Introduction
In this essay the writer will discuss the colonisation of Australia, and the effects that dispossession had on indigenous communities. It will define health, comparing the difference between indigenous and non- indigenous health. It will point out the benefits and criticism of the Biomedical and sociological models of health, and state why it is important in healthcare to be culturally competent with Transcultural theory. The case study of Rodney will be analyzed to distinguish which models of health were applied to Rodney’s care, and if transcultural theory was present when health care workers were dealing with Rodney’s treatment plan.
Discussion
Ancient Aboriginals were the first people to set foot on the Australian continent, over 40,000 years or more before Colonization (Eckermann, 2010). They survived by hunting and gathering their food, worshipping the land to protect its resources, and ensuring their survival. The aboriginal community had adapted to the environment, building a strong framework of social, cultural, and spiritual beliefs (Eckermann, 2010).
Colonisation of Australia began in 1788, when Englishman Captain Cook claimed the land as an empty, uninhabited, continent giving it the classification Terra Nullius and leaving it open to colonization. Eckermann (2010), stated that the English failed to recognise the aboriginal tribes as civilized, co-inhibiters of the land, feeling they had no right to a claim.
Major settlements occurred after the nineteenth century. The British had quickly out-numbered the Aboriginal community, leaving them powerless to the changes or the invasion. The belief systems of the Europeans overpowered the aboriginal’s way of life, pressuring them to conform to the...
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...ans, is especially crucial in the health care setting in order to build a relationship between Indigenous and non-Indigenous Australians and to break down communication barrier’s. To provide Indigenous people with adequate health care emphasis needs to be placed on understanding indigenous beliefs and the social detriments Indigenous communities are faced with.
Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health. This shows the significance that health care workers can have on patient care.
...fficient training for health workers, communication barriers, a general mistrust in the health care system and culture shock has contributed to issues in delivering services to many Indigenous communities. The reason to why these issues have emerged is a result of two main factors, the lack of health services that are needed to address the issue and the silence of Indigenous communities which leads to misunderstanding between the government and Indigenous communities. Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor healthcare system and policies that haven’t had a positive effect on the issue. For the issue of Indigenous health to be resolved, the Government and social policies need to address and meet the need of Indigenous people to overcome the poor health conditions that these communities suffer.
Aboriginal health is majorly determined by several social factors that are related to their cultural beliefs. Health professionals regularly find it difficult to provide health care to aboriginal people due to the cultural disparity that exists between the conventional and aboriginal cultures, predominantly with regard to systems of health belief (Carson, Dunbar, & Chenhall, 2007). The discrepancy between the aboriginal culture and typical Western customs seems to amplify the difficulties experienced in every cross-cultural setting of health service delivery (Selin & Shapiro, 2003). Most of the social determinants of the aboriginal health are due to their strict belief in superstition and divine intervention.
As European domination began, the way in which the European’s chose to deal with the Aborigines was through the policy of segregation. This policy included the establishment of a reserve system. The government reserves were set up to take aboriginals out of their known habitat and culture, while in turn, encouraging them to adapt the European way of life. The Aboriginal Protection Act of 1909 established strict controls for aborigines living on the reserves . In exchange for food, shelter and a little education, aborigines were subjected to the discipline of police and reserve managers. They had to follow the rules of the reserve and tolerate searchers of their homes and themselves. Their children could be taken away at any time and ‘apprenticed” out as cheap labour for Europeans. “The old ways of the Aborigines were attacked by regimented efforts to make them European” . Their identities were threatened by giving them European names and clothes, and by removing them from their tra...
Reynolds, H. (1976). The Other Side of The Frontier: Aboriginal resistance to the European invasion of Australia. Queensland, Australia: James Cook University
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
0.8% of the overall Federal health expenditure in 2009 which was spent on Aboriginal health. The overall wellbeing of an individual is more than just being free from disease. It is about their social, emotional, spiritual, physiological as well as the physical prosperity. Indigenous health issues are all around us, but we don’t recognise because it doesn’t affect us, but this issue is a concern to Indigenous Australia and also to modern day Catholics in Australia The statistics relating to Indigenous health is inexcusable, life expectancy is at an all time low, higher hospilatisation for avoidable diseases, alerting rates of deaths from diabetes and kidney disease. This issue is bigger than we all think, for example 13% of Indigenous homes
Hampton, R. & Toombs, M. (2013). Indigenous Australians and health. Oxford University Press, South Melbourne.
Health care inequities can be elucidated by the research that identifies the social, economic and political ideologies that reflect aspects of cultural safety (Crandon, 1986; O’Neil, 1989 as cited in Browne & Fiske, 2001). There are various factors that affect the mistreatment of aboriginal peoples as they access health care in local health care facilities such as hospitals and clinics. Aboriginal women face many barriers and are discriminated against as a result based on their visible minority status such as race, gender and class (Gerber, 1990; Dion Stout, 1996; Voyageur, 1996 as cited in Browne & Fiske, 2001). A study done on Aboriginal peoples in Northern B.C. showed high rates of unemployment, underemployment and dependency on social welfare monies (Browne & Fiske, 2001). This continued political economic marginalisation of aboriginal peoples widens the gap between the colonizers and the colonized. The existence of racial profiling of aboriginal peoples by “Indian status” often fuels more stigmatization of these people because other Canadians who do not see the benefits of compensations received with having this status often can be resentful in what they may perceive is another compensation to aboriginal peoples. The re...
The colonisation of Australia occurred throughout 1788-1990. During this time, Great Britain discovered Australia and decided that it would become a new British colony (“Australian History: Colonisation 17-88-1990”, 2014.). It was decided that convicts would be sent to Australia and used for labour to build the new colony. There are many health determinants that are effecting the health of Indigenous Australians including; poor living conditions, risk behaviours and low socioeconomic status. Many of these determinants have an effect on the Indigenous Australians due to the colonisation of Australia.
Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is 19 years. The infant mortality rate of Aboriginal and Torres Strait Islander male infants is 6.8% and the infant mortality rate for female infants is 6.7%. For non-Aboriginal infants, the infant mortality rates are 1% for male infants and 0.8% for female infants. Further, the Aboriginal population is subject to a wide-range of diseases that do not exhibit comparatively high incidence rates in non-Aboriginal Australians.
The purpose of this paper is to articulate an Indigenous health and wellness concern such as youth education and how to affects Indigenous populations. Youth education has been a prominent social determinant of health with many people who are from Indigenous backgrounds. Children are moulded into their own beings at a young age and having an influential education from the start is key to a successful person and living a fulfilled life. The reason I have chosen this topic is because it became of great interest to me how Indigenous education is not prominently looked upon.
Through showing the different definitions of health, the authors explain how those different understandings affect patterns of behavior on health depend on different cultures. In addition, an analysis of the models of health demonstrates even western medical approaches to health have different cognitions, same as the Indigenous health beliefs. The most remarkable aspect is a balance, a corresponding core element in most cultures which is an important consideration in Indigenous health as well. From an Indigenous perspective, health is considered as being linked, and keeping the connection is a priority to preserve their health. Consequently, health is a very much culturally determined. Health practitioners should anticipate and respect the cultural differences when they encounter a patient from various cultures. In particular, this article is good to understand why the Indigenous health beliefs are not that different than western medicine views using appropriate examples and comparative composition, even though the implementation the authors indicated is a bit abstract, not
In order to understand the impact of colonisation on Aboriginal health; it is important to recognize their worldview or set of beliefs on health (Tilburt, 2010). They practice a “holistic” approach unlike the Western Biomedical model where health is centred on biological functioning (Lock, 2007). According to this model the essence of being healthy relies on the mental, spiritual and social well-being rather than the absence of an illness (Hampton & Toombs, 2013). It is closely linked to spiritual and environmental factors; the heart of which is country, tradition and kinship. Land is a source of identity and spirituality for indigenous people (Hampton & Toombs, 2013). Kinship manages connection to land as well as ceremonial obligations and interpersonal relationships (Hampton & Toombs, 2013). For Aboriginal and Torres Strait Islanders a healthy person consists of physical and spiritual elements. It’s evident that colonisation eroded the structures upon which Indige...
Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.
It disappoints me to learn of all the suffering Aboriginal people are facing even though they live in a first world country with a highly praised healthcare system that is free of cost. I have extended my knowledge to the traditional approaches to healthcare that Aboriginal people practice and the importance of maintaining balance on their ‘Medical Wheel,’ this approach to health care and treatment looks at all aspects of someone’s wellbeing and ensures all aspects of someone’s health is in harmony, instead of the traditional biomedical tactic of diagnosing through running tests and prescribing medicinal drugs. The proper actions must take place before we can see change as a country. Aboriginals’ health care systems, institutions and providers should be up to pare with the rest of Canadian citizens and the only way this can be achieved is if the government of Canada gives them the attention, support and funding Aboriginal people need in order to maximize their quality of life while still practicing and preserving their culture and