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A Dictionary of Patients' Spiritual & Cultural Values for Health Care ...

A Dictionary of Patients' Spiritual & Cultural Values for Health Care ...

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SpokespersonTime orientationare led by a strong matriarch, such as a grandmother or single mother.Life issues may take priority over keeping appointments.ConsentsDeath - bodycareDeath - specialneedsDying processIllness beliefsInvasiveproceduresOrgan donationPainTerminal illnessdiscussionVisitors<strong>Health</strong>, Illness and DeathAvoid using medical jargonSolicit feedback to assess understanding <strong>of</strong> the patient and/or his or herfamily.Tragic American history <strong>of</strong> African Americans being abused as experimentalsubjects in research, such as the Tuskegee Experiments <strong>of</strong> the early to mid20 th century, may spur skepticism and prevent research volunteering andperhaps organ donation.May want pr<strong>of</strong>essionals to clean and prepare bodyMay have spiritual practices or rituals that can vary from Islam to BaptistChristianity.May show open and public display <strong>of</strong> immense grief.Attendance from family and relatives expected but independencemaintained.Varies from natural causes and exposure to cold air to God’s punishment orwork <strong>of</strong> devil or a spell/curse.Historically skeptical, though with clear explanations, needed surgery isacceptedMay have religious restrictionsPain scales helpfulMay not wish medication due to fear <strong>of</strong> addictionPatient and family may wish to include spiritual leaderMay bring food and/or dessertsMay sleep at bedsidePregnancy, Birth, PostpartumBreastfeedingC-SectionGenetic defectsLaborGive instruction about benefitsAccepted if indicatedMay be viewed as God’s willActive participantFather’s role varies; may have only females present40

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