Multicultural Patient Care

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Culture is an abstract term that refers to the values, ideals and beliefs shared by a group of individuals and which evolve over time[3, 5].

Culture is influenced by a variety of personal, physical and social issues. Some of the commonly accepted dimensions to consider about one’s own as well as others’ cultures include:

Health and Illness Beliefs Is illness caused by germs? Weather? Soul theft? Punishment? Diet?
 
Religion / Spirituality Buddhist, Jewish, Muslim, Protestant, Catholic
 
Decision making styles Individual or group/family
 
Time Orientation Present, future, or activity focused
 
Complementary/Alternative Medicine Herbal remedies, traditional healers, cultural practices (cupping, coining)
 
Locus of control Individual control vs. predetermined destiny
 
Status / hierarchy Influence of age, gender, professional status, etc.
 
Privacy At family or individual level
 
Communication Language barriers, non-verbal considerations, written vs. spoken, etc.
 
Socioeconomic status Based on wealth or family/vocation/education/etc.
 
Immigrant status How long in U.S.? Level of acculturation[3, 14]?

Cupping: A common practice in many cultures. Cupping involves heating a glass and placing it on the body. This leaves raised, circular marks on the body as a result of the vacuum produced when the heated glass is placed on the skin. Many cultures believe this practice helps remove the source of illnesses (cold air in the body, the presence of an evil spirit, etc.)

Coining/Coin rubbing: A traditional Asian form of healing, coining involves heating a coin or putting oil on it and vigorously rubbing the affected area. The result is raised welts or red areas on the kin where rubbing has occurred. It is believed that the skin will turn red if illness is present and that the red area represents the sickness coming to the surface and leaving the body.

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African American
 
Hispanic / Latino American
 
Asian American
 
American Indian

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Last Modified: 10/30/2005