Transcultural health care a culturally competent

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Family Roles Continued

Divorce uncommon in Iran and carries a
stigma—if divorce, it is the woman’s fault,
never the man’s—varies in the United States

Pregnancy before marriage can have
devastating outcomes and is not talked
about, it does not happen—it is just taken
care of

Gay lesbianism highly stigmatized and is a
capital crime punishable by death in Iran

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Biocultural Ecology

Wide variations in skin color, hair color, and eye
color and depends on heritage from previous
domination by other countries and cultures

Common illnesses in Iran include malaria,
hypertension, meningitis, hookworms, and
parasitosis

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Biocultural Ecology Continued

Great numbers with genetic disorders brought on
by close sanguinity marriages resulting in
blindness, epilepsy, anemias, hemophilias

Glucose-6-phosphate dehydrogenase deficiency
—fava bean allergies can cause hemolytic crisis

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Nutrition

Food is a symbol of hospitality; serve the best
food for guests who are expected to eat several
servings.

Polite to refuse snacks and beverages when first
offered—accept it on the third offering

Rarely eat fast food; fresh food is greatly
preferred, and many hours are spent preparing
meals

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Nutrition Continued

Strict Muslims avoid pork and alcohol and meat
must be prepared with ritual slaughter called
halal.

Food should be eaten with the right hand (clean
hand) and food should be passed with the right
hand or both hands.

Traditional prefer family to bring food from home
if hospitalized.

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Nutrition Continued

Balance food between garm (hot) and sard (cold)
—if balance does not occur, one may become
“chilled” or “overheated.”

Women are more susceptible to these conditions
than are men.

Newer immigrants may have protein and vitamin
deficiencies.

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Childbearing Family

Menstruating women are not allowed to touch
holy objects, have intercourse, exercise, or
shower.