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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
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.
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.
Therapeutic touch was developed by Dolores Krieger and Dora Kunz in the 1970s as a non-invasive nursing intervention (Kelly et al. 2004). Jackson and Keegan (2009, p.614) defined therapeutic touch as “a specific technique of centring intention used while the practitioner moves the hands through a recipient’s energy field for the purpose of assessing and treating energy field imbalance.” The original theory of the technique proposed by nursing theorist Rogers (1970) is that individuals as a unified whole have their own permeable energy fields that extend from the skin surface and flow evenly when they are healthy. The energy field of the ill physical body is disrupted, misaligned, obstructed or “out of tune” (Huff et al. 2006). TT has the potential to re-pattern, reorganize and restore the individual’s imbalanced energy fields through the open system extending from the surface of the body interacting with the environment constantly (Krieger, 1979). The earliest studies of healing touch were carried out in the 1950s and 1960s: biochemist Bernard Grad (1965) collaborated with famous healer Oskar Estebany to demonstrate the significantly accelerated healing effects of therapeutic touch on wounded mice and damaged barley seeds. The central aim of healing therapies is to relax and calm patients in order to activate patients’ natural healing ability, and it does not include any religious activity (Lorenc et al. 2010).
In the US., the therapeutic group seldom has approaches to correspond with individuals of societies so drastically unique in relation to standard American society; even a great interpreter will think that it troublesome deciphering ideas between the two separate societies' reality ideas. American specialists, not at all like Hmong shamans, regularly physically touch and cut into the collections of their patients and utilize an assortment of capable medications and meds.
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
One course term that was highly visible was etic anthropological perspective. This was displayed via Dede Heiwa’s medical pratices in hopes of curing Chaldron’s illness. When Chaldron was sick, chief Heiwa tried to cure him by throwing dirt on him, chanting healing sayings, and attempting to expel the sickness from his body. These were all seemingly effective healing method in the chief’s eyes. However, to Chaldron, the chief’s attempt was useless. This example also made me think of how one views the differences between eastern and western medical and healing pratices. What may seem foreign and illigoical to someone looking in may seem perfectly effective and normal to someone who is apart of that
Kleinman, Arthur M. “What Kind of Model for the Anthropology of Medical Systems?” American Anthropologist, New Series, Vol. 80, No. 3 (Sep, 1978), pp. 661-665.
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.
Mathews, Holly F. "Introduction: A Regional Approach and Multidisciplinary Persepctive." Herbal and Magical Medicine: Traditional Healing Today. Ed. James Kirkland, Holly F. Mathews, C. W. Sullivan, III, and Karen Baldwin. Durham: Duke UP, 1992. 1-13. Print.
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
What is massage therapy? There are two separate ways to approach massage therapy, from an eastern medicine perspective it is based more on energy within the body and holistic healing, whereas in western medicine it is more from a muscular physiology point of view. Massage therapy according Moyer, Rounds, and Hannum (2004) is “the manual manipulation of soft tissue intended to promote health and well being”. According to most people this type of therapy does the body good either way you look at it. Always hearing people complain about their head hurting and saying they need a good massage, does this actually work. Seeing people rubbing their temples and the backs of their necks when they have a headache makes us assume that’s what works, otherwise why would they continues doing it. Well let’s find out what experiments say.
Massage Therapy The practice of massage therapy is rapidly growing in the United States. It has numerous benefits to offer and is becoming more widely accepted as a medical practice by doctors and the general public. Massage is defined as: …the systematic manual or mechanical manipulations of the soft tissues of the body by such movements as rubbing, kneading, pressing, rolling, slapping, and tapping, for therapeutic purposes such as promoting circulation of the blood and lymph, relaxation of muscles, relief from pain, restoration of metabolic balance, and other benefits both physical and mental (Beck 3). There is much historical evidence to indicate that massage is one of the earliest remedies for pain relief and for the restoration of a healthy body.
Traditional Chinese Medicine: An Introduction [NCCAM Backgrounder]. (n.d.).National Center for Complementary and Alternative Medicine [NCCAM] - nccam.nih.gov Home Page. Retrieved December 11, 2011, from http://nccam.nih.gov/health/whatiscam/chinesemed.htm
The first type is Swedish, this is the most common type of massage, to relax and energize you. Swedish massage therapy goes beyond relaxation. Swedish massage is exceptionally beneficial for increasing the level of oxygen in the blood, decreasing muscle toxins, improving circulation and flexibility while easing tension. A few techniques within a Swedish massage is circular pressure applied by the hands and palms, firm kneading, bending and stretching. Before and during your Swedish massage session, communication is encouraged with your professional massage therapist so that your massage is customized to your specific needs. The second type is Deep tissue, this is for muscle damage from an injury, such as whiplash or back strain. A deep tissue massage is very similar to Swedish massage, but the deeper pressure is beneficial in releasing chronic muscle tension. The focus of deep tissue massage is the deepest layers of muscle tissue, tendons and fascia. The third is Sports massage, this helps prevent athletic injury, keep the body flexible and help recovery. A sports massage is geared toward athletes of every kind, from world-class professionals to weekend joggers. When performing a sports massage they are focused on areas of the body that are overused and stressed from repetitive and often aggressive movements. The sport massage helps athletes by reducing fatigue, it improves endurance, helps prevent injuries and helps with flexibility.