dietary self-management plan related to glucose management. Also, this priority population especially those that are bi-lingual and bi-cultural will be encouraged to take active roles in planning, implementing and evaluating this intervention. According to Macaulay, 1997, interventions that are designed around social support -family, friends, co-workers, support groups and exercise buddies for individuals with diabetes are one of the strongest reinforcers for adapting a healthy lifestyle, and increasing trustworthiness of the priority population. Needs of the participants such as transportation and childcare will be addressed. Volunteers will be used to provide childcare and transportation needs to increase participation. Interventions will …show more content…
Anticipated barriers can be centered on staffing and getting funding for the program. It might be difficult to get a registered dietician and statistician. Another potential barrier may be overcoming the language barrier. Anticipated patient-level barriers included transportation and literacy although to overcome the problem of transportation, bus passes will be provided. Other possible barriers maybe people having an aversion to group classes, some people may feel they do not the information offered by the program. Also, the program may not be offered at times/dates that are attractive or convenient for every one that would like to …show more content…
One of the most important aspect of a treatment plan is working with the patient to ensure that the plan will be successful. Self-management education is vital to improve outcomes related to diabetes. An effective and successful diabetes program for adult Hispanics must consider many factors unique to these group of people, which includes their cultural values and beliefs, religious beliefs, personal fears, level of family integration and support, education level, health literacy, language, nutritional and activity preferences, views on alternative medicine and socio-economic status. Education programs should be culturally appropriate and available in Spanish at a low literacy level. Access to effective culturally competent healthcare has not kept pace with the increasing incidence of diabetes among Hispanic Americans. It is therefore important that healthcare professionals and providers become familiar with the culture and beliefs of their Hispanic population to provide healthcare service that is
Diabetes education is a structured education and self-management (at diagnosis and regularly reviewed and reinforced) to promote awareness. Diet and lifestyle, healthy diet, weight loss if the person is overweight, smoking cessation, regular physical exercise. Maximizing glucose control while minimizing adverse effects of treatment such as hypoglycemia. Reduction of other risk factors for complications of diabetes, including the early detection and management of hypertension, drug treatment to modify lipid levels and consideration of antiplatelet therapy with aspirin. Early intervention for complications of diabetes,, including cardiovascular disease, feet problems, eye problems, kidney problems and neuropathy.
Diabetes Mellitus (Type 2 diabetes/adult onset diabetes) is an epidemic in American Indian and Alaska Natives communities.7 AI/AN have the highest morbidity and mortality rates in the United States.7 American Indian/Alaska Native adults are 2.3 more times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 More importantly, AI/AN adolescent ages 10-14 are 9 times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 Type 2 diabetes is high blood glucose levels due to lack of insulin and/or inability to use it efficiently.8 Type 2 diabetes usually affects older adults; 8 however, the incident rate is rising quicker amongst AI/AN youth than non-Hispanic Whites.7 This is foreshadowing of earlier serious complications that will be effecting the AI/AN communitie...
The increase and changing demography in the United State today, with the disparities in the health status of people from different cultural backgrounds has been a challenge for health care professionals to consider cultural diversity as a priority. It is impossible for nurses and other healthcare professionals to learn and understand theses diversity in culture, but using other approaches like an interpreter is very helpful for both nurses and patients. In this paper of a culturally appropriate care planning, I will be discussing on the Hispanic American culture because, I had come across a lot of them in my career as a nurse. The Hispanic are very diverse in terms of communication and communities and include countries like Mexico, Cuba, Puerto Rico, South and Central America, and some of them speak and write English very well, some speaks but can’t write while some can’t communicate in English at all but Spanish.
Sharpe, D. A Culturally Targeted Self-Management Program for African Americans with Type 2 Diabetes Mellitus. (2012, December 15). Retrieved from http://www.ncbi.nlm.nih.gov
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
In this study, past literature and current statistics will provide an explanation for the diabetes health disparity epidemic among the Latino community. There will be another aspect of this disparity in terms of the role of acculturation on Latinos and how this impact the rate one acquires diabetes. Acculturation is the beginning stages of assimilation, rather the way one integrates into the dominant culture. In the case of Latinos, it is adjusting to the American culture. Further, the role of acculturation and cultural lifestyle will be analyzed to validate its role in the high prevalence among the Latino community. After triggers and accu...
There has been a rapid growth in minorities in the U.S. particularly the Hispanic/ Latino community. Bureau of Health Professions (2013) studies have shown that with the rapid increase of this culture, Hispanics are not being adequately understood by medical professionals because of underrepresentation within the medical field. The after effects of underrepresentation have caused healthcare issues among this population. U.S. Department of Health and Human Services (2006) there has been a correlation between patient satisfaction and medical professionals of the same culture.
The diversity among the U.S. population is very large and continue to grow, especially the Hispanic group. More so, health promotion can be defined or perceived in many ways depends on the minority group and their culture beliefs. As health care provider, recognizing and providing cultural competent is very important. In addition, assessing the health disparities among the minority group and teaching them how to promote good health will benefit along the way. Furthermore, health care providers have the role to promote good health but without proper education and acknowledge cultural awareness will be impossible to accomplish.
The ten leading causes of death among the Hispanic American population are mostly in line with the ten leading causes of death among all Americans. It is more surprising what causes from the American list are missing from the Hispanic American list – stroke, Alzheimer's Disease, and suicide (Centers For Disease Control And Prevention, 2009, 2010). Considering that sixty percent of deaths in the United States are attributable to behavioral factors, circumstances in one's social system, and what and who a person is exposed to in their environment (Nash, Reifsnyder, Fabius, & Pracilio, 2011), it is evident that health care providers must investigate these aspects in order to provide quality care. Recognizing the importance of providing culturally appropriate care, I attempted to determine if there were reasons for what I knew about the Hispanic culture and to discover what things I did not know. I performed a transcultural assessment on Elizabeth, a young Hispanic American female, keeping in mind that caring for a Hispanic American patient calls for developing a trusting relationship through awareness and understanding. In the clinical setting this can be accomplished by starting conversations with small talk and remembering that because a Hispanic person seems agreeable to a treatment plan does not necessarily mean they understand or will comply (Giger, 2013).
... This may be regarded as a final step of assistance but is important in other to provide quality care to all individuals regardless of ethnicity, race, cultural or educational background. Therefore, as nurses, we have the capabilities to educate Hispanic minority. Education must be given in the language they choose and provide interpreters if needed. In conclusion, everybody needs to be treated with respect and dignity.
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
Norris SL, Lua, J, Smith SJ, Schmid CH & Engelgau, MM 2002, ‘Self- Management Education for Adults With Type ‘Diabetes’, Diabetes Care, Vol. 25 no.7, July, pp.1159-1171.
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
Introduction Cultural considerations that impact the Latino in healthcare In our society there are many different cultural groups with varying beliefs when it comes to healthcare. There are many different cultures in our society today and they play an important part with patient compliance in their treatment and beliefs about their health. As a professional nurse we must educate ourselves in how this will affect their time with us and how we can better care for them. In this paper we will examine the Latino culture and answer the following, what is their health culture practices and beliefs, what are their family patters and nutritional patterns, how do they respond to pain and child birth.
Support from family and friends are provided free to individual who suffer from DM (Stopford, Winkley & Ismail, 2013). A study conducted by Stopford, Winkley and Ismail (2013) showed that there is a benefit of using family and friends social support on glycemic control. Female are more likely to receive and seek social support from family and friends in order to make appropriate changes regard diabetes than male. Male is frequently receive and seek social support from their partner in order to make fewer changes. In addition, support provided from family and friends may have an impact on health than support provided from health care specialists.