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Importance of culture in health care settings
Importance of culture in health care settings
Importance of culture in health care settings
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Functioning as a Family Unit
The family dynamics in the Grape family is close and reflects a general sense of caring. Each character on some level interacted with one another in order to keep the family together. While Gilbert works tirelessly as a caregiver for his brother, he also works to provide for his family. When Ellen is not preoccupied with herself, she also helps take care of her mother. Bonnie, while immobile for much of the movie, runs her family unit from her spot on the couch, and she is included in meals when they bring the table to her in order for them to eat together. Newman & Newman (2012) suggested that the demands of household management stimulate development. As each character is involved in this role in some sense,
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Even with this minor breakthrough for her character development, Ellen is mostly concerned with there being a crowd to witness the embarrassment of her mother and is again self-absorbed. She does however work together with her siblings to make a decision to burn down the house, rather than have their mother be made a public spectacle. She assists them in removing all the furniture from the house before setting it on fire. In this act, Ellen finally seems to see her family as a unit which may be due to “formal operational reasoning which allows for reflection about social relationships” (Newman & Newman, 2012, p.356). As Ellen transitions into late adolescence, she will hopefully continue to develop positively and this begins with establishing a strong individual identity.
By the end of the movie, Bonnie Grape was no longer alive, but she had just begun her path to the positive spectrum of her psychological crisis: generativity. As Newman & Newman (2012) proclaims ‘this motive is aroused as one recognizes they won’t be around forever (p.512). If she was alive to make it to the next developmental stage, she would be on the right track to beginning her journey of integrity in later
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Kirmayer, Sehdev, Whitley, Dandeneau, & Isaac (2009), suggested that a culture-centered approach to resilience is better as a community process, rather than an individual struggle. In this article, the focus is on the Aboriginal people and resilience. The authors warned that resilience should not be used as an all-inclusive term to fix everything, but instead be used as a component of overall wellness in a community. A key strength of the wellness framework is that it is “culturally relative” and each person can define his or her pathway (Newman & Newman, 2012). The road to wellness and resilience is challenging due to the many factors influencing success. External influences can affect how an individual copes with certain situations and it can be detrimental if they have no external support. However, when excellent support is offered, it is more likely that an individual or community can effectively cope. Nevid & Rathus (2010) define acculturative stress as the feelings of tensions and anxiety that comes with trying to adapt to the dominant culture. This can lead to feelings of ambiguity in personal identity and can lead to further
The Grapes are a family living in a rural and economically depressed community. The members of the Grape family presently residing in the familial home consists of biological birth mother Bonnie Grape, who is unemployed and 54 years of age. Amy Grape, the eldest child, Unemployed and currently 34 years of age. Gilbert Grape, the eldest male sibling who is employed at a local grocery store and is currently 24, years of age. Arnie Grape is Gilbert’s younger brother and is presently turning 18 years of age. Arnie reaching his 18th birthday is considered to be somewhat of a triumph by the Grape family, as Arnie suffers from a debilitating medical condition that has not only kept him from achieving age appropriate developmental milestones but also threatens to shorten his life expectancy considerably. The youngest sibling Ellen Grape is currently employed at a local ice cream parlor and is 16 years of age.
Her grandmother would often compare her with her father. Her grandmother would torture her because she wanted revenge from her father. Her grandmother also blames her for the death of her mother. While Ellen was staying with her grandmother her father died. When her father died she didn't feel sad because she had always fantasized about killing her father.
Gilbert Grape is the eldest child. He takes on the role of being the head of the family by working a full-time job at the town’s mini-grocery store providing for his siblings, special care for his disabled brother Arnie and homebound mother. Amy Grape is the second eldest and takes on the motherly role in the household while becoming their
The movie utilized for this assignment was What’s Eating Gilbert Grape. This movie explored the life of the Grape family consisting of Gilbert, Ellen, Arnie, Bonnie and Amy. (Hallström, Blomquist, Matalon, Ohlsson, Teper 1993). The movie reveals the struggles that the family face while raising Arnie who had a chronic mental illness (Hallström et al., 1993). This paper will discuss the priority concerns and corresponding interventions that are pertinent for the Grape family based on thorough use of the Calgary family assessment model. The focus of this papers assessment on the family will be on the functional aspect; however the structural and developmental aspects have been assessed.
After watching the movie “What’s eating Gilbert Grape” it focuses more on Gilbert Grape than any other characters in the movie. Gilbert Grape is a young man who resides in a small community called Endora. Gilbert at the beginning of the movie states “Describing Endora is like dancing to no music”. Gilbert’s youngest brother Arnie is soon to be 18 years old and has a developmental disability that never was disclosed in the movie. Furthermore, Bonnie Gilbert’s mother has been locked in her own home since her husband committed suicide seven years ago. Moreover, Bonnie is at the stage of stagnation. She is over-weighted and doesn’t think of doing anything for herself or for any of her children. Therefore, leaving Gilbert with the full responsibility of caring for his family especially Arnie.
1) First topic chosen was wellness which is “a conscious, self-directed and evolving process of achieving full potential.” (The National Wellness Institute, para 3) What wellness means to me is being with my family, surrounding myself with your loved ones, or even being with the environment. To Indigenous people it is the exact same with their wellness with each other, or the wellness with their environment. Mental wellness in Indigenous is living a journey along the way being fulfilled in good health. This changed my thoughts because sometimes I don’t always see the good or surround myself in happiness which can create bad health for me.
The majority of families were once considered perfect. The father went to work everyday, while the mother stayed at home and cared for her two children, “Henry” and “Sue”. The children never fought and the parents were involved in all the community events. Our society has grown to accept that there is no such thing as a perfect family. Eleven-year-old Ellen from the book Ellen Foster, by Kaye Gibbons, grows up in a household where her father is an abusive alcoholic and her mother is too sick to complete everyday tasks. By using her positive assets, and learning from her negative assets, Ellen was able to overcome a lot of challenges throughout the book.
Definition: Mental health has become a pressing issue in Indigenous communities. Often, a combination of trauma, a lack of accessible health resources, substance abuse, violence, and socioeconomic situations lead to high rates of depression, anxiety, and suicidality in Indigenous Peoples. This crisis is especially apparent in Indigenous youth, where there is a growing suicide epidemic but little mental health support and resources are provided. The increase in stigmatized and untreated mental illness has continued as trauma and systemic injustices remain unaddressed. Indigenous groups, governmental parties, and health organizations are involved.
Aboriginal and Torres Strait Islanders have some of the worst health outcomes in comparison to any other indigenous community in the world (AIHW, 2011). According to United Nations official Anand Grover, Aboriginal health conditions are even worse than some Third World countries (Arup & Sharp, 2009), which is astonishing, considering Australia is one of the worlds wealthiest countries. Thoroughly identifying the causes and analysing every aspect behind poor health of indigenous Australians, and Australian health in general, is near impossible due to the complexity and abundant layers of this issue. Even within the category of social determinants, it is hard to distinguish just one factor, due to so many which interrelate and correspond with each other. The aim of this essay is to firstly identify and analyse components of the social determinants of health that impact the wellbeing of Aboriginals and Torres Strait Islanders, and demonstrate how they overlap with each other. By analysing the inequalities in health of Aboriginal and non-indigenous Australians, positive health interventions will then be addressed. Racism and the consequences it has on Indigenous health and wellbeing will be discussed, followed by an analysis of how and why social class and status is considered a determining factor when studying the health of the Aboriginal population. The issue relating ...
Poor living conditions are a major health determinant throughout the indigenous population. Most Indigenous Australians are known to live in rural parts of Australia which are commonly not close to major cities and services. People living in these areas generally have poorer health than others living in the cities and other parts of Australia. These individuals do not have as much access to health services and good quality housing. In 2006 roughly 14% of indigenous households in Australia were overcrowded unlike 5% of other households (AIHW, 2009a). Overcrowded and poor quality houses are commonly associated with poor physical and mental health between the people living in them. The indigenous are n...
Since colonialism after the invasion, Australia indigenous peoples have experienced a great deal of loss of identity, loss, disempowerment, cultural alienation, grief. Many indigenous people's mental and physical health impaired. Suicide, family violence, drug abuse and unemployment rates is higher than the Australian average(Berry et al. 2012). That is complicated to contributing to develop and support sustainable mental health and social wellbeing for Australian aboriginals staying in rural areas ,related to much diversity involved in and between individuals and communities (Guerin & Guerin 2012).
Everyone seeks the comfort of the stability in their own home. Ellen Foster knows her home is rather abnormal. Enduring physical, mental, and sexual abuse from her family, Ellen learns early on that what she wants is what she cannot seem to find: a loving home. Through challenging adversities in the novel, Ellen finally found a family that suited her needs, in a foster home. Once she had at last found her place that she felt fit, her first thought was to invite her best friend, Starletta, to present her pride of her new, blissful, life. This passage, references to history, repayment, and equality serve to emphasize Ellen’s desire to atone for thinking she was better than Starletta in the past. Ellen’s journey of finding a stable home life leads to her discovery of the love of her true friend.
Resilience and hardiness has long been a topic of research and discussion within different paradigms and fields of study, for example, in military psychology, psychiatry, health statistics and measurement, medical anthropology, education, medicine and organizational settings. Resilience means the skills, abilities, acquaintance, and insight that accumulate over time as people struggle to conquer adversity and meet challenges. It is an ongoing and developing fund of energy and skill that can be used in current struggles (Saleebey, 1996; Liebenberg, 2005).Most commonly, the term resilience has come to mean an individual's ability to overcome adversity and continue his or her normal development.
The Grape family wasn't the perfect nuclear family by any means of the word. But they did stand together through hardships and tribulations that the family faced. It wasn't easy for Gilbert to be the primary provider at a young age for his family and not able to explore life. Even Amy gave up a lot of her social life to take over the mother role. The family made it through all the problems that they faced by sticking together and forming a greater bond. Even with the death of Bonnie on Arnie 18th birthday and the burning down of their only house, they still stuck together. The death of their mother open up a door of freedom, even if this does sound wrong in context. But the children where free to navigate their lives and build stronger bonds. The love was their throughout the family and that's what truly matters at the end.
Dudgeon, P., Walker, R., & Milroy, H. (2014). Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles (2nd ed.). Perth: Kulunga Research Network.