Case Study18.1 and 18.2
Gregory Cahill
Lakeview College of Nursing
April 15, 2012

1.  Components of culture include shared knowledge, beliefs, values, attitudes, language and skills (McBride, 2010).
2.  Ethnocentric remarks would be any remark that states that your culture is the only correct culture. 	
            		                                 2010		2050
3.    	White non-Hispanic           		64.7		46.3
	Hispanic				16		30.2	
	African American, non-Hispanic	12.2		11.8	
	Asian					4.5		7.6
	Native Hawaiian and Pacific Islander	.2		.2
	American Indian/Alaskan native	1		.8
	Two or more races			.8		3
				("The henry j.," 2010)

4.  The United States will become more diverse.  This means more patients and staff from different cultures.  Being knowledgeable about other cultures will become more important.  
5.  North American, modern culture is a blend of different cultures, although more influenced by European culture as they make up the majority of the population.  I identify more as an American then as a traditional heritage.  My ancestors left their previous culture for the opportunities of the American culture.  They may have brought some of their culture with them but that culture was Americanized.
6.  I would do or not do everything listed depending on the person.  Some cultures and people find it offensive to address an elder by their first name.  Some people like to get straight to the point and do not want to chit-chat.  If I am lacking in understanding it is my responsibility to ask for help or fill my knowledge gap.
7.  “Individuals from some cultures (e.g., Northern European) tend to prefer to be about an arm's length away from another person while those from some other cultures tend to prefer closer proximity (e.g., some Hispanic/Latino cultures) or greater distance (e.g., some Asian cultures)” (McBride, 2010).  Some Asian and Native American groups find it disrespectful to look someone in the eye (McBride, 2010).  Some cultures value stoicism (e. g., British, Japanese (McBride, 2010).  “Individuals from some cultures may consider some types of finger pointing or other typical American hand gestures or body postures disrespectful or obscene (e.g. Filipino, Chinese, Iranian)” (McBride, 2010).
8.  I did not receive any new information. 

1.  “Ethnogeriatrics: health care for older persons from diverse ethnic populations.” (McBride, 2010)
2.  Mr. Rivera is noted as being Hispanic or Latino.
3.  Acculturation is adapting to or taking on characteristics of another culture.  It is important to determine if your patient speaks, reads or write the prevalent language and how much of our culture the have taken on.
4.  Informal indicators include amount of time in the United States and the prevalent language at home. 
5.  An interpreter will be contacted to assist.
6.  I would not use extravagant hand gestures, address them formally and realize that just because they say yes does not mean they understand.  I would also realize that they may not question the authority of the health care provider.  
7.  	Familismo	A strong sense of family
	Personalismo	the emphasis on personal relationships
	Jerarquismo   The way Hispanics organize authority with each other, usually patriarchal 
	Presentismo emphasis on present time and problems
	Espiritismo  the world is filled with good and evil spirits that can effect your health
				(Rios, 1998)
8.  A curandero is a Latin-American folk healer.  He helps heal spiritual and physical ailments.  St. John’s wart and Ginko are commonly used for depression. 

References
McBride, M. (2010). Ethnogeriatrics and cultural competence for nursing practice. Retrieved from http://consultgerirn.org/topics/ethnogeriatrics_and_cultural_competence_for_nursing_practice/want_to_know_more
Rios, T. (1998). Treating latinos with type ii diabetes. Retrieved from http://www.public.asu.edu/~squiroga/rios.HTM
The henry j. kaiser family foundation. (2010). Retrieved from http://facts.kff.org/chart.aspx?ch=364