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ClassDateTopicAssignments & ReadingsHomework assignments are due as a hard copy at the beginning of class on the due date, unless otherwise specified. If you are absent, you may submit homework due that day via email.If the link is broken, google the article or look for it on Blackboard in the “Articles” file by author last name.18/26/19MonCourse introduction and expectations.Introducing ourselves.Why does culture matter? What is culture?The impact of culture on everything, with particular attention to health and health care.RI health care consumer demographics.28/28/19WedWho Am I?What lenses do I see the world through?Cultural Models: space, time, family, gender roles, etc.Read:Carteret, Eight Dimensions of American Culture. Reynolds, Linear, Flexible and Circular Time. Write: Mainstream American Values handout9/2/19MonNo Class—Labor Day39/4/19WedIndividualizing Culture & IdentityMainstream American valuesModifying characteristics—what factors modify an individual’s beliefs and actions? What are my family’s and culture’s beliefs about health and healthcare?Read:Textbook, p. 1-4 (The Need for Culturally Competent Health Care and Variant Characteristics of Culture)Strand, Health Beliefs Model Write:Family Health Beliefs & Behaviors Assessment49/9/19MonIndividualizing Culture & Identity 2Generalizations vs. stereotypes—knowledge of cultural practices as a starting point only.Modifying characteristics—what factors modify an individual’s beliefs and actions? Introduction to models to understand culture & health: The Purnell ModelRead:Textbook, chapter 2 (The Purnell Model for Cultural Competence) Udesky, Culture Clash: Bridging the Medical Divide. Write:Work on your genealogical map 59/11/19WedExplanations of Health & IllnessCultural definitions/perceptions:What is health?What causes illness?Preventative care & locus of controlWhat are the assumptions, practices and rules of:Naturalistic ModelsPersonalistic ModelsWestern Biomedical ModelRitual vs. evidence-based practices in hospitals.Read:O’Neil, Explanations of Illness and Curing Practices. and Lupton, The Cultural Assumptions Behind Western Medicine Write:Complete Practice Quiz for Explanations of Illness, bring your printed quiz to class. 69/16/19MonLearning about each others’ cultures & health beliefsWrite:Bring in your completed genealogical map assignment & be prepared to discuss it. 79/18/19WedAssessment of Health Beliefs & CultureKleinman’s QuestionsRead:Kleinman, Culture, Illness & CareKleinman & Benson, Anthropology in the clinic: The problem of cultural competency and how to fix it. Write:Respond briefly in writing: What is the distinction Kleinman makes between illness and disease? As a health care provider, what are 3 questions you could ask an oncology (cancer) patient to understand more about her illness (using Kleinman’s definition of illness)? 89/23/19MonAssessment of Health Beliefs & CultureETHNIC modelRead:The ETHNIC modelHark & DeLisser, Achieving Cultural Compentency, p. 55-61, (case 7, Isabel Delgado). Write:Take notes on the articles to be prepared to apply the ETHNIC model to the Isabel Delgado case study in class.99/25/19WedCommunication Verbal and nonverbal communication styles across culturesWorking with an interpreterRead:Price-Wise, Language, Culture and Medical Tragedy: The Case of Willie Ramirez Juckett, Appropriate use of medical interpreters (read tables 1 & 2) 9/30/19MonNo class—Rosh Hashanah1010/2/19WedLatino Health & CultureOverviewPuerto RicansGuatemalansDominicansRead:Textbook chapter 14 & 24 (People of Guatemalan and Puerto Rican Heritage)Galanti, PersonalismoWrite:Take notes on your readings on the Culture Summary Worksheet and be prepared to share the info in class. Do this for each class going forward. 1110/7/19MonEuropean American Health & CultureOverviewPortugueseIrishItaliansRead: Nava & Santos-Martins, Older Portuguese AmericansTextbook, chapter 11 & 35 (People of European American & Irish Heritage)Write: List 3 questions you might ask a patient from a Portuguese or Irish background to adapt your care to his/her needs.How might you adjust your care and/or teaching depending on the person’s response to the questions?10/9/19WedNo class—Yom Kippur10/14/19MonNo class—Columbus Day 1210/16/19 WedIntro to Student PresentationsLibrary Instruction DayRead:Small Group Presentation Assignment description (posted on Blackboard)Think about which culture & topic from the list you might like to explore, and who you want to partner with.13African American Health & CultureHistory of racism & healthTuskegee syphilis studyRead:Cooper et al., Delving Below the Surface American Health & CultureAfrican AmericansNigeriansAfrican Immigrants in Rhode Island Read:Textbook, chapter 4 (People of African American Heritage)Textbook DavisPlus (online) chapter 37 (People of Nigerian Heritage)Write:Take notes on your readings on the Culture Summary Worksheet for each culture.1510/23/19WedAsian Health & CultureChineseVietnameseBuddhist Health Beliefs & PracticesRead:Textbook, chapter 9 & 29 (People of Chinese & Vietnamese Heritage)Smith-Stoner, Buddhist clients in home careWrite:Continue to take notes on your readings on the Culture Summary Worksheet and be prepared to share the info in class.1610/28/19MonSouth Asian Health & CultureIndians Hindu Health Beliefs & Practices Read:Asian Cultural Brief: India. Bunghalia, Asian Indian health beliefs Mehrotra, Cultural factors impacting asthma management in Asian Indian children, Write:Select 1 of the 3 cases presented in the Mehrotra article.Summarize the problem.Identify cultural aspects of the problem.What possible approaches could you take, as the health care provider, to try to address this problem in an effective and culturally-sensitive way?Bring your answers to work with in class.1710/30/19WedArab Health & CultureArabsMuslim Health Beliefs & PracticesRead:Textbook, chapter 8 (People of Arab Heritage)Islamic Beliefs Affecting Health CareOtt, Preventing Ethical Dilemmas: Understanding Islamic Health Care Practices Write:How would you assess what the Muslim client wanted or needed in relation to her/his cultural background? (List several questions you would ask—pay attention to how you would word the questions respectfully.)1811/4/19MonDiversity in the WorkplaceBenefits and ChallengesApplying cultural competence to co-workersCultural Competence in Your Future CareerIntroduction of Final PaperRead:Thiederman, Improving Relationships Culturally Diverse Staff1911/6/19WedRefugee HealthRemember that your presentation outline and references (in APA format) are due to me via email 1 week before your presentation date.11/11/19MonNo Class—Veterans Day 2011/13/19WedRefugee HealthRead:Long, Treating illness in the context of the patient’s story Write: Bring in 2 questions to ask today’s guest speaker about refugees’ experiences. 1 question should have something to do with health, mental health, or healthcare.2111/18/19MonChildbearing across culturesPregnancy beliefs & practicesLabor & birth PostpartumNewborn care, beliefs and practicesRead:Kim-Godwin, Postpartum Beliefs and Practices among Non-Western CulturesKhazan, Why Most Brazilian Women Get C-Sections2211/20/19WedChildrearing across culturesParenting practices & beliefsNormal expectations of child behaviorCorporal punishmentRead:Carteret, How individualism and collectivism manifest in child rearing practicesDetzner, Helping youth succeed: Bicultural parenting for Southeast Asian Families2311/25/19MonDisability across cultures: Bearing and raising a disabled childBeliefs about cause and meaning of disabilityManagement of disabilityMental Illness across cultures: DepressionBeliefs about cause, meaningTreatmentRead:Smart & Smart, Acceptance of disability and the Mexican American CultureKam, Cultural stigma hurts Asian American teens with depression. 2411/27/19WedIllness—Diabetes across culturesBeliefs about cause, meaningPrevention/screeningTreatment (include beliefs and practices re: medication, diet, activity, medical care & follow up, alternative or complimentary treatment)Read:Tripp-Reimer, Cultural barriers to diabetes care 2512/2/19MonIllness—Cancer across culturesBeliefs about cause, meaningPrevention/screeningDisclosure (cancer)Treatment (include beliefs and practices re: medication, diet, activity, medical care, alternative treatment)Pain managementRead:Lagnado, In some cultures, cancer stirs shame.D’Arcy, The effect of culture on pain2612/4/19WedEnd of Life, Death & Dying across culturesElder careDisclosure of terminal illnessDecision making and advanced directivesDeath and bereavement ritualsRead:Lobar, Cross-cultural beliefs, ceremonies, and rituals surrounding death of a loved one12/9/19MonOngoing learning and resources.Write:Identify 1 website that provides information or other resources related to culture and/or cultural competence in general, in health or healthcare, or in the workplace. Bring it to class to share. 1811/4/19MonThere is no final exam. Instead, you will write a final paper. The paper is due 12/9/19 via email. I strongly recommend that you submit a basic outline (via email) a week before so I can give you feedback before grading your actual paper.The final is a 5 page paper analyzing a workplace cross-cultural conflict. The assignment description and cases to choose from are posted on Blackboard. ................
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