Salvation is ultimately individual if engaged in


Salvation is ultimately individual.

If engaged in sinful activity, can rejoin the church
after proper penitence.

Church officials may be sought in healthcare
matters.

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Spirituality

Healthcare decisions are ultimately an individual
matter

Want to have a decision in healthcare matters—
just ask me/us

Health promotion is a family/individual affair

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Healthcare Practices

Healthcare knowledge is passed among and
between families by the women

No health insurance but communities share and
have the Amish Aid Society

Some places give a discount because of cash
payment

Cost of procedures may be a deciding factor to
have the procedure done

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Healthcare Practices Continued

Herbal treatments

Self-medication

Abwaarde—minister by being present

Achtgewwe—helping others and is many times
gender- and age-related

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Healthcare Practices Continued

Brauche or sympathy curing, laying on of warm
hands, or powwowing and is similar to Native
American practices

Abnemme—failure to thrive and child is taken to
a healer who may perform incantations

Aagwachse or livergrown, grown together caused
by jostling buggy rides

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Healthcare Practices Continued

Usually stoical with pain and physical discomfort

“Physically or mentally different” are fully
accepted into the community without stigma.

Time off for illness is acceptable.

Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Transcultural Health Care: A Culturally Competent Approach, 3rd Edition
Healthcare Practitioners

Braucher of traditional healer first and may be
men or women

Use reflexology and massage as well as herbal
therapies

Western healthcare practitioners, nurses,
physicians, dentists are outsiders, but use them
when needed and trusted