Nursing Assignment Acers
DQ: Customs practice by the Korean and Mexican
DQ: Customs practice by the Korean and Mexican
Read chapter 20 and 21 of the class textbook and review the attached PowerPoint presentation. Once done answer the following questions;
1. Describe the heritage of the Korean and Mexican people and discuss if there is any similarity in their roots.
2. Describe some healthcare beliefs of the Korean and Mexican heritage and how they influence the delivery of evidence-based health care.
3. Mention some customs practice by the Korean and Mexican to cure diseases.
You must use at least two evidence-based references (excluding) the class textbook. A minimum of 700 words is required.
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Mexican, Mexican American, Latino(a), Chicano(a), la gente de la raza, Hispanic, etc. are commonly used terms.
Second largest Spanish speaking group in the world
500+ different dialects and ethnic groups in Mexico
Mexico City is one of the largest cities in the world
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview/Heritage Continued
60% of the population is mestizo—a blend of Spanish white and Indigenous Indian
The majority of the Hispanic population in the United States
Hispanic is the largest “minority” group in the United States surpassing African Americans in 1999
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview/Heritage Continued
Original inhabitants, along with Native American Indians, of southwest United States
Majority of newer immigrants come to the United States for economic opportunities and are poorer than previous immigrants
Low educational rates in the United States
Ninth-grade educational level required in Mexico —mean is 5 years
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Communications
Dialect varies by region of Mexico, including Mayan
Rapid speech pattern with apocopation (e.g., como esta usted = com-esta-sted)
Idiomatic and slang expressions are common—like English
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Communications Continued
Concepts of personalismo is important.
Touch between the men and between women is acceptable.
Men and women greet with a hug and kiss to the cheek.
Eye contact with staring is expected for peers.
Many avoid direct eye contact with superiors as a sign of respect.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Communications Continued
Intense eye contact can cause the “evil eye,” a folk illness common in all Hispanic and Mediterranean cultures.
Children are more susceptible to the evil eye than are women who are more susceptible than men.
Healthcare provider should greet men with a firm handshake.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition DQ: Customs practice by the Korean and Mexican
Communications Continued
Temporality varies via socioeconomic level
Clock time is not categorically imperative; events begin when they begin and not until then
Name format: First name, middle name, father’s surname followed by mother’s maiden name.
A woman takes her husband’s last name which is place before her maiden name..
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Family Roles
Traditional families are patriarchal but vary greatly.
Current research is dispelling the myth of machismo and patriarchal decision-making.
Children are closely protected and are not expected to work or do many chores in middle-class families—children are supposed to be allowed to be children.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Family Roles Continued
Children are taught to respect parents, elders, and teachers, etc.
Multigenerational families in Mexico, less so in the United States.
Children have comadres, compadres (godparents).
Single parenting somewhat stigmatized, severely so in some groups.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Family Roles Continued
Significant number of Unido until at which time the family has the money for a religious wedding ceremony.
Academic and professional degrees are highly respected.
A good education also means having good manners.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Family Roles Continued
If family and close friends are aware of gay/lesbian relationships, they are not talked about.
Stigma continues to be a significant problem with many.
Dignity, Hola, and Ellas are support groups and they all have 800 numbers and are located in Washington, DC.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Biocultural Ecology
Intestinal parasites and diarrhea are major health problem among immigrants; also tuberculosis, STIs, and HIV/AIDS.
Hypertension, cardiovascular disease, diabetes, malaria, cholera, typhoid, dengue fever, and high suicide rates. Incidence varies from point of migration and living conditions.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Biocultural Ecology Continued
Alcohol metabolism is slowed, especially among those with an Indigenous Indian ancestry.
Require lower doses of antidepressants and are poor metabolizers of debrisoquinine.
Greater toxicity from tuberculosis drugs.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Nutrition
Large percentage of women are overweight—seen as positive and is a sign of health, fertility, wealth, and beauty.
Anytime is a time to celebrate with food.
Food choices vary by area of immigration—mountains, metropolitan areas, seaports, etc.
Staples include tacos and rice and plantains.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition DQ: Customs practice by the Korean and Mexican
Nutrition Continued
Lactose intolerance, especially from adults so calcium obtained from soups with bones and bone marrow, leafy greens, and corn tortillas treated with calcium carbonate.
Many ascribe to the hot/cold theory of foods, although they may not speak to it directly.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Nutrition Continued
Not all foods are spicy! And Nachos are American—not Mexican
Meal times vary, but many continue with the afternoon siesta if job permits
Many foods are deep fried or fried in some manner—high-fat diet mostly
Iron and Vitamin A deficiency—especially among lower socioeconomic groups
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Childbearing Family
Birth rate in Mexico and United States is higher among Mexican Americans than among other United States groups.
Wide range of contraceptives when used, but not always admitted.
Condom use: used mostly with prostitutes for infection prevention.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
ClickerCheck
Many Hispanic Americans have lactose intolerance. A good source of calcium if the diet is
Flour tortillas.
Corn tortillas.
Chicken
Pork.