Discuss the possible nursing interventions to accommodate Fatima’s religious practice. 

Read chapter 4 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following exercise;

  1.  During a diabetes education, Fatima indicates that she is Muslim and that for Ramadan she fasts from sunrise to sundown.
  2.  Using Leininger’s Sunrise Model, analyzed the dietary significance of fasting.
  3.  Discuss the possible nursing interventions to accommodate Fatima’s religious practice.  Please explain why you use the interventions.
  4. How might Fatima respond if she was told she couldn’t fast and why?

As stated in the class syllabus please present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 4 discussion questions”.  The assignment must include at least 2 evidence-based references (excluding the class textbook) no older than 5 years.  References must be quoted in the assignment in order to comply with APA.

Chapter 4: The Influence of Cultural and Health Belief Systems on Health Care Practices

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

Copyright © 2016 Wolters Kluwer • All Rights Reserved

1

Cultural Belief Systems #1

Cultural meanings and cultural belief systems develop from the shared experiences of a social group and are expressed symbolically.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

2

Cultural Belief Systems #2

Worldview

The set of metaphoric explanations used by a group of people to explain life’s events and to offer solutions to life’s mysteries

Permeates every aspect of life within the culture

Copyright © 2016 Wolters Kluwer • All Rights Reserved

3

Cultural Belief Systems #3

Worldview (paradigm) includes the assumptions, premises, and linkages that hold together a prevailing interpretation of reality; typically slow to change.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

4

Question #1

Is the following statement true or false?

All clients refer to illness and disease in the same context.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Answer to Question #1

False

Rationale: Not all clients relate to health and illness in the same context. A client’s worldview influences his or her cultural belief system.

These are often the reasons why nurses may encounter challenges when communicating with those who have a different worldview than theirs.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

6

Health Belief Systems #1

Health and illness worldviews are influenced by a person’s attitudes, beliefs, and practices.

This concept is his or her health belief system.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

7

Health Belief Systems #2

The three major health belief systems are:

Magico-religious

Scientific

Holistic

Copyright © 2016 Wolters Kluwer • All Rights Reserved

8

Health Belief Systems #3

In the magico-religious paradigm:

The world is an arena in which supernatural forces dominate.

The fate of the world and those in it depends on the actions of God, or the Gods, or other supernatural forces for good or evil.

The cause of health or illness is mystical.

Examples: Voodoo, Christian Scientists

Copyright © 2016 Wolters Kluwer • All Rights Reserved

9

Health Belief Systems #4

In the scientific paradigm (biomedical model):

Life is controlled by a series of physical and biochemical processes, which can be studied and manipulated by humans.

Determinism (cause and effect for natural phenomena).

Mechanism (control life processes through mechanical, genetic and engineered processes).

Reductionism (all life reduced to smaller parts).

Objective materialism (what is real can be observed/measured).

Example: most Western cultures

Copyright © 2016 Wolters Kluwer • All Rights Reserved

10

Health Belief Systems #5

In the holistic paradigm:

The forces of nature itself must be kept in natural balance or harmony.

Everything in the universe has a place and a role to perform.

Disturbing natural laws create imbalance, chaos, and disease.

Examples: yin/yang, hot/cold

Copyright © 2016 Wolters Kluwer • All Rights Reserved

11

Question #2

Is the following statement true or false?

Asians and Native American Indians should be assessed for holistic health beliefs.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

12

Answer to Question #2

True

Rationale: The holistic paradigm has existed for centuries in many parts of the world, particularly in Native American Indian cultures and Asian cultures.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

13

Health and Illness Behaviors #1

Health behavior (prevention/early detection)

Illness behavior (illness/remedy)

Sick role behavior (illness/coping)

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

14

Health and Illness Behaviors #2

Influencing factors:

One’s beliefs

Personal factors

Cues to action

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

15

Types of Healing Systems #1

The term healing system refers to the sciences, arts, and techniques of restoring and preserving health that are used by any cultural group.

Example: utilizing health care practitioners along with healers, religious figures, etc.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

16

Types of Healing Systems #2

Self-care

Professional care systems

Folk healing system

Complementary, Integrative, and Alternative Health Systems (CIH)

Copyright © 2016 Wolters Kluwer • All Rights Reserved

17

Types of Healing Systems #3

Complementary Health Approaches/CIH:

1. Alternative medical systems

2. Natural products

3. Mind and body practices

4. Manipulative and body-based methods

5. Energy therapies

Copyright © 2016 Wolters Kluwer • All Rights Reserved

18

Question #3

What is the focus of allopathic or biomedicine?

Replacing conventional medicine

Adding to conventional medicine

Killing bacteria and suppressing symptoms

Healing with naturally occurring substances

Copyright © 2016 Wolters Kluwer • All Rights Reserved

19

Answer to Question #3

C. Killing bacteria and suppressing symptoms

Rationale: Allopathic medicine is the practice most physicians and nurses are educated in. Life is controlled by a series of physical and biochemical processes that can be studied and manipulated by humans through allopathic medicine or professional care systems.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

20

“Get 15% discount on your first 3 orders with us”
Use the following coupon
FIRST15

Order Now