Cultural Competence
Culturally competent care
Cultural competence and the Old age homes
The basic knowledge in nursing or medical studies in itself is not enough. As Watson puts it, there is need to instill the humanistic aspect into the career or the profession. Watson believes that the nurse must establish a caring relationship with patients, display unconditional acceptance of the patient with whatever condition they are in, treat patients as holistic beings, treat patients with a positive regard, promote health through knowledge and intervention treat patients with a positive regard as well as spend uninterrupted time with patients she calls "caring moments" (Vanguard Health Systems, 2011).
In order to effectively achieve and implement the ideas in Watson's theory on culturally competent care, it is important to critically look at the cultural diversity especially among the aging American population. The cultural diversity among the old is considered to be one of the biggest challenges alongside nutrition that the elderly face. According to American Speech-language Hearing Association (ASHA) (2011), the culture shock will not only affect the lifestyle of the elder but as well affect the 'dining habit' of those affected elderly people. This can be seen to be an issue that affects both the nursing home as a comfort facility and as well the nutrition of the elderly people. There is need therefore to have a high skill and level of interpersonal communication for an effective transcultural interaction with the aging.
The elderly can be effectively considered as a vulnerable lot and with several reasons and case scenarios herein. In the 2008, there were 39 million people of 65 years and above in America, this accounted for slightly over 13%, it is estimated that by 2030, there will be around 72 million Americans in this category. This is the time when all the baby boomers shall have acquired the 65 years bracket and above. It will be a significant 20% of the entire American population. The longer life for this generation does not come easier and neither is it cheaper. The inflation, the annual health care cost keep making it harder for the senior citizens to earn a robust life style. It is estimated that in 1992 the annual healthcare cost was $9,224 and it rose to $15,081 in 2006, and this trend is meant to keep rising each year as National Institute of Aging (2008) puts it. This is a significant size of population constituting the marginalized lot and anything affecting them should therefore be addressed immediately and effectively.
The two predominant issues that affect the aging in America today are effectively poor nutrition (hence resultant conditions) and poor home care facilities and services that are not culturally sensitive. On the poor nutrition, it is noted that the heart disease is still ranked as the highest killer of the elderly and is even more serious among the very frail and old people. There could be various reasons behind this trend. However one of the major known perpetuating reasons is the type of nutrition that the elderly are subjected to. As a matter of fact, The Federal Interagency Forum on Aging-Related Statistics (2010: 17) indicate that the number of the elderly who are suffering from obesity is increasing each year since 1988 to 2000 then taken a steady trend instead of going down. On the cultural incompetence within the nursing homes and even the entire American population in general, most of the Americans are too busy to be able to spare some time for the elderly people. They are preoccupied by the pursuit of career and money. As a result, they end up looking for care homes that they take their elderly as a way of helping them to retire with dignity and live a comfortable life after the active years on earth. Unfortunately, for majority of the Americans, this turns out to be ironical since they end up not being in the comfort zone and well taken care of as initially though or intended. The elderly are more often bundled in the hands of culturally incompetent nurses within the homes and get mistreated, with little or no regard at al for their cultural backgrounds and needs. There is always the feeling that one treatment of the elderly fits all. No attention is given to the race, previous place of residence, the social background of the elderly, the psycho9logical disposition of the elderly and several other factors that constitute the cultural competence of a nurse as will be seen below.
One of the most renowned models for cultural competence is the Purnell Model for cultural competence. It is one of the most diverse models that cover the global society,...
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Cultural Competency Health Professionals Canada This paper discusses cultural competency for health professionals in Canada. Defining cultural competence for healthcare as respectful awareness of cultural differences, the importance of this perspective is discussed. Aspects of cultural competency, ranging from the purview of the healthcare insurance industry, to the perspective of the Canadian Nurses Association, are presented. Also, Rani Srivastava's 'Guide to Clinical Cultural Competence' is used to guide the discussion. Also,
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