Cultural Barriers within Healthcare Services Essay Example

Cultural Barriers within Healthcare Services Essay Example Cultural Barriers within Healthcare Services Paper Cultural Barriers within Healthcare Services Paper According to Health Resources Services Administration, sixty-five to seventy-five percent of all patients seen in a non-profit healthcare clinic live below the poverty level. Providing effective health care to low income families requires an understanding of the potential cultural barriers, which may be faced. These barriers include social, language, religion, and technological issues. The majority of our patients from foreign cultures are Hispanic or Asian. Due to this fact, we will discuss the barriers of dealing with those from Hispanic and Asian Cultures, and offer possible solutions to overcome these obstacles effectively. The number of immigrants entering the United States has been rapidly increasing over the last few years. For instance, the number of Asians in the United States has grown to more than 9 million in 1996. In 1996, there were over 28 million Hispanics in the United States, and the numbers are only increasing. The rapid growth of these two cultures in United States has made overcoming cultural barriers crucial in managing a non-profit healthcare clinic. A predominate social barrier in dealing with those from the Asian culture is their reluctance to disclose personal information to anyone outside of their family. Due to this, they may not be honest and forth coming in giving physicians or other medical staff personal or critical information needed for their treatment. When it comes to healthcare for Asian women, they do not seek out medical care for Gynecological exams because they feel it is an invasion of their body and considered improper and very humiliating for the women. Differences between Asian culture and the American culture are the majority of health issues of Asians are not often addressed in the American health care system. However, the Asian culture is not the only culture that is facing social and economic barriers to healthcare. With the numbers of immigrants increasing, what can we do to ensure that our clinic will be able to address the social and economic issues of all patients? First, we will need to hire someone to act as a cultural liaison, who not only has knowledge about the differing cultures, but can also speak the language. Second, we will need to address these issues and barriers with our clients to successfully seek out ways to eliminate any future barriers we may face. Our educational programs will address issues that range from preventing sexual diseases, use of birth control, and understanding your body all the way to addressing the needs of children. We plan to make our clinic accessible to all low-income families by assuring our potential clients that we are not interested in their legal status, but in the health of their families. We believe by making the clinic’s fees based on a schedule of one’s income, that we are making healthcare affordable for everyone. The 1996 Personal Responsibility and Work Opportunity Reconciliation Act (1996 Welfare Act†) was the major overhaul of the welfare system that many Americans were looking for to decrease the many who are taking advantage of their hard earned money. One of the main points in the welfare reform legislation deters non- citizens from applying for public assistance. Even if they are eligible, they may fear that receiving public benefits will make them inadmissible or deportable. The many health problems that are prevalent in the Hispanic population are due to lack of adequate health care programs available to non-citizens. Due to that lack of citizenship, they are ineligible for federal health assistance programs such as Medicaid, even if their incomes are low enough to qualify. The lack of availability of health care in the Hispanic population is mainly due to their citizenship status; even with low incomes, Hispanics are ineligible for health care programs such as Medicaid. Non-profit health care clinics do not fall under the Public Charge Law, they are exempt from having to verify immigration status, even if they provide a federal, state, or local public service, and they may not be penalized for not verifying immigration status. State and local governments may not impose verification requirements on such organizations. To be exempt, an organization must be both nonprofit and charitable. With over 600 community and non-profit health centers around the United States, the undocumented populations are assured good quality care without having to worry about being turned into the INS. One of the first types of health center being excluded from the Public Charge Law were Federally Qualified Health Centers (FQHC) with the average number of undocumented aliens served a month being 4,316, at the cost of only $3,258 for all (Bureau of Primary Health Care). Another common barrier between cultures is the difference in language. According to the 1990 United States Census Bureau, almost 2,300 people in Oklahoma over the age of 18 do not speak any English. Over 48,000 of Oklahomans are Spanish speaking. One problem language barriers create is the inability of the patients to communicate with the physician. Often, the physician is unable to clearly understand the symptoms the patient is describing. According to Charles Warren, an anesthesia technician at Mercy Health Center, only 8% of the doctors in the hospitals are multilingual. The breakdown in communication between the doctor and patient can multiply the possibilities of a misdiagnosis. This can cause harm to the patient and make doctors vulnerable to malpractice lawsuits. Another danger, associated with a language barrier, is the possibility of the patients misunderstanding the doctor’s instructions for the medication. A solution for this would be to provide an interpreter to assist the doctor while treating this patient. Many healthcare facilities, such has Mercy Hospital, have a variety of employees who are multilingual, so they may be called upon to provide translation between and doctor and a patient. The hospital’s MIS (Medical Information System) tracks these employees. One option currently available is known as a translator box. It is a service available where the attending physician calls an 800 number and is connected with the interpreter company, the physician informs the company what language he/she needs, and within minutes an interpreter for that particular language is online and ready to assist the physician as needed. Another problem is if the patient cannot read or speak English, they cannot understand the forms they must fill out in order to receive financial assistance for healthcare. The government or insurance agencies that require these forms should distribute these forms in needed languages to all health care facilities, or make them available on a website where the language needed can be chosen and then the forms can be printed. A non-profit health center must have a strategy for dealing with religious barriers. For instance, the Mexican cultural mainly practices Catholicism and attends mass regularly. Catholic doctrine states, â€Å"Direct action to prevent the possibility of human life is impermissible in all circumstances, both when a person is living, dying, or yet to be conceived. Thus contraception may not be used because it is direct action against the possibility of life†. Catholicism even goes so far as to publish an online directory called â€Å"Ethics and Meds†. In â€Å"Ethics and Meds†, they offer books that can be purchased like â€Å"Ethical Principle In Catholic Health Care† which adds the point that the Catholic Church wants its congregation to follow guidelines set by the Church. The physician who is legally and morally bound to follow a set standard in providing health care will provide the patient with the needed information regarding birth control. The responsibility should rest, however, on the patient to inform the physician about their religious beliefs regarding birth control Society usually looks towards a licensed doctor to get advice and heal us. When dealing with the Asian person who practices Buddhism, they must take into account that some strands of this religion have a potential for incorporating religion into their beliefs of healing and restoration of health, for example; healing of the soul, and Acupuncture and Bowen Therapy may be two of those ways to heal the soul. Using acupuncture releases the energy channels by putting pressure on a diseased area. Doctors or a therapist uses a needle to prick the skin regulate and correct the flow of energy in the body. The second one is Bowen Therapy, a subtle muscle/nerve/ connective tissue technique. Unlike massage and other manipulations that try to force a change, Bowen simply resets the body to heal itself. The results are profound and lasting, and usually apparent within two or three sessions. A clinic may want to incorporate these different services for its Buddhist patients. When dealing with these two different religions a non-profit health care clinic must find different ways of helping the patient. The patient needs to be forthright in mentioning how they need to be treated. For instance, a practicing Catholic needs to mention to the doctor that they will not need any information on birth control or family planning. A practicing Buddhist should mention they use holistic medicine. The doctor needs to take the initiative to learn about the religious issues so that he/she can practice, or employ a licensed alternative practitioner to provide these services. Today’s medical technology, if available and used properly, can be a huge benefit in operating and managing a low-income healthcare center. Doctor’s skills, along with the latest medical technology have accounted for saving many lives. Many of the Latino counties are considered third world countries and the people there often do not have access to the latest advances in medical technology. Most are not aware they exist. Many times a person of the Latino culture will not seek medical assistance due to the fact they believe there is nothing the doctors can do for them. Many low-income Latinos suffer for a long time with ailments that can result in permanent effects and even death. Not being aware of the latest advances in medical technology, many feel they are better off attempting to treat themselves with a homemade remedy. These remedies are often ineffective and can even make matters worse. Medical education programs that inform people of advances in medical technology need to be more readily available for patients. These programs inform the patients of the benefits of today’s medical technology, and educate them on the numerous ways the doctors can treat the patients effectively. In doing this, patients from less advanced cultures are often willing to seek medical attention promptly. Often a doctor who went to medical school in a third world country is not instructed in the latest in medical technology. In extenuating circumstances, these doctors are allowed visas to the United States as long as the doctor works in an area, which is designated as a HPSA (health physician shortage area). These doctors, not being aware of the technology available to them in the United States, often rely on older and less effective methods of treating patients. In conclusion, we have addressed the social, language, religion, and technological barriers facing a non-profit health care center that affect the Hispanic and Asian cultures. We have also provided solutions to overcome those barriers in providing health care. If non-profit health care centers will incorporate the resolutions, they would be able to effectively provide quality health care to the Asian and Hispanic population. 1. Factors Affecting the Health of Women of Color, 4women. gov/owh/pub/woc/ hispanic. htm 2. Karen A. Woodrow and Jeffrey S. Passel, Post-IRCA undocumented immigration to the United States: â€Å"An Assessment Based on the June 1988 CPS†, p. 53, 3. Bean, Edmonston, and Passel, Undocumented Migration to the U. S. Washington, The RAND Corporation 1990 4. Miller, Theodore Jr. , Holistic Health, â€Å"Medical Irony at Its Best†, http://reikimaster. net/holistic 5. National Catholic Bioethics Center, Ethical Principle in Catholic Health Care, nbcenter. org/cubs_ethicalpriciple. html

The Oxbow and View of Toledo paintings Essay Example | Topics and Well Written Essays - 1000 words

The Oxbow and View of Toledo paintings - Essay Example On the other hand, the â€Å"View of Toledo† is a landscape painting that was done by El Greco back in the late 15th to early 16th century – specifically around 1540/41 to 1614. When compared to the one by Cole â€Å"The Oxbow†, both can be concluded to be landscape paintings. The painting was then executed in 1570 together with other paintings that he had done. When compared to â€Å"The Oxbow† landscape painting by Cole, it can be revealed that they had different dates of execution as â€Å"The Oxbow† was executed in 1830 a few centuries later on. The artistic style that was used by El Greco in his painting was majorly baroque which represents the use of motion, tension, enthusiasm and clarity. When compared to â€Å"The Oxbow† there was a difference since it was a renaissance realism painting while the one by El Greco was a baroque painting. When it comes to the medium of usage, both paintings used oil on canvas. The sizes of both painting s differed since â€Å"The Oxbow† was slightly bigger than the â€Å"View of Toledo† which was 47 3/4 by 42 3/4 inches. The artistic techniques in both paintings were the same – that is baroque which was common in France and Spain. The presentation work of both paintings was done on canvas material and lastly the title of the painting - â€Å"View of Toledo† adequately helps an audience interpret what they are viewing. The subject matter that has been projected by both paintings is landscaping. In addition to that, when an individual views both paintings, they can be in a position to feel as if they are part.

Glass Ceiling Essay Example | Topics and Well Written Essays - 500 words - 1

Glass Ceiling - Essay Example Having men and women as full partners will improve organizational performance by diversifying communication and decision-making styles that can lead to enhanced management processes and organizational outcomes. Male and female law firm partners have distinct communication styles that can improve how decisions are made in the company, which can boost collaboration and networking that, in turn, will consequently boost morale and firm performance. The American society continues to generally follow a gendered approach to parenting and educating children. Traditional institutions teach gender differences in values and expectations, where women are generally brought up to be empathetic and passive in communication and collaborative and seeking harmony when making decisions, while men are usually trained to be direct, aggressive, and competitive in communication and logical and rules-based in making decisions (Parcheta et al., 2013, p.244). Evans actually seems to balance masculine and feminine communication and styles because the Associates Committee either sees her as too passive or too aggressive. Either way, she brings in her own way of thinking, speaking, and interacting that can enrich how the firm manages the business and attracts clientele. If she is promoted, this will have a positive morale-boosting effect on female attorneys and encourage many of them to also aspire for partnership status. As they do so, these female lawyers will work harder and be more productive, thereby improving total firm performance. Aside from bringing in new communication style, having women as full partners can enhance decision-making in the company. Bear and Woolley (2011) mentioned the 2010 study of Woolley et al., where the latter found out that having women in groups increased collective intelligence because women boost social sensitivity, turn-taking, and empathy in group

Edward R. Murrow - The Father of Broadcast Journalism Essay Example for Free

Edward R. Murrow The Father of Broadcast Journalism Essay The movie Good Night and Good Luck portrays the early 1950s when America experienced the threat of communism that created fear amongst Americans. There were even some who took advantage of such situations such as Senator Joseph McCarthy of Wisconsin. But there was one person who knew of his scheme and did everything to expose his deception amongst the people, this was Edward Murrow. This film showed his and his producer’s pursuit to expose the truth. The bravery and determination of Edward Murrow to reveal the truth by the use of media made him known as the father of broadcast journalism. The bravery of Edward Murrow to deliver only the truth to his viewers was one of the reasons why he was well known during the 1950s. This movie showed how far Murrow would go just to reveal the truth. He did not consider the danger that would come with his plan to expose the public deception of Senator McCarthy. Being a journalist and a democrat, he had in him the drive to let the public know the truth no matter what (MURROW, EDWARD R.  U. S. Broadcast Journalist†). Because of this dedication, people saw him as a person who upholds public service at its best; until now, he is known for his bravery in exposing the truth. The pursuit of Edward Murrow to expose the truth about the public deception of Senator McCarthy showed his determination to reveal the truth and save his fellow Americans. Murrow made use of his resources to uncover the truth behind the communism threat to America imposed primarily by Senator McCarthy. When chaos was dominating the society, Murrow knew that he had to do something to bring back the peace among the people. He served as the voice of the people, exposing information after information of the truth behind the â€Å"red scare† that started chaos all over America (Jeff, n. d. ). Edward Murrow not only served as a journalist who wanted to reveal the truth, but most importantly he served as a hero for the Americans in their time of crisis. He did not think of the danger that he would encounter in his pursuit to expose the truth. He believed that the people deserve to know the truth and, him being a journalist, he knows that it is his job to deliver the truth to the public. Because of his bravery and dedication to his work, he was acknowledged by journalists as a person to look up to and an epitome of â€Å"journalistic excellence† (MURROW, EDWARD R. U. S. Broadcast Journalist†). These and many more are the reasons why Edward Murrow is regarded as the father of broadcast journalism.

One Flew Over the Cuckoos Nest :: essays research papers fc

QUESTION Was Forman compelled to change the point of view in his adaptation of One Flew Over the Cuckoos Nest? ANSWER Forman was compelled to change the point of view in adapting the book into a film. REASONING A.  Ã‚  Ã‚  Ã‚  Ã‚  In the book Chief Bromden’s thoughts go from stark reality and understanding to dreams and visions which would be difficult for an audience to follow. B.  Ã‚  Ã‚  Ã‚  Ã‚  The confusion created by the Chief’s switches from reality to fantasy is possible in literary form due to the amount of detail and analysis, which can be put down on paper. However, this is impossible for a director to capture the same understanding and depth in a two-hour film. C.  Ã‚  Ã‚  Ã‚  Ã‚  Chief Bromden’s thoughts and hallucinations, which are the narration in the book, are erratic and crazy when not compared and elaborated. In a film, it is not always possible to clarify on the type of details found in the book. D.  Ã‚  Ã‚  Ã‚  Ã‚  There is not enough time nor is it possible to elucidate into the amount of detail which Ken Kesey goes into in the book. This is due to the fact that Chief Bromden starts out playing deaf and dumb and even when he does begin to talk it is not in great amounts or details. In order to capture the heart of the story a director would have to use a broader narration, which a diverse audience could understand. E.  Ã‚  Ã‚  Ã‚  Ã‚  A book allows for great amounts of details due to the depth of words and the imagery they can evoke in a readers mind. There is not enough time in a film for all the detail of a book to come out and explain every single character to an audience, which needs to be constantly entertained to keep their focus. CITATIONS This is an autobiographical reference to how Ken Kesey came to write One Flew Over the Cuckoos Nest and the processes, which made it realistic and fantastical at the same time. â€Å"But also at the same time Bromden is an unreliable witness he is also an extremely reliable one. We feel he tells us the truth about McMurphy; in fact, he tells it with such penetration and insight that it has a consistent and coherent shape and meaning for us. The combination of hallucination and truth in the narration is a notable stylistic accomplishment. Fact and fantasy alternate, but the reader has no difficulty distinguishing one from the other, and thus they successfully complement each other.

Beowulf vs. Spiderman

Back in the seventeenth century, they had epic heroes like Beowulf, who killed Grendel with his bare hands. Now, they have heroes such as Spiderman who can shoot web from his wrist and crawl up walls. Beowulf and Spiderman have characteristics that distinguish them as heroes, some of which are found in both of them while one has characteristics the other doesn’t. During the Anglo Saxon days, the original hero was Beowulf, the supreme warrior. He had marvelous strength, not like the average being.His true bravery and his powerful will to fight to death is what people genuinely knew him for. However, in today’s society, the modern superheroes are taken as being a regular limited hero. Spiderman for instance, was not born with super powers but was bitten by a spider that gave him the power. Unlike Beowulf, who would kill his enemy, Spiderman has limitations and would not dare kill his enemy because he believes death is never the answer. They’re alike because they bo th put other people’s needs in front of their own; they would risk their lives for someone else’s.They’re also alike because during the times of Spiderman and Beowulf, there are always critics that only criticize the hero; to make them seem like something they’re not. For example, Peter Parker (Spiderman) is always taking pictures for the Daily Bugle to let people know that Spiderman is a â€Å"good guy†, but his imperial figure only wants to make him seem like he is committing a crime. With Beowulf, because he is so vital and was born with this power, average people that do not know him do not think highly of him, want to bring him down.Resolution: Today’s modern superheroes are given super powers like super strength, reflexes and agility, and to possibly have spider webs come from your wrist and have the ability to crawl up walls! But just like any other epic hero, all of them have some challenging obstacles that has altered their life in one way or another that makes them become strong and prepared to be the icon that most people look up too, while others waiting to watch you fall and fail with the city you protect. These superheroes are all somewhat similar because they fight for their people rather than for themselves and they fight only for justice!

Shale Oil - 994 Words

Shale Oil A new player -at least in the United States- is entering in the game with a lot of enthusiasm among some of the audience, and a lot of skepticism by some others, that this unconventional player will overtake the conventional ones any time soon. Although, Big hops are held on the new player in the future. This new player is oil shale. The number estimated of oil shale in place in the US is around 4.28 trillion Barrel. An immense amount that’s even hard to imagine. Unfortunately, this amount is not 100% recoverable and the actual recoverable amount is unknown due to the lack of economic methods of recovery. The extraction of economic quantities of oil shale will be true in the near future due to†¦show more content†¦Electricity generators or simply heaters can be placed on surface or in the well bore. Surface heaters are better for maintenance issues. The heated shale oil is then extracted by separate dedicated production wells. After pyrolysis and electrofracking, comes rubbulization the third approach to the economic recovery of shale oil. This approach was taken by Chevron Oil Company. Rubbulization is breaking a zone of reservoir into separate chunks of rock .In other words, generating fractures in the three dimensions. while heated carbon dioxide is used for the decomposition Kerogen in oil shale. The process involves drilling vertical wells into the oil shale formation and applying horizontal fractures induced by injecting carbon dioxide through drilled wells and then pressured through the formation for circulation through the fractured intervals to rubbulize the production zone. Rubbulization propellants and explosives may be used. The used carbon dioxide then is routed to the gas generator to be reheated and recycled. The remaining organic matter in previously heated and depleted zones is combusted in-situ to generate the heated gases required to process successive intervals of treated wells. These g ases would then be pressured from the depleted zone into the newly fractured portion of the formation and the process would be repeated. After that, the hydrocarbon fluids are brought up in conventional vertical oil wells as any other conventionalShow MoreRelatedOil And Natural Gas : Why Black Shales Can Be Hosts Of A Significant Amount Of Uranium1074 Words   |  5 Pages6. URANIUM IN MUDROCKS - BLACK SHALES It has been broadly recognized that black shales can be hosts of a significant amount of Uranium when compared to other sedimentary rocks (Swanson, 1961). The black shales are very attractive because these typically contain good quantities of organic matter, and therefore, are potential stratigraphic intervals for source of hydrocarbons (Peters and Cassa, 1994). 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Index of Contents Title page†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.1 Index of Contents†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...2 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦3 Synopsis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..4 Causes ofRead MoreStatement of Interest in Pursuing a PhD Degree in Hydraulic Fracturing679 Words   |  3 Pagesthe impact of such work in enhancing optimal development and hydrocarbon recovery. 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