Introduction: In contemporary society, healthcare is no longer confined to the rigid boundaries of Western medicine. Instead, patients are presented with a diverse array of healing options stemming from various cultural, traditional, and alternative practices, a phenomenon commonly referred to as medical pluralism (Ross, 2010; Macdonald, 2012; Gibson & Oosthuysen, 2012). This essay embarks on an extensive journey to dissect the multifaceted nature of medical pluralism, diving deep into the structural frameworks, individual agency, and socio-cultural dynamics that shape healthcare choices and patient experiences. The Nature of Medical Pluralism: At its core, medical pluralism embodies the coexistence of diverse healing systems within societies, transcending the hegemony of Western biomedicine (Ross, 2010). Ross delves into the intricate networks of care and accompaniment that emerge within communities, challenging the dominance of biomedical structures. Within this framework, individuals navigate a complex labyrinth of healthcare options shaped by structural factors such as socio-economic status, cultural norms, and historical contexts. Access to healthcare resources becomes contingent upon various determinants, including geographical location, financial means, and cultural beliefs. Moreover, individual …show more content…
While some individuals may prioritize biomedical treatments due to perceived efficacy or cultural assimilation, others may seek out traditional or alternative therapies based on cultural beliefs, personal preferences, or dissatisfaction with mainstream healthcare. Motivations are not static, but are shaped by dynamic interactions between individual experiences, social environments, and cultural
Racial and ethnic inequalities in healthcare results in non-white patients receiving lower quality care that White patients. Additionally, people who speak limited English encounter more communication issues with doctors and nurses that people whose primary language is English. (AHRQ, 2011). Consequently, as people with chronic conditions utilize more healthcare services, they are more likely to complain of issues with the doctor-patient relationship. They feel as though they are not able to participate in their care, their doctors do not allow them to contribute to their medical decisions and they feel like doctors are not disclosing all information related to care. People who encounter this type of cultural ignorance become dissatisfied with their treatment and overall healthcare experience and are at high risk for negative
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.
pp. 41-84. Pine Forge Press, Thousand Oaks, Calif. Pigg, Stacy Leigh. (1997) "Found in Most Traditional Societies: Traditional Medical Practitioners between Culture and Development.”
... cultural barriers to care. Journal of General Internal Medicine, 18(1), 44-52. Retrieved from http://proxy.samuelmerritt.edu:2106/pmc/articles/PMC1494812/
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.
which is commonly diagnosed by prolonged pressure to the skin. A decubitus ulcer forms when constant pressure is put on skin and can damage the underlying tissue (Mayo Clinic, 2014). For example, persistent sitting in a wheelchair. It is an injury to the skin that is usually over a bony prominence like the sacrum (Kirman, C. et al. 2014). The National pressure ulcer advisory panel (NPUAP) explains that these sores result in ischemia, cell death, and tissue necrosis to the skin. The categories include four stages and two which are deep tissue injuries (NPUAP). Patients that use a wheelchair and have other disabilities have a higher chance developing pressure sores which limits their opportunity to position themselves (Mayo Clinic, 2014).
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
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.
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
Medicine as a Form of Social Control This critique will examine the view that medicine is a form of social control. There are many theorists that have different opinions on this view. This critique will discuss each one and their different views. We live in a society where there is a complex division of labour and where enormous varieties of specialist healing roles are recognised.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
Certain religious groups reject westernized medicine, like the Amish. Yet, for the most part most religions allow their medicinal practices to work in tandem with westernized medicine. For example, First Nations people tend to have a very holistic view when it comes to their surroundings and medicine. Aboriginal traditional approaches to health and wellness include the use of sacred herbs like sage or tobacco and traditional healers/medicine (pg. 5, Singh, 2009). However, they will not reject help from professionally trained doctors and medical staff. Much like other religions, First Nations put a strong emphasis on family/community. Consensus or decision-making is fairly common for them. A practitioner or medical staff member must remember to respect ceremonial objects such as tobacco or traditional blankets, include immediate family members when making a treatment decision, and to accommodate spiritual practices. Normally, organ donation is accepted UNLESS the organ is being removed from someone who is not deceased. First Nations’ believe that their bo...
Medical Anthropology is dedicated to the relationship between human behavior, social life, and health within an anthropological context. It provides a forum for inquiring into how knowledge, meaning, livelihood, power, and resource distribution are shaped and how, in turn, these observable facts go on to shape patterns of disease, experiences of health and illness, and the organization of treatments. It focuses on many different topics including the political ecology of disease, the interface of the micro- and macro-environments that affect health, the politics of responsibility as it relates to health, gender and health, the moral, political and interpersonal contexts of bodily suffering, and the social meanings of disease categories and ideals of health. Focal points also include the cultural and historical conditions that shape medical practices and policies, the social organization of clinical interactions, and the uses and effects of medical technologies.
For the medical profession, disease is a biological condition, universal and unchanging; social constructionists, however, define illness as the social meaning of that condition (Berger and Luckman 1966). It emphasizes how the meaning and experience of illness is shaped by cultural and social systems. This field of medical sociology is organized in to three themes (Conrad and Barker, 2010): the cultural meaning of illness, the illness experience as socially constructed, and medical knowledge as socially constructed. In this section these three aspects are discussed in