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Interview someone from a different culture

Health Science

Interview someone from a different culture.  You will create a PowerPoint presentation of your findings.

  1. For this assignment, you will Interview a client whose culture is different from yours. The client can be a patient, neighbor, grandparent, in-law, or friend. Do not use your parent, brother, sister, spouse, or significant other. This interview is the basis of your paper. Use the Organizing Framework (12 boxes in Chapter 2) to guide your interview.
  2. Interview your selected person on three or four domains of the model. Complete a literature review of the cultural group from which your interviewee comes. Compare and contrast data obtained from your interview with what you find in the literature. Provide at least two recommendations for clinical practice, two recommendations for research, and two recommendations for the healthcare organization on this cultural group; be specific in your recommendations. Value of this exercise to your current or future practice.

Foundations for Cultural Competence ??? Table 2-1 Overview and Heritage Suggested Question Sample Rationale/Example 1. Where do you currently live? 2. What is your ancestry? 3. Where were you born? 4. How many years have you lived in the United States (or other country, as appropriate)? 5. Were your parents born in the United States (or other country, as appropriate)? 6. What brought you (your parents/ancestors) to the United States (or other country, as appropriate)? 7. Describe the land or countryside where you live. Is it mountainous, swampy, etc.? 8. Have you lived in other places in the United States/world? 9. What is your income level? 10. Does your income allow you to afford the essentials of life? 11. Do you have health insurance? 12. Are you able to afford health insurance on your salary? 13. What is your educational level (formal/ informal/self-taught)? 14. What is your current occupation? If retired, ask about previous occupations. 15. Are there (were there) any health hazards associated with your job(s)? 16. Have you been in the military? 17. Are you married? 18. How many children do you have ??? Table 2-2 Communication Suggested Question Sample Rationale/Example 1. What is your full name? 2. What is your legal name? 3. By what name do you wish to be called? 4. What is your primary language? 5. Do you speak a specific dialect? 6. What other languages do you speak? 7. Do you find it difficult to share your thoughts, feelings, and ideas with family? Friends? Health-care providers? 8. Do you mind being touched by friends? Strangers? Health-care workers? 9. How do wish to be greeted? Handshake? Nod of the head, etc.? 10. Are you usually on time for appointments? 11. Are you usually on time for social engagements? 12. Observe the patient’s speech pattern. Is the speech pattern high- or low-context? 13. Observe the patient when physical contact is made. Does he/she withdraw from the touch or become tense? 14. How close does the patient stand when talking with family members? With health-care providers? 15. Does the patient maintain eye contact when talking with the health-care provider? ??? Table 2-3 Family Roles and Organization Suggested Question Sample Rationale/Example 1. Who makes most of the decisions in your family? 2. What types of decisions do(es) the female(s) in your family make? 3. What types of decisions do(es) the male(s) in your family make? 4. What are the duties of the women in the family? 5. What are the duties of the men in the family? 6. What should children do to make a good impression for themselves and for the family? 7. What should children not do to make a good impression for themselves and for the family? 8. What are children forbidden to do? 9. What should young adults do to make a good impression for themselves and for the family? 10. What should young adults not do to make a good impression for themselves and for the family? 11. What are adolescents forbidden to do? 12. What are the priorities for your family? 13. What are the roles of older adults in your family? Are they sought for their advice? 14. Are there extended family members in your household? Who else lives in your household? 15. What are the roles of extended family members in this household? 16. What gives you and your family status? 17. Is it acceptable to you for people to have children out of wedlock? 18. Is it acceptable to you for people to live together and not be married? 19. Are you accepting of gay, lesbian, or transgendered people? 20. What is your sexual preference/orientation? ??? Table 2-4 Workforce Issues Suggested Question Sample Rationale/Example 1. Do you usually report to work on time? 2. Do you usually report to meetings on time? 3. What concerns do you have about working with someone of the opposite gender? 4. Do you consider yourself a “loyal” employee? 5. What do you do when you do not know how to do something related to your job? 6. Do you consider yourself to be assertive in your job? 7. What difficulty does English (or another language) give you in the workforce? ??? Table 2-5 Biocultural Ecology Suggested Question Sample Rationale/Example 1. Are you allergic to any medications? 2. What problems did you have when you took over-the-counter medications? 3. What are the major illnesses and diseases in your family? 4. Are you aware of any genetic diseases in your family? 5. What are the major health problems in the country from which you come (if appropriate)? 6. With what race do you identify? 7. Observe skin coloration and physical characteristics. 8. Observe for and ask about physical handicaps and disabilities. ??? Table 2-6 High-Risk Health Behaviors Suggested Question Sample Rationale/Example 1. How many cigarettes a day do you smoke? 2. Do you smoke a pipe (or cigars)? 3. Do you chew tobacco? 4. How much alcohol do you drink each day? Ask about wine, beer, spirits, coffee, energy drinks. 5. What recreational drugs do you use? 6. Do you exercise each day? What type? How long? 7. Do you use seat belts/helmets? 8. What precautions do you take to prevent getting a sexually transmitted infection/HIV? ??? Table 2-7 Nutrition Suggested Question Sample Rationale/Example 1. Are you satisfied with your weight? 2. Which foods do you eat to maintain your health? 3. Which foods do you avoid to maintain your health? 4. Do you avoid specific foods? Why do you avoid these foods? 5. Which foods do you eat when you are ill? 6. Which foods do you avoid when you are ill? 7. Why do you avoid these foods (if appropriate)? 8. For what illnesses do you eat certain foods? 9. Which foods do you eat to balance your diet? 10. Which foods do you eat every day? 11. Which foods do you eat every week? 12. Which foods do you eat that are part of your cultural heritage? 13. Which foods are high-status foods in your family/culture? 14. Which foods are eaten only by men? Women? Children? Teenagers? Older people? 15. How many meals do you eat each day? 16. What time do you eat each meal? 17. Do you snack between meals? 18. What foods do you eat when you snack? 19. What holidays do you celebrate? 20. Who usually buys the food in your household? 21. Who does the cooking in your household? 22. Do you have a refrigerator? 23. How do you cook your food? 24. How do you prepare meat? 25. How do you prepare vegetables? 26. What do you drink with your meals? 27. Do you drink special teas? 28. Do you have any food allergies/ intolerances? 29. Are there certain foods that cause you problems when you eat them? 30. How does your diet change with each season ??? Table 2-8 Pregnancy and Childbearing Practices Suggested Question Sample Rationale/Example 1. How many children do you have? 2. Have you ever had an abortion? Stillbirth? Miscarriage? 3. What do you use for birth control? 4. What does it mean to you and your family when you are pregnant? 5. What special foods do you eat when you are pregnant? 6. What foods do you avoid when you are pregnant? 7. What activities do you avoid when you are pregnant? 8. Do you do anything special when you are pregnant? 9. Do you eat nonfood substances when you are pregnant? 10. Who do you want with you when you deliver your baby? 11. In what position do you want to be when you deliver your baby? 12. What special foods do you eat after delivery? 13. What foods do you avoid after delivery? 14. What activities do you avoid after you deliver? 15. Do you do anything special after delivery? 16. Who will help you with the baby after delivery? 17. What bathing restrictions do you have after you deliver? 18. Do you want to keep the placenta? 19. What do you do to care for the baby’s umbilical cord? ??? Table 2-9 Death Rituals Suggested Question Sample Rationale/Example 1. What special activities need to be performed to prepare for death? 2. Would you want to know about your impending death? 3. What is your preferred burial practice? Interment, cremation? 4. How soon after death does burial occur? 5. How do men grieve in your culture? 6. How do women grieve in your culture? 7. What does death mean to you? 8. Do you believe in an afterlife? 9. Are children included in death rituals? ??? Table 2-10 Spirituality Suggested Question Sample Rationale/Example 1. What is your religion? Part of a standard assessment. 2. Do you consider yourself Religion may have more deeply religious? influence than the culture. 3. How many times a day do Islam requires prayer five you pray? times a day. 4. What do you need to say If possible, Muslims need a your prayers? prayer rug. 5. Do you meditate? Meditation can be used for relaxation and for pain control. 6. What gives strength and For some, the most meaning to your life? important thing in their life is family. 7. In what spiritual practices Prayer, meditation, yoga, and do you engage for your quiet time are some physical and emotional examples. health? ??? Table 2-11 Health-Care Practices Suggested Question Sample Rationale/Example 1. In what prevention activities do you engage to maintain your health? 1. Who in your family takes responsibility for the family’s health? 2. What over-the-counter medicines do you use? 3. What herbal teas and folk medicines do you use? 4. For what conditions do you use herbal medicines? 5. What do you usually do when you are in pain? 6. How do you express your pain? 7. How are people in your culture viewed or treated when they have a mental illness? 8. How are people with physical disabilities treated in your culture? 9. What do you do when you are sick? Stay in bed; continue your normal activities, etc.? 10. What are your beliefs about rehabilitation? 11. How are people with chronic illnesses viewed or treated in your culture? 12. Are you averse to blood transfusions? 13. Is organ donation acceptable to you? 14. Are you an organ donor? 15. Would you consider having an organ transplant if needed? 16. Are health-care services readily available to you? 17. Do you have transportation problems accessing needed health-care services? 18. What traditional health-care practices do you use? Acupuncture, acupressure, cai gao, moxibustion, aromatherapy, coining, etc.? ??? Table 2-12 Health-Care Providers Suggested Question Sample Rationale/Example 1. What health-care providers do you see when you are ill? Physicians, nurses? 2. Do you prefer a same-sex health-care provider for routine health problems? For intimate care? 3. What healers do you use besides physicians and nurses? 4. For what conditions do you use healers?

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