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Aboriginal health care essays
Aboriginal health care essays
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Many factors, such as our personal experiences, can influence how we establish a nurse-person therapeutic relationship. In order to achieve this relationship one must have understanding of the various issues Aboriginal and Torres Strait Islander people face within the healthcare system. As a second year nursing student my understanding and experiences of Aboriginal and Torres Strait Islander culture is limited. My current understanding is that substantial inequalities exist between Aboriginal and Torres Strait Islanders and non-Indigenous Australians, particularly in relation to access to safe and quality healthcare. But in regards to their culture I have limited knowledge and understanding. Due to my little knowledge of Aboriginal and Torres
...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.
In this paper, I will consider James Tully’s argument for an element “sharing” in a just relationship between Aboriginal and non-Aboriginal people of Canada. I will claim that “sharing” is one of principles to the relationship between Aboriginal and non-Aboriginal people who has connection with economic, political and legal relations. I will argue, that it is important to build “sharing” into a new, postcolonial relationship since it brings beneficial to country. I will also state proponent view with James Tully’s discussion that utilization of “sharing” to economic, political, and legal relations is essential to our society.
Firstly, gender disparity plays a significant role in aboriginal health, especially in the administration of health care. In Aboriginal culture, there are certain health practices that can only be done by either men or women, but not all (Bonvillain, 2001). In most cases, women are treated by their female counterparts whereas male doctors handle male patients. This means that a male doctor cannot undertake a vaginal inspection and a female nurse cannot teach an aboriginal man about self-catheterization. As a result, a breach of this traditional gender division, for instance a male doctor helping a woman in emergencies, is likely to cause shame, distress, depression, and fear of breaking a particular taboo (Freud, 2000).
Much has been written concerning the origins of Hobart, Tasmania, but little of this would include its local aboriginals. Hobart was considered a home to the nomadic Mouheneer tribe (Asia Rooms, 2011), very little is written about them except in brief passages in most sources that detail the history of the area. Generally, what follows after the Mouheneer is that Hobart was first settled by the English for purposes of using it as a penal colony. The impact to the natives would best be viewed from the standpoint of the colonization of Tasmania (Mother Earth Travel, 2011). After the British successfully populated the area surrounding Hobart, the Mouheneer were not very enthusiastic, but tolerated the new arrivals nonetheless (Australian Tourist Guide, 2010). The British had come to the area in 1802, and shortly after having built their penal colony, claimed all lands of the Mouheneer who were eventually defeated by superior forces and weaponry (Australians, 2011).
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...
Environmental justice can influence the population’s health. This environmental justice is relevant to nursing, because awareness brings changes and can save and improve many lives. When a person in a hospital or in a community setting is affected by a health problem, the entire community is at risk, knowing the population is lack of knowledge and have limited access to understand health care system. Therefore, a solution to eliminating cultural disparities is optimal for immigrant communities. In conformity with the Journal of Transcultural Nursing journal, nurses need to follow 12 steps to have a successful result when integrating cultural competence in the health care environment: social justice, critical reflection, knowledge of cultures, culturally competent practice, cultural competence in the health care systems and organizations, patient advocacy and empowerment, multicultural workforce, education and training in culturally competent care, cross-cultural communication, cross-cultural leadership, policy development, a...
...ir personal encounters with Aboriginal classmates that they might have had in high school. Life experiences, parental upbringing, ethnic roots, social status and education all shape nursing practices. Nurses and other health care professionals are trained in institutions that fail to recognise the socio-political injustices that occur in health care settings. In addition to this, their experiences in their work and in their personal lives and communities, they already have opinions about certain groups of people. “Cultural safety would encourage nurses to question popular notions of culture and cultural differences, to be more aware of the dominant social assumptions that misrepresent certain people and groups, and to reflect critically on the wider social discourses that inevitably influence nurses’ interpretive perspectives and practices” (Browne, 2009, p. 21).
Palliative care is an essential to the creation of a health and wellbeing continuum for Australians living with a chronic illness. It is an approach of care that seeks to improve the life of patients and family experiencing the effects of chronic illness. Palliative care centres on the relief of the symptoms and effects of disease and incorporate the physical, psychological and social dimensions of a person at the end of life. A recent focus for the delivery of palliative care by nurses to Indigenous communities is the consideration that culture can create barriers to the provision of appropriate and beneficial care for the dying or deceased person. This essay explores the palliative nurse caring for Indigenous communities and the need to consider
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.
Since the time of federation the Aboriginal people have been fighting for their rights through protests, strikes and the notorious ‘day of mourning’. However, over the last century the Australian federal government has generated policies which manage and restrained that of the Aboriginal people’s rights, citizenships and general protection. The Australian government policy that has had the most significant impact on indigenous Australians is the assimilation policy. The reasons behind this include the influences that the stolen generation has had on the indigenous Australians, their relegated rights and their entitlement to vote and the impact that the policy has had on the indigenous people of Australia.
Saman Khan states that “Aboriginal people have a holistic view of mental wellness” (2008) and Khan illustrates that this means “wellness means being in a state of balance with family, community, and the larger environment”. (2008) This means that Aboriginal people in general value family value more than a typical European. Which is the difference of European models of psychiatric care, which is to according to Khan is to remove the person from their surroundings. (2008) If you think about an approach foreign to aboriginal peoples shouldn’t work with aboriginal people who have different values in life. The mistreatment of Aboriginal people is not the only thing that is affecting their health. Aboriginal people live in remote communities that health care cannot be received in time to fight the illness and
What is the connection between official education policies and key events in Aboriginal Australian history? How have Aboriginal people responded to these policies?
Culture refers to the knowledge, belief, art, morals, customs and any other capabilities acquired by man as a member of society. Therefore culture clash results when people have different values and beliefs and are not tolerant of each other’s differences (Eckermann, Dowd, Chong, Nixon, Gray and Johnson, 2006.). Due to misunderstandings and differences, the superior group usually tries to violently enforce its values and beliefs to the inferior group and it results in culture conflict. In addition, when an individual or a group becomes foreign, there is a sudden need to adapt to the indigenous behaviours and this causes stress as well as culture shock.
The Aboriginal and Torres Strait Islander peoples have been the first nations, which represented the whole Australian population, for centuries. However, the continuous European colonization has severely affected these peoples and, over the decades, their unique values and cultures, which enriched the life of Australian nation and communities, were not respected and discriminated by numerous restrictive policies. As a result, Aboriginal and Torres Strait Islander peoples have turned into the voiceless minority of the Australian population. Fortunately, in recent years, these issues became the concern of the Australian government, promoting a slight improvement in the well being of native Australians. Nowadays, there are numerous social work
Indigenous cultural values were respected, the curriculum and practices were designed to be relevant for this population, the institution took responsibility in providing equitable learning environment with various support system and achieved reciprocity for students to engage with their unique values, as well as to be able to provide cultural competent care out in the community. This reading presented, not just the key points on a checklist to be completed, but the real achievements, valuing the indigenous knowledge and respecting their cultural integrity. At the same time, this got me to think where the other institutions are in terms of implementing different accommodations for this group of students. Rather than just a list as presented in the report by University of Toronto in response to TRC, this norther nursing program presents an outstanding example that, I think, needs to be considered by every institution in Canada. They had initiative to move forward with improving systems to recruit and support indigenous students to persist through their studies, and it has the potential for much bigger impact to Indigenous community with such