Saturday, February 28, 2015

Observing Cultural Beliefs in a Health-Care Setting

Resume the identity of the fictional medical professional to help explore the importance of cultural diversity in a health care setting.

A Jewish nurse

Write a diary entry in which you recall specific memories where cultural sensitivities had to be taken into account, such as having to care for an individual whose religious beliefs impacted how a procedure was performed.     

2/27/2015
Tonight I pounder in thought as I think of yesterday’s encounter, unfortunately a patient of ours has become deathly ill and her family does not agree with American medical treatment  and her end of life is among her and the family. This is a lovely Korean family which I have learned many things about but I never thought about their religious beliefs I guess it never came up. The family wants to fly her home to Korea to die and the doctor is not approving of this nor is he giving medical clearance however, he did call hospice in for her to be placed in their care, the family refused as they felt it was their responsibility to care for her. (Shin K.; Shin C.; Blanchette P.) I wonder if she still alive; did they somehow get her back to Korea or has she passed, I guess I will never know.

Step back from this "diary" entry to define the most important reasons for cultural sensitivity and professionalism in the medical field.

The most important reason for cultural sensitivity and professionalism in the medical field are; the communication with the patient and the patient’s family can improve which this leads to understanding of one’s cultural and these factors can enhance the healthcare provided.

Cite important cases such as Prince v. Commonwealth of Massachusetts as examples of how the legal system has ruled on religious and cultural beliefs within a medical setting. 

Commonwealth v. Twitchell:

 In this case there was the most prominent of a series of criminal cases in the late 1980s and early 1990s where parents who were members of the Christian Science church were prosecuted for the deaths of children because they chose to treat their children’s medical conditions had been treated only by Christian Science prayer. (Case Brief Summary 2012)
In 1988, Massachusetts prosecutors charged David and Ginger Twitchell with manslaughter in death of their two-year-old son Robyn. (Case Brief Summary 2012)  It was declared their son had died due to a bowel obstruction which would have been easy to correct. (Case Brief Summary 2012) The defense the couple was going with are they were within their First Amendment rights to treat their son's illness with prayer and that Massachusetts had recognized this right in an exemption to the statute outlawing child neglect. (Case Brief Summary 2012)  The parents were convicted of involuntary manslaughter and were sentenced to ten years’ probation, the court also order that their remaining children visit the pediatrician regularly. (Case Brief Summary 2012)   The conviction was overturned by the Massachusetts Supreme Judicial Court on a legal technicality that the law is now clear: parents cannot sacrifice the lives of their children in the name of religious freedom. (Case Brief Summary 2012)    
Case Brief Summary. (2012) Commonwealth v. Twitchell. Retrieved From: http://www.casebriefsummary.com/commonwealth-v-twitchell/
Shin K.; Shin C.; Blanchette P. Health and Health Care of Korean –American Elders. Retrieved From: http://web.stanford.edu/group/ethnoger/korean.html

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