this is my final paper and i need someone to look it over for quotation grammar, and over all
Running Head: CULTURALLY COMPETENT CARE FOR AMISH Culturally Competent Care for Amish
Hennepin Technical College
Writing for Health Care, Section 2
Professor Anna Davis
November 16, 2016 1 CULTURALLY COMPETENT CARE FOR AMISH
Western healthcare providers need to know how to respond to the Amish patients
and learn their culture in order to provide culturally competent care. This project will focus
on answering the following questions: How does the Amish culture view illness and/ or
chronic disease, what perceptions of Western medicine does the Amish culture have, what
perception do Amish people have about Western medicine, are there religious barriers
spiritual support systems, how do the Amish view Western medicine, who in the Amish
family makes medical decisions, How might these questions (1-6) create cultural challenges
for Amish patients when they seek medical care/treatment in the U.S.?s Westernized medical
system, How can these challenges (mentioned in 7 ) opportunity for culturally competent
care/accommodation, and what are some recommendations for all Western healthcare
providers caring for people of the Amish faith. 2 CULTURALLY COMPETENT CARE FOR AMISH 3 Culturally Competent Care for Amish
Health care and culturally competent responses care plays a huge role in providing care
to all cultures in the United States. Healthcare professionals who provide care should always
have a understanding about different culture practices and learn the role they play as the health
care professional. If health care professionals do not take the time to learn about other cultures
and their practices this can lead to misunderstandings for both the patients and the caregiver. My
project will focus on the Amish culture and how it is affected by Western Medical health. The
Amish culture which is one of thousands of cultures found in the United States. This culturally
competent care paper is for everyone who is interested or planning to provide culture competent
care, with background on Amish beliefs, perceptions and practices.
These specific questions from this report will help us better understand the Amish
culture and their view regarding to healthcare.
7. How does Amish culture view illness and/ or chronic disease?
What perceptions of western medicine does Amish culture have?
Why do Amish have that perception about western medicine?
Are Their Religious Barriers/ Spiritual Support System?
How Do the Amish View Western Medicine?
Who in the Amish Family makes Medical Decisions?
How might these questions (1-6) create cultural challenges for patients in your
chosen focus group when they seek medical care/treatment in the U.S.?s Westernized medical system?
8. How can these challenges (mentioned in 7 ) opportunity for culturally competent
9. My recommendation for all Western healthcare provided caring for people of the
How does the Amish View Illness and or/ Chronic Disease? CULTURALLY COMPETENT CARE FOR AMISH 4 The Amish culture views illness from a comprehensive point of view. The Amish people
believe that the disabled are to be respected, should be accepted as God?s will, and believe that
a child having disability is a great gift from God (Walsh, Smith, and Provikoff, 2016). The Amish
culture treats physical diseases differently by using traditional techniques unlike Western
Medicine methods (Walsh et al, 2016). In the Amish cultures, they believe they should receive
health care while at the same time placing everything in God?s hands because at the end of the
day, according the article Providing culturally competent the author Schub state, ?God is the
ultimate healer and the sin of the human is the cause of illness.? (Schub and Smith, 2016, para.
8). The Amish believe that sickness comes when you complain to God (Schub and Smith, 2016,
para. 8). Which mean that most Amish people but everything in the hand of God and people
should not complain it.
What Perceptions of Western Medicine does the Amish Culture Have?
According to the Amish culture, they believe that before they visit western medicines
doctors should do their own treatment first, which means they should be treated the way God?s
wants them to. The Amish culture uses spiritual treatment of people and believes that the reason
people get illnesses is because of sin and therefore they should use spiritual treatment. If their
spiritual treatment fails they then turn to western health care. (Purnell, 2009). Another reason
why the Amish culture put Western Health Care second is that they do not believe health care
would be better for the person if God does not want them to be healthy. In the article ?Patient
Education-providing Culturally Competent Care? Smith (2016) state that, ?If it isn?t God?s will,
the doctor can?t help? (Smith, 2016a, para. 5).
Why do the Amish Have that Perception of Western Medicine? CULTURALLY COMPETENT CARE FOR AMISH 5 The Amish cultures are against modern technology in healthcare. Nevertheless, they will
allow some use of technology for healthcare uses. The reason why the Amish culture has this
perception of the western health care is because of their faith barrier. Most of the Amish culture
requires that medical technology be used selectively and communities leaders must approve the
use of any of electrify modification, pumps, or ventilators. Also, for those automated equipment
may be requiring home care because there is culture belief against it . In the article ?Patient
Education - Providing Culturally Competent Care?, the Smith (2016) stated, ?Most Amish reject
the use of premarital genetic testing as well as prenatal genetic screening? (Smith, 2016). For
example, any outcome of providing screen test that has electric in they should be aware before
Are There Religious Barriers/Spiritual Support System?
Every Amish community has one faith and belongs to one church. The church services
are held weekly on Sunday and all members are expected to attend. The Amish community
shares a faith that promotes a strong, support social network. Also, the Amish community
provides assistance when needed, including emotional, physical and financial care which makes
the community to be more closely knit. In the article titled ?Providing Culturally Competent
Parent Education for Preventive Health Care?, Smith(2016) stated, ?Amish individuals typically
do not make health-related decisions in isolation? (Smith 2016a, para. 26). Since the church is
responsible for the costs, and the damages the Amish rely on the church leaders and elders when
decisions need to be made on health care issue or policies? before they take place (Smith, 2016). How Do the Amish View Western Medicine? CULTURALLY COMPETENT CARE FOR AMISH 6 According to article ?Providing Culturally Competent Spiritual Care?, Smith (2016)the
author tells us that Amish women prefer using homemade treatments only their sisters and
mothers can provide. An example is they prefer minimally trained midwives to deliver their
children. Only after consulting the community practitioners such as brauch-doktors, pow-wow
doctors, and reflexologists will they seek care of traditional Western Medicine practitioners.
Smith also states, ?The Brauch-doktors use prayer, chants, incantations, charms, amulets, and
hexes,? (Smith, 2016). Also, the pow-wow doctors use of ?sympathy curing? to which
reflexology that uses the lower extremity to improve their health. Most of the Amish people are
reluctant to seek care with the practitioners of traditional Western Medicine because of lack of
consensus among the district bishops in order to enroll in government health insurance programs.
Smith also states, in the articles ?The Amish believe that enrolling in healthcare insurance may
be perceived as having lack of faith in God? (2016a, para, 28).
Who in the Amish Family makes Medical Decisions?
The Amish family structure discusses and the oldest man in the household make all
medical decisions after speaking with the family. In some cases, the grandma is the key decision
maker concerning health-related or reproduction issues. At other times, if the male does not
approve of the doctor, he may deny it for his wife. When it comes to decision makers for the
Amish it is always a male who make the final decisions if they should go or not. In the article ?
titled Guide to the Culturally Competent Health Care,? the author Purnell (2009) wrote, that the
Amish women are respected by stating, ?Women are accorded high status and respected in the
community,? (Purnell, 2009, p. 39). This does have some conflicting thoughts since they do
respect women but the final say on health care is usually always decided by male elder in the
family. CULTURALLY COMPETENT CARE FOR AMISH 7 How might these questions (1-6) create cultural challenges for patients in your
chosen focus group when they seek medical care/treatment in the U.S.?s
Westernized medical system?
Because majority of medical decisions maker is the oldest male in the family, this can
create problems for minor medical issues treatment and bring up major illness and even death
for someone in the family. The Amish women can die for prematurely due to lack of access to
medical treatment they needed. For instance, a woman who may need medical healthcare but
may not get it after husband said no. In the article title ?Providing Culturally Competent
Gynecological ?Wash et al. writes that ?Amish women have been reported to refuse health care if
it is not approved by their husbands,? (2016, para.10). which mean this goes to all of the family.
How can these challenges (mentioned in 7 ) opportunity for culturally competent
Three challenges faced by the western health care providers are traditional vs. western
health care, lack of communicating, and transportation (Purnell, 2009, p. 44). The Amish culture
believes that having insurance is going against God and it is also a sin (Smith, 2016, para. 8).
The Western medical providers could help by educating them about good health care and the
benefits and the first CPR, also help them to apply for MN Sure. Another challenge that the
Amish people face is the lack of electricity in their homes and their reason is that they are better
off without electricity (Smith, 2016a, para. 7). The Western health care could give them
education to teach them how important it is to have electric in their homes because in case of
accidents they could us their phone to communicate with the emergency care. Lastly, most
Amish community travel by buggy or by foot and most of them make prior appointments so that
they could go access the transport (Smith, 2016a, para. 4). The Western health care could help CULTURALLY COMPETENT CARE FOR AMISH 8 the Amish community with offering them busses or communicating them when they could come
at the hospital.
My Recommendation for all Western healthcare?s provided
caring for people of the Amish Faith.
Caring for Amish patients has many obstacles. First, they should receive a patient from
Amish culture in a respectful manner. When the person is not feeling well they need all the care
they can get. As for caregivers, they should respect the patient?s faith and their privacy. Also,
Walsh et al., state that ?Amish have an aversion to lecture because they believe it is sin and
against God,? (Walsh et al., 2016, para 27). The practitioners therefore need to talk and discuss
with the patient about the benefit of having lecturer in their homes. Amish women work so hard
when they are pregnant and carry heavy weights. Western Health providers should educate their
Amish patients about the potential danger for the mother and her unborn child, since majority of
the Amish women may not have the education to know the danger that may result. Consequently,
healthcare caregivers should be knowledgeable enough about Amish cultures so that they are
able to accurately assess their patient?s health education needs. The caregiver should be sensitive
towards the potential conflict between modern health practices and the Amish religious, and
culture to avoid alienating a patient and other Amish communities (Smith, 2016b. para, 30).
When becoming a caregiver, it is very important to know the different people and
cultures that one would care for and also knowledge of the type of patients that Western Society
has. The reason to have this knowledge is that knowledge is important for every patient since
they have different backgrounds and different faith; therefore, it is important that each caregiver
should be aware of the people who will be their patients. CULTURALLY COMPETENT CARE FOR AMISH References
Purnell, L. (2009). Guide to culturally competent health care (2nd ed.). Philadelphia, PA: F.A.
Davis Company. 9 CULTURALLY COMPETENT CARE FOR AMISH 10 Schub, T., & Smith, N. (2016, September 30). Amish patients: Providing culturally competent
care. CINAHL Nursing Guide. Nursing Reference Center. Retrieved November 9, 2016
Smith, N. (2016, May 6). Amish patients: Patient education - providing culturally competent
care. CINAHL Nursing Guide Nursing Reference Center. Retrieved November 8, 2016
Smith, N. (2016, June 24). Amish parents: Providing culturally competent parent education for
preventive health care. CINAHL nursing guide Nursing Reference Center. Retrieved
November 9, 2016 from http://web.a.ebscohost.com/nrc/detail?vid=12&sid=664af64ff7c2-40d6-975b5e6cc9aac713%40sessionmgr4010&hid=4104&bdata=JnNpdGU9bnJjLWxpdmU
Smith, N. (2016c, August 5). Amish patients: Providing culturally competent spiritual care.
CINAHL Nursing Guide Nursing Reference Center. Retrieved November 8, 2016
Walsh, K., Smith, N., &Pravikoff. D. (2016, September 30). Amish patients: Providing
culturally competent gynecological and obstetrical care. CINAHL Nursing GuideNursing
Reference Center. Retrieved November 8, 2016 from CULTURALLY COMPETENT CARE FOR AMISH
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