Case Study Ten: Part I & II
Amanda L. Miller
Nursing of the Gerontological Client (N309)
April 15, 2012

Case Study Ten: Part I
1. 	Five components that are included in the definition of culture include: shared knowledge, beliefs, values, attitudes, and rules of behavior (McBride).
2. 	“Christmas is a better holiday to celebrate than Hannukah.”
3.  2010		2050
	64.7%		43.3%
	16.0%		30.2%
	12.2%		11.8%
	4.5%		7.6%
	0.8%		0.2%
	0.1%		0.8%
	1.5%		3.0%
4.	The impact the changes in 2050 will have on nursing will be that we will need to be mindful of cultural considerations for those of differing backgrounds. We will also have to be mindful of what medications might work best for one population of people, might not work for another. 
	It will also mean that you will maybe see more color in the nursing field rather than a white dominated group of people. 
5. 	32. I believe my personal background is a North American modern culture. I come from a German/Dutch background, but we didn’t follow those practices. We are American, who do American things.
6. C &D

7. 	Physical distance- ask the patient to sit where they like
	Eye contact- Observe the patient for visual clues as to how they use eye contact
	Emotional expression- Watch how the patient expresses or masks their emotions
	Body Movements- in order to not offend or give the wrong idea, ask a interpreter to explain or suggest gestures that will help. 
8. 	The video suggested that in order to have cultural competence is to understand different cultures and their different needs. It is also about being culturally conscious and treating them with the same respect and dignity everyone deserves in the healthcare system. 

References
Cultural competence for health care providers. (2009). Jefferson Center for 
Interprofessional Education [video]. A digital media development production. Retrieved from http://www.youtube.com/watch?v=dNLtAj0wy6I.
Kaiser Family Foundation. (2010). Distribution of U.S. population by race/ethnicity, 2010 and 
2050. Retrieved from http://facts.kff.org/chart.aspx?ch=364.
Mcbride, M (n.d.) Ethnogeriatrics and cultural competence for nursing practice. Hartford 
institute for Geriatric Nursing. Retrieved from 
http://consultgerirn.org/topics/ethnogeriatrics_and_cultural_competence_for_nursing_practice/want_to_know_more.
Spector, R. E. (2000). Heritage Assessment Tool. In R. Spector (Ed.), Cultural care: Guide to 
heritage assessment and health traditions (5th ed.). Upper Saddle River, NJ: Pearson Education/PH College.

Case Study Ten: Part II
1.	“Ethnogeriatrics: health care for older persons from diverse ethnic populations” (McBride).
2. 	Hispanic is defined as populations such as Mexican American, Cuban American and Puerto Rican populations (Talmantes, Lindeman, & Mouton. 2001). 
3.	The level of acculturation is determining if an ethnic patient has integrated both their culture and the mainstream society culture together (McBride).  It is important to because it will allow the patient to live in society comfortably
4. 	Informal indicators are “length of time older patients or their ancestor has been in the U.S.” and “language used at home, fluency in spoken and written English” (McBride). 
5. 	Yes, a interpreter or translator should be contacted to assist with the health intake interview in order for Mr. Rivera to receive and understand the care that is being provided to him. 
6.	B, C, D
7. 	familismo- importance of family at all levels: nuclear, extended, fictive kin (compadres). Needs of family take precedence over individual needs. Mutual reciprocity. 
	Personalismo- display of mutual respect, trust building. 
	Jerarquismo- respect for hierarchy
	Presentismo- Emphasis on present
	Espiritismo- belief that good/evil spirits can affect well being and spirit of the dead person. 
(Talmantes, Lindeman, & Mouton. 2001)
8. 	A Curandero is a folk healer used to cure physical or spiritual illness. Lavander and rosemary are herbs used for depression (Talmantes, Lindeman, & Mouton. 2001). 

Reference
Mcbride, M (n.d.) Ethnogeriatrics and cultural competence for nursing practice. Hartford 
institute for Geriatric Nursing. Retrieved from 
http://consultgerirn.org/topics/ethnogeriatrics_and_cultural_competence_for_nursing_practice/want_to_know_more.
Talmantes, M., Lindeman, R., &Mouton, C. (2001). Health and health care of Hispanic/Latino 
American elders (2nd ed. ). Standford Geriatric Center. Supported by the Bureau of Health Professions Health Resources and Services Administration U.S. Department of Health and Human Services. Retrieved from http://www.standord.edu/group/ethnoger/index.html