People Of African American Heritage, The Amish
Read the attached PowerPoint presentation. Once done answer the following questions;
1. Discuss the cultural development of the African American and Amish heritage in the United States.
2. What are the cultural beliefs of the African American and Amish heritage related to health care and how they influence the delivery of evidence-based healthcare?
A minimum of 500 words (excluding the first and references page) is required.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
AmishLarry Purnell, PhD, RN, FAAN
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview
Came to the United States in 1693 for the same reason many other groups came to America—persecution and to practice their lifestyle as they so chose.No reference group in other parts of the world.Adapt to dominant society slowly and selectively
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview Continued
Mutuality and sharing rather than individual achievement and competitionAll speak English and are taught English in school, but most speak Deitsch and various dialects (Pennsylvania German) at homeHealthcare providers by definition are outsiders
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview Continued
Majority of men work on farms or in carpentryIf women work outside the home, they work in restaurants, sewing, and teach in their schoolsIf they work far away from home, prefer to live with another Amish family.Shared finances are the norm.
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview Continued
A few have telephones, including cell phones for business but do not let it ring in the house.Some are using communally shared computers because of the necessity of ordering online instead of mail order catalogues.A few may drive cars but only out of necessity for work and never on the Sabbath.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview Continued
Some illnesses and symptom expression do not have direct translations into EnglishHighly contexted cultureWhat is common knowledge regarding health matters to most are not to the Amish due to no TV, major newspapers, etc.
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview Continued
New communities are being formed in the United States due to lack of land in immediate communityNew communities in Kentucky, Tennessee, and Belize, Central America
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Overview Continued
Demut—humility and demurenessGelassenheit—quiet acceptance, reassurance, and resignationTemporality is grounded into present time and guided by natural rhythmsSeek health care from afar when needed
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Myths
They do ride in cars and may even own a car out of necessity but severe restrictions as to when and where it can be driven.Do use the telephone but do not have them in the home. May be located in a neighborhood grocery or deli.Kerosene refrigerators and gas hot water heaters—no electricity—generators instead
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Family Roles
Man is head of the family.Women are accorded high respect and status. In private they are partners, in public, women assume a retiring role.Freindschaft—three-generation families. Grandparents live in separate house or separate quarters of the home.
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Alternative Lifestyles
Singleness is not stigmatizedSame-sex couple may live together out of necessity when away from home.Pregnancy before marriage is rare, couple encouraged to marry, or the child can be adopted. Abortion is unacceptable.Gays/Lesbians remain closeted and can cause concern for healthcare provider.
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Genetic Diseases
High rates because of a closed gene poolEllis-van Creveld SyndromeCartilage hair hypoplasiaPyruvate kinase anemiaHemophilia BPhenylketonuriaGlucaric aciduria
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Genetic Diseases Continued
Manic-depressive illnessBipolar effective disorders are higher than general populationLow rates of alcoholism, drug/alcohol abuse
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Nutrition
Mostly home-grown foodsLocal storage lockersIncreasing trend for junk/snack foodDiet is high in fat and carbohydrates leading to obesity, especially in women.Food has a significant social meaning during visiting.
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Childbearing Practices
Children are a gift from God and large families are an asset usuallyStart families early to mid to late 20sHave lay-midwives but use allopathic practitioners if necessarySome women are interested in birth control—as are men, but rarely talked about
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Childbearing Practices Continued
Will attend live prenatal classesMay use herbs, blue cohosh pills to enhance laborGrandmothers provide much assistanceOlder children help care for younger children
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Death Rituals
Exceptionally rare to be in a long-term care facilityIf at all possible, prefer to die at homeIf family member is caring for the ill at home, neighbors may do the cooking and farm choresDo use visiting nurses and therapists when needed
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Death Rituals Continued
Visiting during illness and after death is an obligationNeighbors take care of family and friends coming from afar“Wakelike” sitting up all night is not uncommonPlain wooden coffin for burial
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Death Rituals Continued
Burial in home cemetery or in community church cemeteryDeath is a normal transition of lifeMay present as stoic—although loss is keenly felt
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Spirituality
No regional or national churchDistricts divided into 30 to 50 families or 200 to 300 peopleAll religious leaders are male, volunteered, and untrainedNational committee may be used for some decisions affecting other communities
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Spirituality Continued
Corporate worship is the norm with faith-related behavior, not individual wishes.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, 4th Edition
Spirituality
Healthcare decisions are ultimately an individual matterWant to have a decision in healthcare matters—just ask me/usHealth promotion is a family/individual affair
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Healthcare Practices
Healthcare knowledge is passed among and between families by the womenNo health insurance but communities share and have the Amish Aid SocietySome places give a discount because of cash paymentCost of procedures may be a deciding factor to have the procedure done
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Healthcare Practices Continued
Herbal treatmentsSelf-medicationAbwaarde—minister by being presentAchtgewwe—helping others and is many times gender- and age-related
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Healthcare Practices Continued
Brauche or sympathy curing, laying on of warm hands, or powwowing and is similar to Native American practicesAbnemme—failure to thrive and child is taken to a healer who may perform incantationsAagwachse or livergrown, grown together caused by jostling buggy rides
*
Transcultural Health Care: A Culturally Competent Approach, 4th 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, 4th Edition
Healthcare Practitioners
Braucher or traditional healer first and may be men or womenUse reflexology and massage as well as herbal therapiesWestern healthcare practitioners, nurses, physicians, dentists are outsiders, but use them when needed and trusted
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!Use Discount Code “Newclient” for a 15% Discount!NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
