MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking "pot" and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.Cultural Competency“Culture' refers to integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups”(Centers for Disease Control and Prevention, 2015). Nurses and health care professionals should adapt their health assessment techniques and recommendations to accommodate diversity (Randall, 2012). Culture reflects the whole human behavior which includes attitudes, ideas and language (Ball, Dains, Flynn, Solomon, & Stewart, 2015). As nursesand practitioners, we must be aware and accepting of different cultures so that we can serve for the greater good and not to stigmatize or expect all patients to be a like, frankly the world does not work that way. The purpose of this discussion is to showcase specific cultural factors associated with different patients and backgrounds so that we may deliver culturally competent care. The 23-year-old male patient MR, who is Native American comes in dealing with anxietywho is obviously “crying out” for help as he admits to the fear of not getting into heaven due to his current lifestyle of smoking marijuana and drinking alcohol; of note he has a family history of alcoholism. There are a lot of stereotypes against Native Americans, one is that they typically are against modern medicine and are known to be at a higher risk for hypertension, diabetes, and alcoholism. To assume homogeneity in the beliefs, attitudes, and behaviors of all individuals in a particular group leads to misunderstanding and stereotyping of that individual such as MR (Ball et al, 2015). Congruently it is imperative to assess MR’s specific cultural, socioeconomic, spiritual, and lifestyle factors without stereotype while being sensitive to his culture and heritage.
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- Summer '15
- Native Americans in the United States