Description
Gabriela is a 32-year-old Latino woman with type 2 diabetes and hypertension who is working full time at a fast-food restaurant. She has a BMI of 32. Gabriela is studying to be a cosmetologist and lives with her mother, who helps out with child care and housekeeping. Gabriela’s knees are very sore and she is in the clinic to have them examined. She is very fearful that she will lose her job if she cannot stand for long hours. 1.What strategies could you suggest to Gabriela to attain a healthy weight and improve her health?2.What barriers to a healthy lifestyle do you think Gabriela may have? How would you discuss them with her?
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Chapter 7:
Transcultural Perspectives in the
Care of Adults
Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cultural Influences on Adulthood #1
❖ Developmental tasks are transitions that occur in a
normal successful adulthood.
❖ A health/illness situational crisis refers to changes or
turmoil as individuals struggle to cope with a sudden lifethreatening illness.
o Transitions: health or illness events that require an
individual to make modifications in his/her lifestyle
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Cultural Influences on Adulthood #2
❖ Physiologic development
o Hormonal changes
▪ Menopause, loss of sexual potency
❖ Psychosocial development
o Stages of life
▪ Divorce, remarriage, career changes
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Cultural Influences on Adulthood #3
❖ Each culture has specific chronologic standards for
appropriate adult behavior.
❖ Social age: culture defines what is considered an
appropriate behavior in each stage of the life cycle.
o Young adult (late teens, 20s, 30s): independence,
role changes
o Middle adult (40s, 50s): career, family matters
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Question #1
❖ Is the following statement true or false?
❖ Midlife adulthood is often a time of stress, dissatisfaction,
and unrest.
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Answer to Question #1
❖ False
❖ Rationale: Adulthood is not always a tumultuous, crisisoriented state; many middle-aged persons welcome the
space, time, and independence that middle age often
brings. Midlife can be a time of challenge, enjoyment,
and satisfaction for many persons.
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Cultural Influences on Adulthood #4
❖ Developmental tasks; responses to life situations
encountered by all persons experiencing:
o Physiologic
o Psychological
o Spiritual
o Sociologic changes
❖ Erikson’s generativity versus stagnation
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Cultural Influences on Adulthood #5
❖ Adult life transitions influenced by culture:
o Career success
o Social and civic responsibility
o Marriage and raising children
o Changing roles and relationships
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Question #2
❖ Which of the following would not be considered a social
and/or civic responsibility?
A. Serving on the board of a women’s shelter
B. Donating blood
C. Attending religious ceremonies
D. Volunteering at a food bank
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Answer to Question #2
❖ C. Attending religious ceremonies
❖ Rationale: Social and civic duties include participation in
those activities in adulthood that contribute to the “good
of society.” Some cultures emphasize activities and
contributions within the cultural group. For example, in
some groups, religious obligations are given priority over
civic responsibilities.
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Health-Related Situational Crises #1
❖ Situational transitions often occur when a serious
illness is diagnosed or other traumatic events occur to
individuals and their families.
❖ Caregiving occurs when a (typically) unpaid person,
usually a family member, helps another family member
who has a chronic illness or disease.
o Culture and ethnicity can influence beliefs, attitudes,
and perceptions related to caregiving.
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Health-Related Situational Crises #2
❖ HIV/AIDS and the African American Community
considerations:
o Prevention challenges
o Influential factors
▪ Poverty
▪ Denial
▪ Drug use
▪ Homophobia/concealment of behavior
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Health-Related Situational Crises #3
❖ Culturally competent nursing care
o Health promotion strategies and nursing
interventions for African American women:
▪ “Stroke belt”
▪ “High blood”
▪ “Nerves”
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Question #3
❖ Is the following statement true or false?
❖ “High blood” is a term frequently used by the African
American culture in the rural South to identify the
condition referred to by the medical term hypertension.
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Answer to Question #3
❖ False
❖ Rationale: “High blood” is an illness condition that is
associated with African American culture in the rural
South. Many health care professionals make the wrong
assumption that “high blood” is the same as high blood
pressure or hypertension, although there are similarities.
“High blood” is conceptualized as blood volume/thickness
and may lead to a feeling of faintness, which is thought to
be caused by emotional upsets, stress or a falling out with
God.
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