Swift River: Medical Surgery Nursing
Swift River: Medical Surgery Nursing
Nutrition Continued
Considered polite to leave some food on your plate
Herbs are grown in many homes to be used for cooking and for medicinal purposes
Newer immigrants are at risk of nutritional deficiencies if unfamiliar with American foods
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Childbearing Family
Catholic religion influences birth control practices —rhythm method only
Abortion is considered a sin, carries a stigma, and leads to back door abortions
Pregnancy is a time for pampering and attention from entire family
Mother of pregnant woman has a very special role
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Childbearing Family Continued
Consult healthcare provider plus a massage therapist for advice
Reluctant to take any medicine during pregnancy, even vitamins for fear of harming the fetus
Satisfy cravings so baby will not be marked with the craving
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Childbearing Family Continued
Should be protected from a sudden fright for fear it will harm the fetus
Mother rather than husband may be the coach during birthing
Traditional may not want to bathe but engage in sponge bath and aromatic oils
Soup increases lactation
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Death Rituals
Three days to week for wake after death to await for family to come together—varies in United States because of work schedules
Plenty of food available and family support
Nine days of novenas in the home or church are common
Ritualistic mourning wearing black for one year
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Death Rituals Continued
Burial is the most common but cremation is okay
Body or ashes may be returned to the Philippines
Open expression of emotions and may include fainting
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Spirituality
80% Christian with 90% of them Roman Catholic
5% practices Islam
Many returning to Bathala, ancestral religion with a spiritualist guide who is usually a woman
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Spirituality Continued
Novenas and prayers are commonly said for the sick person
Good health comes to those who are in good with God and is the “Will of God”
Many are considered fatalistic, life is up to God, there is little one can do to change life circumstances and the forces of nature, monsoons, tides, volcanoes, earthquakes, etc.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Healthcare Practices
Adhere to Western medicine and traditional practices simultaneously
Health is the result of balance and moderation and God’s Will
Adequate sleep, rest, nutrition, and cleanliness are important for good health
Aromatic baths restore balance
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Healthcare Practices Continued
In the Philippines many medicines can be purchased over-the-counter
May hoard and share medicine
Many do not seek care until the illness is advanced
Many distrust the healthcare environment
In the Philippines, one pays for testing before the testing is done
Transcultural Health Care: A Culturally Competent Approach, 4th Edi
