Culture

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Culture

• A system of shared symbols
• Security, integrity, belonging
• Evolving
• Childs experience
• Lipson Dibble, 2005

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Culture and Race

• Racism and social beliefs
• Physiologic differences
• Professional beliefs

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End-of-Life Care

• Has its own cultural considerations
• Examine personal cultural beliefs, values and
  principles

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Components of Culture

• Ethnic identity
• Gender
• Age
• Mazanec Panke, 2010

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Components of Culture (cont.)

• Differing abilities
• Sexual orientation
• Religion and spirituality

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Components of Culture (cont.)

• Financial status
• Place of residency
• Childs role

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Components of Culture (cont.)

• Education level
• Social consideration

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Cultural Sensitivity

• Knowledge and attitudes
• Attributes
• Skills
• Interdisciplinary approach
• Lipson Dibble, 2005

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Components of Cultural Assessment

• Child/adolescent/family
• Self-identification
• Birthplace
• Ethnic identity, community
• Decision-making
• Language and communication
• Mazanec Panke, 2010

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Components of Cultural Assessment (cont.)

• Community
• Religion
• Spirituality
• Food preferences/prohibitions
• Economic situation
• Health beliefs regarding death, grief, pain

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Components of Cultural Assessment (cont.)

• Nurse and Interdisciplinary Team
• Self assessment
• Cultural beliefs of co-workers

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Cultural Considerations of Communication

• Use of interpreters
• Conversational style

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Cultural Considerations of Communication (cont.)

• Personal space
• Eye contact

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Cultural Considerations of Communication (cont.)

• Touch
• Time orientation
• View of healthcare professionals
• Learning styles

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Role of the Family

• Who makes decisions?
• Who is included in discussions?
• Is full disclosure acceptable?

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Beliefs Regarding Death and Dying

• Avoid stereotyping
• Individual assessment
• Be knowledgeable about ethnic groups common in
  your setting

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Fathers Watch
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Conclusion

• Many dimensions of culture
• Major influence on end-of-life care
• Self-assessment of culture
• Interdisciplinary care facilitates culturally
  sensitive care

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If Only it Could Be Me