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Heterosexism Hex Homeland security Homeopathic philosophy Homophobia Iatrogenic Illness ILLNESS Immigration Kosher Language Law Legal Permanent Resident (LPR) Life trajectory Limpia Linguistic competence Literacy Mal ojo Manpower Meridians Migrant labor Milagros Modern Modesty Morbidity Mortality Naturalization Office of Minority Health Orisha Osteopathy Partera Pasmo Politics Poverty Poverty guidelines Powwow Procedures Promesa Quag dab peg Racism […]

Building Cultural and Linguistic Competence ■ 5 In all clinical practice areas—from institutional settings, such as acute and long-term care settings, to community-based settings, such as nurse practitioners’ and doctors’ offices and clinics, schools and universities, pub- lic health, and occupational settings—one observes diversity every day. The undeniable need for culturally and linguistically competent health

Building Cultural and Linguistic Competence When there is a very dense cultural barrier, you do the best you can, and if something happens despite that, you have to be satisfied with little success instead of total successes. You have to give up total control. . . . —Anne Fadiman (2001) ■ Objectives 1. Discuss the

Do you speak a language other than English? Before you read Unit I, please answer the following questions: 1. Do you speak a language other than English? 2. What is your sociocultural heritage? 3. What major sociocultural events have occurred in your lifetime? 4. What is the demographic profile of the community you grew up

Identify and discuss the factors that contribute to heritage consistency :Cultural Foundations Unit I creates the foundation for this book and enables you to become aware of the importance of developing knowledge in the topics of (1) cultural and linguistic competency; (2) cultural heritage and history—both your own and those of other people; (3) diversity—demographic, immigration,

the balance of the person, both within one’s being My metaphors are HEALTH, defined as “the balance of the person, both within one’s being—physical, mental, and spiritual—and in the outside world— natural, communal, and metaphysical”; ILLNESS, “the imbalance of the person, both within one’s being—physical, mental, and spiritual—and in the outside world—natural, communal, and metaphysical”;

Carlos Ruiz Zafon, The Shadow of the Wind, 2001 In 1977—more than 35 years ago—I prepared the first edition of Cultural Diversity in Health and Illness. Now, as I begin the eighth edition of this book— the sixth revision—I realize that this is an opportunity to reflect on an endeavor that has filled a good

HEALTH DOMAINS 85 Chapter 5 HEALTH Traditions 89 HEALTH and ILLNESS 91 HEALTH Traditions Model 92 HEALTH Protection 95 Health/HEALTH Care Choices 102 vii viii ■ Contents Folk Medicine 104 Health/HEALTH Care Philosophies 108 Chapter 6 HEALING Traditions 120 HEALING 121 Ancient Forms of HEALING 123 Religion and HEALING 124 HEALING and Today’s Beliefs 136

UNIT I CULTURAL FOUNDATIONS 1 Chapter 1 Building Cultural and Linguistic Competence 3 National Standards for Culturally and Linguistically Appropriate Services in Health Care 8 Cultural Competence 11 Linguistic Competence 11 Institutional Mandates 12 CULTURALCARE 13 Chapter 2 Cultural Heritage and History 19 Heritage Consistency 20 Acculturation Themes 29 Ethnocultural Life Trajectories 32 Commingling Variables

Production Manager: Tom Benfatti Creative Director: Jayne Conte Cover Designer: Bruce Kenselaar Composition: PreMediaGlobal Printer/Binder: RR Donnelley & Sons Cover Printer: RR Donnelley & Sons Notice: Care has been taken to confirm the accuracy of information presented in this book. The author, editors, and the publisher, however, cannot accept any responsibility for errors or omissions