Different cultures have different perspectives on health care. In this study, we will examine the Jewish and the Amish culture, with the various norms and values, which prevent or encourage them to engage in different health practices. These two communities believe that their bodies are the temple of God and thus have the responsibility of taking care of them through healthy lifestyles and proper diet.
Jewish Case Study 1
The nurse should introduce the issue of hope and the possibility of better-personified care.
The Jews believe in the old testament of the Bible. Therefore, it would be easy to explain to Sarah that even if the method of surgery and chemotherapy did not work, then God has a better plan and just like Job in the Bible, He will surely visit her at the right time.
In such a case, it would be essential to use a language that is interfaith, for example, ask her if it would be necessary to involve a religious leader or seek solace in a higher power. With this, one can determine if she is a religious person or not. Identifying the fact that someone identifies themselves with a religious group is a sign that the beliefs and practices may influence their health care decisions throughout the treatment.
This can be interpreted as a collectivistic culture. It is where people see themselves as members of a broader community, family, or even church. With this, people cease from enduring their difficulties individually, but it is shared out through moral support or prayers.
Judaism encourages prolonging of life at any cost as long as it is not risky or more painful. Besides, people who end up in a hospice are given proper care such that their lives can be extended, and more, livelong than those in aggressive cares. Consequently, the patient can look for the best hospice, which will look into the Jewish practices.
The Jewish community very much values a deceased persons body because it previously carried the spirit of God. The relatives should be allowed to stay and watch over her as she passes from this world to the next. Consequently, a nurse should allow the friends or family to close the eyes and the mouth of the deceased and a sheet must be drawn over her face.
Gaucher Disease- this is the most prevalent condition with one out of ten Jews carrying the mutated gene, which introduces the disease.
Cystic Fibrosis- this is a condition in that the lungs and the digestive system that produces much thicker and sticker mucus resulting in damaged internal organs such as the lungs. This disease can be managed, but those who harbor it have a shortened lifespan of up to mid-30s.
Familial Dysautonomia- this disease can be diagnosed even when a baby is born. It is characterized by changes in the autonomic nervous system, which is responsible for many bodily functions such as blood pressure and digestion (Khankhanian et al., 2015). The medical industry has progressively made strides in developing effective treatment, but patients with this problem have shortened lifespan.
The Jews start the burial rituals as they inform their relatives of the death of one of them. The body of the deceased is covered with a clean white sheet, and the cleansing process begins. The mourners gather to console each other, and their greetings include phrases like may you suffer no more or simply my condolences.
Kashrut is a set of dietary laws, describing which food should be eaten and how they should be prepared. This includes the prohibition of certain animals, for example, pork, most insects, and a mixture of meat and milk, all aimed at maintaining the health of an individual.
The health care facility should remember that the Jews highly regard their bodies. As such, the nurse should maintain a high level of cleanliness, and on top of administering the drugs, should encourage the patient to engage more in prayer for total healing.
Sephardic- there is a group of Jews whose emergence was during the early Middle Ages on the Iberian Peninsula
Ashkenazi- came together as a community during the end of the first millennium.
The Jews have very many holidays spread throughout the year. Some are major, and some are minor. As such, it is the responsibility of the human resource manager to plan schedules such that the Jews and non-Jews are not assigned duties on the days of the holiday.
Amish Case Study
Which health care services do the Amish deem useful?
Does the Amish culture prohibit people from seeking medical attention?
How are the Amish medical practices different from those of the Americans?
- A high-risk infant should be under hospital care and not moved from one area to another
- Some warmers help protect the premature babies like that of Mary, born six weeks prematurely
- The risk of visiting Menno Martins who might subject the infant to other complications
- Regular checkups of the infant and the mother, as well as immunization patterns
She believed that the baby was suffering from aageachse (Purnell, 2013).
According to Purnell (2013), it is only possible for Mary to disclose such information when the nurse shows an acceptance that it is proper for Mary to do so.
- There are delays in health care, including delaying in seeking professional treatment thus they should not wait until the two days are over
-they should get an insurance cover to lower the burden of the medical bill
-the Millers should be made aware of the scientific medical procedures for combating the respiratory disease
The Miller would require intensive education about proper medical care. Besides, it would be necessary to involve a health plan in the lives of the children and rely more on professional health professionals rather than traditional doctors.
- Health care providers should work towards redirecting the misconception about vaccines
- Health education should be spread out to all genders of all ages.
This is because they receive their health care from the traditional healers whom they can easily afford.
-Mitochondrial DNA mutations
-Leigh overlap syndrome
-Autosome recessive respiratory chain disorder
The Amish have high regard for their families. As such, they should be taught that one of the ways of showing support is through encouraging professional medical intervention, which results to a better and extended life (Kettunen, Nemecek, and Wenger, 2017).
- Medicine helps but God alone heals
-the body is the temple of God and hence should be well taken care of
-Family relations are highly valued. Thus, it is essential to take care of loved ones
-encourage a lot of walking of which they do and mostly during the harvest season
- take up a balanced diet, devoid of snacks, including vegetables, eggs, potatoes, and pies, which are low in fat
-Taking care of the elderly
-Joining together in case of calamities
-Assisting each others financially
In conclusion, regarding the two groups, it is necessary that a health practitioner identifies with their cultural practices to know how to handle them. Besides, these people need more enlightening on the best practices to uphold to ensure taking care of their lives and those of their loved ones.
Purnell, L. D. (2013). Transcultural health care: A culturally competent approach. FA Davis.
Kettunen, C., Nemecek, J., & Wenger, O. (2017). Evaluation of low immunization coverage among the Amish population in rural Ohio. American Journal of Infection Control, 1-125. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjv5OfP7e3YAhVFyrwKHT3wCcYQFggnMAA&url=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F28302434&usg=AOvVaw33Ro_F_rJz5JU6Oho4hn3S
Khankhanian, P., Matsushita, T., Madireddy, L., Lizee, A., Din, L., More, J. M., ... & Oksenberg, J. R. (2015). Genetic contribution to multiple sclerosis risk among Ashkenazi Jews. BMC medical genetics, 16(1), 1-55. https://bmcmedgenet.biomedcentral.com/articles/10.1186/s12881-015-0201-2
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