 Consequently, a high index of suspicion is needed to recognize adjustment reactions or depression. Spanish language handouts are a better option. Compared with non-Latino whites, Mexican Americans have up to a three times higher incidence of diabetes mellitus and a three times higher prevalence of obesity, but hypertension-related mortality is only 4 percent higher (not a significant difference). She has three grown children: two still live in Mexico, and the third lives in a distant U.S. city. Roughly half of Black (49%), AIAN (49%), and NHOPI (51%) people are below age 34, compared to . Addiction Demographics: Substance Use in the US | Recovery.org Significantly, some patients appear to experience greater improvement after meeting with folk practitioners than with Western doctors.14. Substance Abuse/Addiction Among Hispanic-Latina/o Americans Background Patients who are members of minority groups may be more likely than others to consult physicians of the same race or ethnic group, but little is known about the relation between. Because of less access to health care, Latinos with diabetes are often diagnosed later and have a greater risk of complications.15,16 Despite these unfavorable health and socioeconomic statistics, overall mortality is lower than would be expectedan anomaly termed the Hispanic paradox.17 Latinos live an average of 2.5 years longer than non-Latino whites (to 80 years, seven months of age) and 7.7 years longer than non-Latino blacks.1 It is not known what protective factors exist, but immigrant hardiness, social integration, and diet may have a role.1 Raising awareness about the consequences of obesity is necessary in Latino communities, especially because being somewhat overweight (gordito) can be considered healthy. [4] The cultural value of familism has important implications for the successful treatment of a child with AD/HD. Medical practices and hospitals should strive to create an environment that is warm and welcoming to Latino patients. Cultural Barriers to Mental Health Treatment Among Hispanics/Latino(a)s Double or hyphenated Latino surnames may seem complicated, with the father's name preceding the mother's. Remedies used for common pediatric illnesses and for the traditional folk illnesses: mal ojo(evil eye), empacho(blocked intestine), mollera caida(fallen fontanelle), and susto(fright). Depression education fotonovela for engagement of Hispanic patients in Identifying behavioral health problems is very important to the plan. Manybut not allfolk and herbal treatments can be safely accommodated with conventional therapy. Each person is unique and simultaneously formed by a variety of cultures and subcultures, not to mention personal choices and socioeconomic circumstances. Using don or doa with the given or full name indicates even greater respect for older patients. Moreover, the family itself can play an enormously important role in supporting and empowering the patient within the medical setting. The commentaries provide perspective and insight on what went right, what went wrong, and how things might have gone differently in these culturally challenging situations. Rue for earache. Approximately half (49.6%) of the patients were aged at least 65 years. During Maria's next visit, you arrange for a telephone interpreter, which enables you to take a brief social history. Partner with other Coach Managers to build relationships, share learnings and provide consistency for all of our . Combination therapy generally uses multiple treatment methods at once. Mexico's rate of C-sections is 30 percent above the rate recommended by the World Health Organization. Free and confidential support for people in distress, 24/7, Behavioral Health Treatment Services Locator In an NIMHD-funded study, Hirsh and a graduate student, Nicole Hollingshead, are testing whether a computer-simulated intervention can change doctors' attitudes and lead to better treatment for African Americans. Trauma-Focused CBT for Effective PTSD & Trauma Treatment She asks about your family, and hesitantly, through the interpreter, you share a bit about your own children. Healing Methods - Exploring Hispanic Culture Hispanics have different degrees of illness or health risks than whites. Herbal therapies play a major role in Latino folk medicine, so knowing the Spanish names of common herbs can be helpful (eTable A). The American Psychological Association (APA) found that only one percent of psychologists identified themselves as Hispanic even though Hispanics represent 20 percent of the U.S. population as a whole. Cultural Health Beliefs and Practices Among Hispanic Parents Because many health beliefs and behaviors are culturally-based, it follows that when two different cultures come together in a health care setting, a collision of expectations often occurs. by Marcia Carteret, M. Ed. 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). 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. Cultural Humility and Counseling Hispanic and Latino Populations - NAADAC Other health problems include stress, neurocysticercosis, and tuberculosis. 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. using as treatment, if they remained open-minded, and if doctors had an understanding of folk medicine.37 Another common barrier within healthcare delivery is that the alternative or traditional medicine within the Latino culture is deeply rooted in spirituality and religion.38 While in the United States, Recent immigrants often feel lonely and can have culture shock, fears of deportation, and financial problems; depressed mood may manifest as headaches and somatic symptoms. Innovative Diabetes Interventions in the U.S. Hispanic Population PDF Culturally Sensitive and Creative Therapy With Latino Clients
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