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Causes and effects of discrimination in healthcare
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C18. I prayed. P18. Thank you for the praying. Talking in Spanish was good for me. Can you please come to see me tomorrow? C19. Yes, if my supervisor says it is Ok. Other ways, I will let you know. P 20. Thank you. I will wait for you tomorrow. (We left the room) II. Reflect 3. Intrapersonal reflection My own emotional/spiritual landscape at that time: Because it was my first experience dealing with Psychiatric patient, I was alert, at the same time, I was vulnerable wondering what horrible situation could happen between chaplain and a patient when providing pastoral care, that is necessary to talk to in an open door room.? Name the aspects of your own identity/social location: Conversely to the patient, I was a matured woman. Although, I was not in the same legal condition, as a Latina I understand what is to be considered from the other side, to be rejected because our condition obligated to be silent, to be someone whose existence is denied, or brought to this country without been asked for parents, to become in someone who is not from here neither from there. Recall anything from your personal history that is relevant to this situation. When Jose was mentioning about his worries attending School, the need of monetary resources, to study business, I recalled the time about we move to this country, when my …show more content…
family was worry about getting green card for my daughter, and to find money for her education. Interpersonal Reflection.
When I was providing pastoral care to Jose, as he was telling me his worries, I was vulnerable, and I felt pity for him, since we have alike stories as immigrants who wants to become better person through education. I cannot recall my body language, but I remember his body language, he was thoughtful when he was talking about money, and holding his notebooks all the time; likewise rubbing them nervously when he was talking about his mom. My hunch about our interpersonal dynamic is that he felt confortable enough that he was able to tell me about his legal situation, because normally undocumented people do not talk about
it. Systemic Reflection: considering social realities: when talking with Jose, I was wondering, what are the causes why Jose’s family migrated to this country twice.? I guess the political and social and economical situation is not good enough in Mexico for them to stay there. Another possibility is, they are confronting a huge economic need to supply to the family, and his parents moved to this country looking to accomplish the
spiritual that was talked about. I think that if the nurse's and the patients had a
For immigrants, reuniting with parents who left them is a huge problem in the U.S. Children who reunite with their parents after many years have a lot of problems with the parents. The parents and children tend to argue, the children have buried anger, and both have an idealized concept of each other. According to Los Angeles’s Newcomer School, a school for newly arrived immigrants which is referenced in Enrique’s Journey, a bit more than half of want to talk to the counselor about their problems. The main problem Murillo, the school’s counselor, says is mostly family problems. Murillo says that many parent-child meetings are all very similar and identical to each other. Some of the similarities are that idealized notions of each other disappear, children felt bitter before going to the U.S., and that many children have buried rage. Mothers say that the separations between them and child was worth it because of the money earned and the advantages in America. However, many children said that they would rather have less money and food if it meant their mothers would stay with them.
His health, like that of many others, has been impacted in negative ways. For instance, he has felt anxious and fearful about the future so much that his eating habits have run amok and sleeping cycle has been irregular. Antonio’s concern is shared by thousands of other “DACAmented” and undocumented immigrants. Currently, they have been grappling with various “what if”’s. What if I can’t continue my education? What if I get deported? What if my family gets deported? Especially now with a barrage of news on immigration raids, the trepidation within the undocumented immigrant communities has escalated to an unprecedented level. Although the beneficiaries of DACA realize that the program is far from perfect, it was the most translational action from the government in regards to immigration reform. It helped them contribute to their community legally and more freely. Now that DACA is under threat, thousands of young people fear that their Social Security numbers will no longer be valid and that their working permits will get revoked. If that happens, their education and future are jeopardized once again as they will be vulnerable to
There is a large Latino population in the United States. “By mid-century, one in every four "Americans" will be able to trace their heritage to a Latin American country”(Cauce & Domenech-Rodriguez, 2000, pg.4). By the year 2050, the United States population will be 30% Hispanic. Spanish speaking Latinos are the most prominent minority in our society, and because of this it is important that people put forth effort to understand their culture, language and any drawbacks that might come with living in the larger culture. Because of the large population of Hispanics in this area, it was easy to find a family to interview. The family’s country of origin is Mexico. A large portion of the Hispanic population in the United States is from Mexico. In fact, 60% of the Hispanic population in the United States has origins in Mexico (Saracho & Spodek 2008,
Jose Antonio Vargas’s article on My Life as an Undocumented Immigrant is a writing about his childhood journey from the Philippines to the United States as an Undocumented Immigrant. Vargas writes this article to emphasize the topic of immigrant and undocumented immigrant in the United States. He uses all three appeals: pathos, ethos, and logic in his writing, in specific, he mostly uses pathos throughout of his entire article with a purpose for the reader to sympathize and to feel compassion for him. The use of these appeals attract many readers, they can feel and understand his purpose is to ask for others to join and support other people who undocumented immigrant like himself. In addition, it gives other undocumented immigrant people courage
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.
Patients can find great comfort in knowing they are not the only ones going through such a horrible experience. In an environment of people with something in common, everyone is much more likely to open up and share their innermost feelings and fears.
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.
As the Latino population continues to grow the chances of a medical professional providing assistance also rises. According to recent surveys and studies, “A frequent challenge for many Hispanic patients is describing the degree of their pain and discomfort to healthcare providers” (Erickson A., 2006). One of the most important aspects of treating patients is being able to be understood and having the patient comprehend their condition. Anderson et al. (2003) conducted a survey which reported that 39% of Latinos had communication problems with their physician: they felt that their doctor did not listen to everything they had said, they did not understand the doctor and they had questions but did not ask them. Moreover, current trends show common disparities amongst the population. Centers for Disease Control (2015) say Hispanics are more susceptible to suffer from the following: obesity , diabetes , periodontitis , and more likely to have unchecked HIV in
Professional providers of language in medicine or medical interpreters are often portrayed as invisible language facilitators (Angelelli 7). This means that their role is to convey the meaning into the other language between parties in the interaction which is accomplished through a conduit role or message converter role. The incremental intervention model of interpreting lets interpreters use a variety of roles including cultural broker and advocate role. Advocacy is a role that an interpreter takes that moves from interpreting the communication between speakers to acting on behalf of one of the speakers based on the interpreter’s understanding of what the speaker’s intended outcome is (NCIHC). It is challenging for medical interpreters to judge when to switch from their role as message converters to become patient advocates, and speak out in their own voice on behalf of a patient maintaining, at all times, high ethical and professional standards. When interpreters step in the role of patient advocate they become visible in the interaction going beyond the conduit role and becoming co-participants in the triad. What is the ethical role of the medical interpreter as an advocate for the Latino patient?; when is it appropriate to use advocacy?; how to make the decision?; what are the consequences of inappropriate use of advocacy role?; what are the boundaries?
On the first evening of service, I was prepared, yet scared that I would say something wrong or the children there would not accept my ideas. When I arrived, the group was small, as promised since it was a Saturday and many of the hospital guests were out with their parents or home for a fun weekend of activities. The children and youth who were there, however, gathered 'round for some of the activities I had planned. First, I made it a point to learn everyone's name which meant that I p...
It seems as though the future of chaplaincy is in the balance. Do chaplains move with the times, accept change and development, work towards professional status or do they maintain the status quo, remain important to the well-being of the whole community but fail to communicate this and risk extinction or at best compassionate tolerance? More than ever society demands that employees prove their value through research, audit and refining of practice chaplains are part of this! Alongside retaining their distinctive role as those who are accountable to their faith communities chaplains need to ensure they articulate their distinctive role as those who care for the spiritual. This involves time, energy and action and being in many roles simultaneously. It involves being prepared to assess and review practice and above all to change.
It may be that Mexican culture’s idea of lifestyle success is different from America’s. Based upon Herman, he is very hard working and will never give up to support his family. Herman and Santiago grew up in different settings. The common path and goal for American people is to get educated, attend college, and get a job with a well paying salary. Even President Obama has stated, “The American Dream is construed as a force driving actors to succeed in school and, ultimately, in the larger world of work” (Collin 165). College was not an option for Santiago. Between 5 and 10 percent of illegal immigrant 65,000 high school graduates attend college per year (Gonzales). In Herman’s mind, paying for a trip to England wasn’t in the cards either. It may have been in Herman’s blood to think that Santiago should continue to have Santiago be involved in manual labor, because it paid the
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at someone at face value and inspected him or her physically. While interacting with my patient I felt as if I was taking to my grandmother, it was very comfortable and easy. Her neurological assessment was good, she had eye contact with me, was able to follow some simple commands such as showing me her hands and squeezing my fingers. Being in the nursing home-made me feel like there was so much medical information to acquire, I viewed it as my own personal practice space for my nursing skills. When taking with my patient she reflected on her life a bit and her stories made me get emotional. The Patient, admitted to the nursing home as a permanent resident after the death of her husband.