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cultural considerations in health care
cultural considerations in health care
cultural considerations in health care
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According to Erickson (2008) ethnomedicine entails the study of the healing techniques and medical systems of a particular cultural group, comparisons of said systems between cultures, and the increasing prevalence of multiple-system approaches. She goes on to describe the role of medical anthropologists as studying the interaction that occurs between culture and health, and the use this information to understand and improve health related issues. Moreover, she defines culture as the set of beliefs, perceptions of the world and values that are shared within a society, which are utilized in experience interpretation and behaviour generation. The medical systems and practices utilized vary based on the culture in question, and their belief systems (Pelto and Pelto, 1997). A common trend seen in ethnomedicine is the use of multiple medical systems within a culture, known as pluralism (Erickson, 2008). This stems from the integration of other established medical systems or practices into the dominant medical system of a region. This topic will be examined in reference to the practice of tuina in Traditional Chinese Medicine (TCM), and the integration and alteration of this practice into the Western world, alongside the biomedical model.
Erickson (2008) provides an outline of how TCM illustrates that ying and yang are polar opposites that cannot exist independent of one another, and an imbalance of ying/yang can cause disease. She goes on to describe Qi as the vital force or energy within TCM, and that it flows throughout the body via meridians. Furthermore, blockage of the free flow of Qi through these meridians may also lead to disease. TCM focuses on the belief of disease causation being due to bodily imbalances (in ying/yang, me...
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...Studying knowledge, culture, and behaviour in applied medical anthropology. Medical Anthropology Quarterly, 11(2), 147-163.
Shi-xiong, X., Lin, J., & Qing-wei, W. (2005). Numerical investigation of effect of rolling manipulation of traditional Chinese medical massage on blood flow. Applied Mathematics & Mechanics, 26(6), 753-760. doi:10.1007/BF02465426
Xiao-Ming, Y., Peng, W., Ben-Shun, Y., Hai-Yang, G., & Quan-Zhen, X. (2011). Hematuria after orthopedic tuina: a case report and brief review of literature. Evidence-Based Complementary & Alternative Medicine (Ecam), 8(1), 1-3. doi:10.1155/2011/953686
Yixin, K., Shiyong, L., Jianchuan, L., Fanhui, M., & Hongbo, C. (2011). Primary massage using one-finger twining manipulation for treatment of infantile Muscular Torticollis. Journal Of Alternative & Complementary Medicine, 17(3), 231-237. doi:10.1089/acm.2010.0176
Traditional Chinese Medicine (TCM) is quite complex and can be difficult for some people to comprehend. This is because TCM is based, at least in part, on the Daoist belief that we live in a universe in which everything is interconnected. What happens to one part of the body affects every other part of the body. The mind and body are not viewed separately, but as part of an energetic system. Similarly, organs and organ systems are viewed as interconnected structures that work together to keep the body
There are many aspects on the study and meaning of kinesiology. Some of these ways are; applied kinesiology, kinesiology medicine research, and specialized and energy kinesiology. The study kinesiology and massage therapy is believed to go hand and hand. Many will say that without the proper knowledge of kinesiology and muscle movements, you can not provide a patent with all that is needed for a proper massage. As we approach new years, many individuals are increasing their concern in health. With the healing arts increasing in popularity, individuals don’t understand the need for well-rounded therapist. Who are trained in the science of kinesiology, which includes the technique of massage to enable them to be proficient in their field.
The roots of massage can be traced back to ancient civilizations. In the book titled The Complete Book of Massage by Clare Maxwell-Hudson she illustrates that much evidence has been found to support the belief that prehistoric people massaged their muscles and even rubbed oils on their bodies(8). The history of massage probably begins before we could properly call ourselves human. We instinctively rub a pain or an ache, we instinctively stroke a bruise. We use touch in healing without thinking about it, which suggests that it's very, very old. Some form of massage was practiced in almost all early civilizations; Ancient Chinese, Japanese, India, Hindu, Greek, and Roman civilizations to name a few (Maxwell-Hudson 8).In the The Bodywork and Massage Sourcebook by Andrew and Valerie Levine they write about how, “Julius Caesar, who suffered from epilepsy, had himself pinched all over and massaged on a daily basis”(12).
Kolcaba, K., Dowd, T., Steiner, R., & Mitzel, A. (2004). Efficacy of hand massage for enhancing the comfort of hospice patients. Journal of Hospice & Palliative Nursing, 6(2), 91-102. Retrieved from http://ehis.ebscohost.com.library.gcu.edu:2048/eds/pdfviewer/pdfviewer?vid=12&sid=2de162ef-afff-4a48-8415-83dcedf9530a%40sessionmgr110&hid=104
Cupping is a practice, where a cup made of glass, metal, silicone, or bamboo is placed on the skin as a suction device to pull the superficial muscle layer upwards to increase the blood flow, which helps in relieving pain, stiff muscles, and fatigue. Suction is achieved as a result of the vacuum created by the application of heat inside the cup or by a mechanical pump. Many cups are placed simultaneously and left on the skin for about 5 to15 minutes. Some therapists may also use herbal oils to glide the cups around. Cupping works similar to Acupuncture, targeting painful body parts by application of pressure.
In the book The Spirit Catches you and you Fall Down, ethnocentrism can also be seen. Throughout the book the family and the doctors have different ideas of medicine/healing techniques are often disagreed on. It’s important for the doctor to see that biomedicine has its own intentions of saving patient through standard procedures and beliefs. Understanding those terms will shed some light on the culture of the patient, which has their own intentions, beliefs, and rules as well. Breaking down ethnocentrism to find an agreement is a good goal to accomplish in order have successful prognosis and healing. In addition, shedding the ethnocentrism will allow the doctors to see the different cultural beliefs and not judge right away. Although, some cultural remedies may not always work, it’s wrong for people to have the mindset of ethnocentrism without even considering their beliefs first.
Massage therapy brings an incredible amount of benefits. From the heart and organs to nerves and muscles, the entire body can see the impact of massage's health benefits.
Chinese medicine has a tradition dating back thousands of years, but in recent years it has changed drastically. The influences of Western medicine, Communist ideology, and other government policies have been the force behind this evolution. Since 1950, Chinese medicine has been standardized and transformed into a mostly state-run program that integrates both traditional Chinese medicine and the more scientific, modern style of Western medicine. During this transition, traditional Chinese medicine struggled to find its place in the new Communist society. Today, multiple medical techniques have been blended together which allow the Chinese to receive top-notch healthcare, while retaining their culture and tradition.
This book addresses one of the common characteristics, and challenges, of health care today: the need to achieve a working knowledge of as many cultures as possible in health care. The Hmong population of Merced, California addresses the collision between Western medicine and holistic healing traditions of the Hmong immigrants, which plays out a common dilemma in western medical centers: the need to integrate modern western medicinal remedies with aspects of cultural that are good for the well-being of the patient, and the belief of the patient’s ability to recuperate. What we see is a clash, or lack of integration in the example of the story thereof. Lia, a Hmong child with a rare form of epilepsy, must enter the western hospital instead of the Laotian forest. In the forest she would seek out herbs to remedy the problems that beset her, but in the west she is forced to enter the western medical hospital without access to those remedies, which provided not only physical but spiritual comfort to those members of the Hmong culture. The herbs that are supposed to fix her spirit in the forest are not available in the western hospital. The Merced County hospital system clashes with Hmong animist traditions.
Massage has been practiced through many centuries and has been used for a number of reasons from medical treatments to general relaxation therapies. Lots of styles have been developed throughout the years and therapists have adapted their personalised treatments using routines, methods and mediums to create the effects and feelings that they are looking to achieve for their clients. Massage includes the therapist using mainly their hands, elbows and arms to manipulate the body’s muscle tissues. There are many types of massage however the main one we have looked at as a class is Swedish massage. This form of massage includes five main movement groups. These groups include effleurage, petrissage, tapotement, vibration and friction. Each of these movements can be used in many different ways to create specific effects and benefits for the individual client. Effleurage consists mainly of light, long, sweeping movements allowing the hands to softly run over the surface of the skin. This movement is used for application of mass...
There is a total of five steps in the Therapeutic Touch technique. The first step is called centering, which is meditation this is used to make sure that the patient is calm. The second step is assessment, which is where the practitioner moves their hands 2-4 inches over the patient to detect where the patient has an imbalance of energy. Third step is unruffling it’s also called intervention, which is when the practitioner is trying clear the energy flow so it can be symmetric. The forth step is balancing or rebalancing energy, this is when energy is being redirected to where it needs to be. The final step is called evaluation/closure, which is when the practitioner decides when they’re finished, but they usually repeat this process 2-3 times. Usually this process does not involve any type of contact unless the practitioner uses the old form of Therapeutic
A Swedish massage usually involves a person being covered with a sheet and the area that the massage therapist is working on is uncovered (Rapaport et al 2010). The therapist then uses a type of oil or cream to help reduce friction on the skin as they rub the area using a series of different techniques (Rapaport et al 2010). Also the room is usually dimly lit with relaxing music or use a sound machine to mask any unwanted noise (Rapaport et al 2010). These techniques are effleurage, petrissage, kneading, tapotement, and thumb friction (Rapaport et al 2010). Effleurage is derived from the French word, effleurer, meaning “to glide.” When using this stroke the hands are meant to slide over the skin loosening the tissue to prepare for deeper tissue
Massage therapy has come a Chinese health treating system. In early ages there were few methods of...
( http://www.latimes.com:80/CNS_DAYS/980831/t000079147.html) There are many different methods of massage therapy such as traditional European massages, Contemporary western massages, Structual/Movement/Functional/Integration massages, oriental methods and energetic methods.
For those with depression, massage can alleviate sluggishness, back pain, pain in joints, and achy muscles. It can also help with fatigue and sleeping problems. There are numerous styles of massage. Some involve over-the-clothes massaging, and others call for direct contact with skin. Some styles involve essential oils, complex twisting poses, and warm stones. Here are some common types of massage used in the United States: Swedish massage, the most common type, is a gentle method that applies smooth, circular kneading actions to the