Interviewof Elderly Family Member and Cultural Questions
Healthcare system integration requires that the information obtained fromheritage assessment tools be used. This means that proper approachesshould be used. Different cultures have different families, and thesefamilies are shaped by different values and beliefs necessitating theuse of a correct approach. Because healthcare professionals can havelimited knowledge about their patients, working with the heritageassessment tool can provide the required information (Denmead, 2013).The nurses should be responsible for the different cultures thatexist in the USA because they interact with such people in their dayto day lives. The appropriate healthcare experience requires that thenurse should be able to incorporate the cultural competence in hisworkforce so that handling of the patients will be made easier.
Inthis case, there are different families who their cultural competencyshould be examined. They are the parents and grandparents of Mrs. AF,who were born in Port-au-Prince, Haiti. They both moved to the UnitedStates of America after some time where they are staying currently.She has some relatives who are staying in the US as well. Bothfamilies are likely to have different health practice traditions. Theparents and the grandparents were brought up differently, and thatmay have an influence on their health practices. The heritageassessment can help understand this family and how to take care ofthem in the healthcare perspective. If the health practitionerunderstands the health assessment, he will be comfortable to handlethe patient due to enhanced communication that will lead to qualitycare (ACOG, 2011).
Mrs.AF grew up in Haiti before migrating to the US. Her parents andgrandparents also grew up and lived in Haiti for some years beforerelocating to the US. This is an indication that the ways of culturein this family is adamant. The ethnic background of Mrs. AF will haveto be assessed therefore because it will have an impact on thecurrent healthcare in the US because that is where she is stayingcurrently and the healthcare systems may be different from those ofher home country, Haiti. In Haiti, the Haitians believe in privacyand modesty (Honore, 2014). This means that the health practitionersin the US should take care when it comes to undressing, and theyshould ensure that only those areas that need examination should beundressed. Haitians as well believe that illnesses are as a result ofeither natural or supernatural causes. The practitioners should tryto explain the causes of the illness that the Haitian patient issuffering from and try to relate to what they believe is the cause ofthat illness. But, considering the fact that the parents and thegrandparents of Mrs. AF were staying in the urban, the Haitians inthe rural and those in the urban have different beliefs concerningillness. Those who live in the urban tend to be receptive of themodern medical care while those in the rural embrace the traditionalhealthcare. The case of Mrs. AF may not pose challenges to theHealthcare practitioners in the US because she, together with herfamily was staying in the Haiti capital city where they embraced themodern healthcare. Therefore, there will be faster understanding withthe healthcare practitioners, and this will lead to improved qualityservices that Mrs. AF and her family may receive. Coupled with that,their relatives in the US will help them do what they do not knowconcerning healthcare.
Elderperson’s education, work spouse, children ethnic practice
InHaiti, the people’s language is Creole while French is consideredto be the business language (Brice Foundation International, 2015).Because she can speak both languages, this has widened her socialnetwork to an extent that she can interact with others people withinand outside Haiti. As she moved from Haiti to the US together withher family, this widened her social network further because she caninteract easily with the Americans she is staying with and those shenormally attends the church services with. Because of the easy ofcommunication, she can interact with all the Americans and attend tothe church services as well as participate in the church duties. Theuneducated Haitians in most cases don’t like exposing their lack ofknowledge to other people especially the Americans. Only those whoare knowledgeable can face the Americans and have a face to facecommunication. Mrs. AF has spent some of her time in America, and theease with which she is interacting with the Americans shows that shemay have attained a given level of knowledge while in the US. That iswhy she is comfortable interacting with the Americans and gettinginvolved in some of the church services unlike most of the Haitians.
InHaiti, roles in the family are done according to the gender. Womenare responsible for taking care of their homes as well as taking careof the children. Most of the cooking in the house is done by women,and it is taken to be their duty to cook. This is the reason Mrs. AFis doing most of the cooking in her house because she was brought upin the Haitian culture where women embraced cooking (Brice FoundationInternational, 2015). The cleaning services in Haiti were the dutiesof women. Mrs. AF, therefore, embraces some of the duties that herculture knows to be duties of women. The fact that she changed herresidence from Haiti to the United States where such duties can becarried out by any member of the family, she still performs theduties that her culture has dictated to be done by women. In Haiti,traditions and celebrations that are celebrated nationally. Some ofthe major celebrations as well are celebrated in the United Statesand she is actively getting involved in those celebrations. The factthat some of her friends have a different background from hers it isan indication that she has adopted some of the celebrations that theAmericans are actively participating. This contributes to the degreeto which she has actively fitted to the class of the American friendsand those she is actively involved in interacting with in most times.In Haiti as well, children at the age of 7 to 8 years help with thechores of the family and some other simple tasks in the household.Male children are expected to perform some of the tasks that theirfathers normally do like taking care of the cattle (Long-Garcia,2011). The children are also expected to have respect for the elderlyand in the case of misbehaving they are thoroughly disciplined. Thesituation might be different in the US, but most Haitians tend tofollow and teach their children what their culture dictates.
WhatI learned from interviewing the elderly
Thereare several lessons learned from the Haitian especially in theHealthcare system. It is essential to know the culture of the Haitianpeople before giving them the medical attention they require. Thiswill help improve communication, and it will dictate the quality ofservices offered to the Haitian population while in the US. Thefathers are the decision makers in the matters that affect childrenbecause most of the children cannot make decisions on their own. Thisis especially so when it come health matters. When it comes tomatters where the Haitian patient should undress, the healthpractitioner should ensure that he undresses that part which needs tobe examined or part to be injected. This is because their culturedoes not allow them to expose their nudity whatever the circumstancescan be. This restriction is different depending on where the Haitianpatient was brought up. Those who were brought up in urban centersare used to the modern healthcare while those who stay in the ruralare used to the traditional healthcare. Care should be takentherefore to understand where the patient comes from, what he likesand what he does not like. Those who used to stay in the urbancenters do not encounter many problems with the healthcare system inthe US because most of the practices carried there they are used tothem. Likewise, the Haitian culture relates illness to either naturalor supernatural causes, and the healthcare practitioner should taketime to understand what the patient knows about the illness beforecommitting his time to attend to such patient.
Erickson’sstages of development
Eriksonstudied the way children grow using the cognitive development method.He studied how the children socialize and how such socializationaffects the way in which these children identify the sense of self.Erikson says that if an individual completes a stage successfully,he/she will lead to a healthy personality, and the interactions ofsuch an individual will be enhanced. In the case at hand, theimmigration from Haiti to the US has taken a different turn where onehas to adapt to the lives of the Americans and live the way otherAmericans are living. This is the only thing that seems to increasethe social network of the Haitians. This experience shows thatErikson’s stages of development are at risk and the developmentcycle in an individual may take a different turn from what Eriksonthought of.
Assessingthe way the Haitians live and the way they interact with theAmericans more especially those who are not knowledgeable, it ispossible to conclude that the Haitians have a unique lifestyle thatpositions them in their unique class. Only those who have beenexposed to the urban center life can be easily absorbed into anyculture and fit there. Their unique lifestyle complicates most thingsespecially the healthcare system industry.
Iat this moment recommend that the Haitians should be exposed to thelife in the urban centers because that is the only place where theyare exposed to the common lives that people live in universally. Thiswill solve the problems that arise between them and the health caresystems in foreign countries especially the US. This will improvecommunication and the quality of services they are likely to receive.
AmericanCollege of Obstetricians and Gynecologists (ACOG). (2011).Family History as a Risk Assessment Tool.Retrieved fromhttp://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Genetics/Family-History-as-a-Risk-Assessment-Toolon 9th March, 2016.
BriceFoundation International. (2015). HaitianCulture and Tradition,retrieved fromhttp://www.bricefoundation.org/#!haitian-culture-and-tradition/c5ewon 9th March 2016.
Denmead,E. (2013). Jarvis`sPhysical Examination & Health Assessment: Student LaboratoryManual. London:Saunders/Elsevier.
Honore,Z. (2014). Haitiand Voodoo,retrievedfrom https://prezi.com/5dyc5zsbhrsy/haiti-and-voodoo/ on 9th March2016.
Long-García,j. D. (2011). Ourladies of Haiti.U.S. Catholic, 76(1), 28-33.