{"id":187,"date":"2017-12-08T14:13:37","date_gmt":"2017-12-08T19:13:37","guid":{"rendered":"http:\/\/pbdev.ca\/ocp\/?page_id=187"},"modified":"2020-05-11T17:32:24","modified_gmt":"2020-05-11T21:32:24","slug":"topic-15-how-to-respond-to-cultural-needs","status":"publish","type":"page","link":"https:\/\/caregiversupport.hpco.ca\/ocp\/topic-15-how-to-respond-to-cultural-needs\/","title":{"rendered":"Topic 15: How to Respond to Cultural Needs"},"content":{"rendered":"<div id=\"pl-187\"  class=\"panel-layout\" >\n<div id=\"pg-187-0\"  class=\"panel-grid panel-no-style\"  data-style=\"{&quot;background_display&quot;:&quot;tile&quot;,&quot;cell_alignment&quot;:&quot;flex-start&quot;}\"  data-ratio=\"1\"  data-ratio-direction=\"right\" >\n<div id=\"pgc-187-0-0\"  class=\"panel-grid-cell\"  data-weight=\"1\" >\n<div id=\"panel-187-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" data-style=\"{&quot;background_display&quot;:&quot;tile&quot;}\" >\n<div class=\"so-widget-sow-editor so-widget-sow-editor-base\">\n<div class=\"siteorigin-widget-tinymce textwidget\">\n<div class=\"ocp-green-heading\">Topic: 15<\/div>\n<h2 style=\"text-align: left;\"><span style=\"color: #5ca14d;\">How to Respond to Cultural Needs<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"panel-187-0-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"1\" data-style=\"{&quot;background_image_attachment&quot;:false,&quot;background_display&quot;:&quot;tile&quot;}\" >\n<div class=\"so-widget-sow-editor so-widget-sow-editor-base\">\n<div class=\"siteorigin-widget-tinymce textwidget\">\n<p class=\"p1\"><span class=\"s1\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-140\" src=\"http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2017\/12\/Adobe_PDF_file_icon_32x32.png\" alt=\"PDF\" width=\"32\" height=\"32\" \/><a href=\"http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2020\/05\/15-How-to-Respond-to-Cultural-Needs.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Download a PDF version of this topic<\/a><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Use the player to hear an audio version of this topic\u2026<\/span><\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-187-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/01\/Topic-15.mp3?_=1\" \/><a href=\"http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/01\/Topic-15.mp3\">http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/01\/Topic-15.mp3<\/a><\/audio>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"panel-187-0-0-2\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"2\" data-style=\"{&quot;background_image_attachment&quot;:false,&quot;background_display&quot;:&quot;tile&quot;}\" >\n<div class=\"so-widget-sow-editor so-widget-sow-editor-base\">\n<div class=\"siteorigin-widget-tinymce textwidget\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1514 aligncenter\" src=\"http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/t-15.jpg\" alt=\"\" width=\"852\" height=\"565\" srcset=\"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/t-15.jpg 852w, https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/t-15-300x199.jpg 300w, https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/t-15-768x509.jpg 768w\" sizes=\"auto, (max-width: 852px) 100vw, 852px\" \/><\/p>\n<div class=\"ocp-blue-heading\">What You Need to Know<\/div>\n<p>When it comes to making important health care decisions such as selecting between treatment options and health care providers, deciding when and where to seek care, weighing risks and benefits of medical care and deciding on end of life preferences, a person\u2019s culture plays a significant role.<\/p>\n<p>Cultural attitudes and beliefs can affect the way that people respond to pain, suffering and grief. Similarly, everyday routines such as eye contact, compliments, personal space, modesty and non-verbal communication can all be affected by a person\u2019s cultural orientation. It is important to respect those differences, to be sensitive to cultural values and beliefs, and to be non-judgmental about them. After all, every one of us belongs to a unique culture based on beliefs and practices.<\/p>\n<p><strong>It is very important that the person\u2019s health care professionals understand how the culture of the person that you are caring for will impact care.<\/strong><\/p>\n<h4><span style=\"color: #5ca14d;\">What to Remember When it Comes to Culture<\/span><\/h4>\n<ul>\n<li>A person\u2019s cultural attitudes, values and beliefs can be as strong as those held by people who still live in the person\u2019s country of origin or these attitudes, values, and beliefs may have shifted or changed over time.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>End-of-life ceremonies and rituals may vary greatly even within cultures.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1515\" src=\"http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/diversity.jpg\" alt=\"\" width=\"300\" height=\"320\" srcset=\"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/diversity.jpg 400w, https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/diversity-281x300.jpg 281w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<ul>\n<li>Sometimes family members who identify with the same culture have generational differences that arise with respect to the same cultural values and beliefs. How those differences are worked out can have a lasting impact on family members.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>A person\u2019s willingness to accept support from a caregiver may be influenced by a number of cultural factors. One such factor is that in some cultures the family is more important than the individual. In such cultures, health-related decision-making and problem-solving are typically done as a family unit. Some health care professionals may need your help understanding this important cultural difference. Establishing a substitute decision-maker is always important but particularly important when a physician must understand the cultural values, and therefore, the choices of the patient if they are unable to convey those values, beliefs and wishes themselves.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>How a person thinks about time can also be different given the influence of culture. Some cultures are focused on the future and looking ahead while other cultures are more focused on the past or present. Sometimes such a time orientation can be a source of conflict between generations of the same family. It is important to talk about these different perspectives and come to a resolution for the support and well-being of the person being cared for.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>A person\u2019s values, attitudes and beliefs may conflict with those of mainstream approaches to care. In some cultures it is perfectly acceptable to seek and receive help with caregiving responsibilities from people outside the family; in others, it is not. In some cases, services that are considered a threat to cultural values, beliefs and traditions will meet with little success (e.g. a family friend instead of a person\u2019s wife providing personal care to a man).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>People who have enjoyed positive relationships with traditional community care providers such as healers and herbalists will continue to seek care from similar helpers in their new setting.<\/li>\n<\/ul>\n<div class=\"ocp-green-element\">\n<div class=\"ocp-green-element-side\"><\/div>\n<div class=\"ocp-green-element-content\">Be sensitive to the way in which a person\u2019s past may affect their reaction to the care given in the present. If you encounter resistance to care, try&#8211;where possible\u2014to find out why so you can be responsive, supportive and respectful.<\/div>\n<\/div>\n<p>With an accepting person to listen, an ill or dying person may actually be able to talk through the meaningful events of their life and <strong>be heard without judgement<\/strong>\u2026another important kind of healing. Such meaningful conversations will always have a cultural connection. <strong>\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1133 alignnone\" src=\"http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/walk-shoes-1.png\" alt=\"\" width=\"852\" height=\"53\" srcset=\"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/walk-shoes-1.png 852w, https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/walk-shoes-1-300x19.png 300w, https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/walk-shoes-1-768x48.png 768w\" sizes=\"auto, (max-width: 852px) 100vw, 852px\" \/><\/p>\n<h5>1. Read this scenario.<\/h5>\n<p>Shelley is the caregiver of her Hispanic mother-in-law, Constanza. Shelley\u2019s awareness of the Hispanic culture has come from being married to her husband for the last five years. Shelley feels as though she has a good understanding of the Hispanic culture; however, she is shocked that Constanza wishes to stop her chemotherapy in favour of some home remedies provided by the folk healer in her community.<\/p>\n<h5>2. How should Shelley proceed? Think about what you would do before checking the sample answer.<\/h5>\n<h4><span style=\"color: #5ca14d;\">Sample response: <\/span><\/h4>\n<p><span style=\"color: #1b4c9f;\">Shelley should explain that while herbal supplements recommended by a healer are an attractive alternative to pharmaceuticals, herbal supplements receive far less government regulation so it\u2019s important to investigate whether the herbal remedies have been approved. Also, Shelley could remind Constanza that the doctor asked her to share all treatments and remedies that Constanza is trying, just to make sure they are safe.<\/span><\/p>\n<h5>3. Read this scenario<\/h5>\n<p>Alan has been appointed by his father as the substitute decision-maker for his father in a Power of Attorney for Personal Care. However, his oldest brother Sang is not at all pleased with his father\u2019s decision. After all, in their Korean culture, the oldest male in the family is often the decision-maker and spokesperson. Alan feels the family tension deeply and feels conflicted about following his father\u2019s wishes versus suggesting to his father that Sang take his place.<\/p>\n<h5>4. How should Alan proceed? Think about what you would do before checking the sample answer.<\/h5>\n<h4><span style=\"color: #5ca14d;\">Sample response: <\/span><\/h4>\n<p><span style=\"color: #1b4c9f;\">Alan needs to honour his father\u2019s wishes and not create additional turmoil or conflict at this time. Alan could share all decisions with his elder brother to ensure that he feels included and is current with what is happening.<\/span><\/p>\n<h5>5. Read this scenario<\/h5>\n<p>Jian is the caregiver for Zhen. Jian comes from an extended Chinese family that has remained close for many years. Jian, like many Chinese people, believes that the behavior of the individual reflects on the family. Sadly, Zhen is suffering from mental illness which causes her to act out with no self-control. Jian loves Zhen dearly but feels shame and guilt for Zhen\u2019s behavior. As a result, Jian is accepting no offers of help but is becoming exhausted caring for Zhen.<\/p>\n<h5>6. If you were a close friend of Jian\u2019s what could you do to help in this situation? Think about what you would do before checking the sample answer.<\/h5>\n<h4><span style=\"color: #5ca14d;\"><strong>Sample response:<\/strong><\/span><\/h4>\n<p><span style=\"color: #1b4c9f;\">Sit down with Jiam and make a list of everything that Jiam has to do to care for Zhen. Then choose some small items that will not threaten Jiam\u2019s privacy. Complete those one or two items efficiently and successfully. Next week look at the list again and see if there are one or two more items that you could help with. Go gently while engaging Jiam in non-threatening discussions about mental illness and all the various ways it manifests itself. Help Jiam to understand that you understand.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1207 alignnone\" src=\"http:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/add-resources.png\" alt=\"\" width=\"400\" height=\"63\" srcset=\"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/add-resources.png 400w, https:\/\/caregiversupport.hpco.ca\/ocp\/wp-content\/uploads\/2018\/03\/add-resources-300x47.png 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p>\n<h4><span style=\"color: #5ca14d;\">Use these additional resources to learn more about the topic of cultural needs and how to help as a caregiver.<\/span><\/h4>\n<p><strong>When Medicine and Culture Intersect <\/strong><br \/>\n<a href=\"https:\/\/www.cmpa-acpm.ca\/en\/advice-publications\/browse-articles\/2014\/when-medicine-and-culture-intersect\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.cmpa-acpm.ca\/en\/advice-publications\/browse-articles\/2014\/when-medicine-and-culture-intersect<\/a><\/p>\n<p><strong>Cultural Myths Versus Realty on Caregiver Stress\u00a0<\/strong><\/p>\n<p><iframe loading=\"lazy\" title=\"Cultural Myths Versus Reality on Caregiver Stress\" width=\"720\" height=\"405\" src=\"https:\/\/www.youtube.com\/embed\/XnvcFwXjdiE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Topic: 15 How to Respond to Cultural Needs Download a PDF version of this topic Use the player to hear an audio version of this topic\u2026 What You Need to Know When it comes to making important health care decisions such as selecting between treatment options and health care providers, deciding when and where to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-187","page","type-page","status-publish","hentry","post"],"_links":{"self":[{"href":"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-json\/wp\/v2\/pages\/187","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-json\/wp\/v2\/comments?post=187"}],"version-history":[{"count":33,"href":"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-json\/wp\/v2\/pages\/187\/revisions"}],"predecessor-version":[{"id":2569,"href":"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-json\/wp\/v2\/pages\/187\/revisions\/2569"}],"wp:attachment":[{"href":"https:\/\/caregiversupport.hpco.ca\/ocp\/wp-json\/wp\/v2\/media?parent=187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}