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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

 

Kowsar Mahad

 

Hennepin Technical College

 

Writing for Health Care, Section 2

 

Professor Anna Davis

 

November 16, 2016 1 CULTURALLY COMPETENT CARE FOR AMISH

 

Abstract

 

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.

 

1.

 

2.

 

3.

 

4.

 

5.

 

6.

 

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

 

care/accommodation?

 

9. My recommendation for all Western healthcare provided caring for people of the

 

Amish faith?

 

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

 

used it.

 

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

 

care/accommodation?

 

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

 

from

 

http://search.ebscohost.com/login.aspx?direct=true&db=nrc&AN=T704095&site=nrclive

 

Smith, N. (2016, May 6). Amish patients: Patient education - providing culturally competent

 

care. CINAHL Nursing Guide Nursing Reference Center. Retrieved November 8, 2016

 

from http://search.ebscohost.com/login.aspx?

 

direct=true&db=nrc&AN=T704204&site=nrc-live

 

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

 

%3d#db=nrc&AN=T708227

 

Smith, N. (2016c, August 5). Amish patients: Providing culturally competent spiritual care.

 

CINAHL Nursing Guide Nursing Reference Center. Retrieved November 8, 2016

 

fromhttp://search.ebscohost.com/login.aspx?

 

direct=true&db=nrc&AN=T708208&site=nrc-live

 

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

 

http://web.a.ebscohost.com/nrc/detail?vid=7&sid=889ddc21-8dad-41da-b0ef95a0abe9b49e%40sessionmgr4007&hid=4101&bdata=JnNpdGU9bnJjLWxpdmU

 

%3d#AN=T704205&db=nrc 11

 


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this is my final paper and i need someone to look it over for quotation grammar, and over all

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