High blood

Chapter 7: Transcultural Perspectives in the Care of Adults

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

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Cultural Influences on Adulthood #1

Developmental tasks are transitions that occur in a normal successful adulthood.

A health/illness situational crisis refers to changes or turmoil as individuals struggle to cope with a sudden life-threatening illness.

Transitions: health or illness events that require an individual to make modifications in his/her lifestyle

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Cultural Influences on Adulthood #2

Physiologic development

Hormonal changes

Menopause, loss of sexual potency

Psychosocial development

Stages of life

Divorce, remarriage, career changes

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Cultural Influences on Adulthood #3

Each culture has specific chronologic standards for appropriate adult behavior.

Social age: culture defines what is considered an appropriate behavior in each stage of the life cycle.

Young adult (late teens, 20s, 30s): independence, role changes

Middle adult (40s, 50s): career, family matters

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Question #1

Is the following statement true or false?

Midlife adulthood is often a time of stress, dissatisfaction, and unrest.

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Answer to Question #1

False

Rationale: Adulthood is not always a tumultuous, crisis-oriented state; many middle-aged persons welcome the space, time, and independence that middle age often brings. Midlife can be a time of challenge, enjoyment, and satisfaction for many persons.

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Cultural Influences on Adulthood #4

Developmental tasks; responses to life situations encountered by all persons experiencing:

Physiologic

Psychological

Spiritual

Sociologic changes

Erikson’s generativity versus stagnation

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Cultural Influences on Adulthood #5

Adult life transitions influenced by culture:

Career success

Social and civic responsibility

Marriage and raising children

Changing roles and relationships

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Question #2

Which of the following would not be considered a social and/or civic responsibility?

Serving on the board of a women’s shelter

Donating blood

Attending religious ceremonies

Volunteering at a food bank

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Answer to Question #2

C. Attending religious ceremonies

Rationale: Social and civic duties include participation in those activities in adulthood that contribute to the “good of society.” Some cultures emphasize activities and contributions within the cultural group. For example, in some groups, religious obligations are given priority over civic responsibilities.

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Health-Related Situational Crises #1

Situational transitions often occur when a serious illness is diagnosed or other traumatic events occur to individuals and their families.

Caregiving occurs when a (typically) unpaid person, usually a family member, helps another family member who has a chronic illness or disease.

Culture and ethnicity can influence beliefs, attitudes, and perceptions related to caregiving.

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Health-Related Situational Crises #2

HIV/AIDS and the African American Community considerations:

Prevention challenges

Influential factors

Poverty

Denial

Drug use

Homophobia/concealment of behavior

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Health-Related Situational Crises #3

Culturally competent nursing care

Health promotion strategies and nursing interventions for African American women:

“Stroke belt”

“High blood”

“Nerves”

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Question #3

Is the following statement true or false?

“High blood” is a term frequently used by the African American culture in the rural South to identify the condition referred to by the medical term hypertension.

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Answer to Question #3

False

Rationale: “High blood” is an illness condition that is associated with African American culture in the rural South. Many health care professionals make the wrong assumption that “high blood” is the same as high blood pressure or hypertension, although there are similarities. “High blood” is conceptualized as blood volume/thickness and may lead to a feeling of faintness, which is thought to be caused by emotional upsets, stress or a falling out with God.

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