hispanic methods of treatment

[4] 7Hyon B. Shin and Rosalind Bruno, "Language Use and English-Speaking Ability: 2000," Census 2000 Brief, U.S. Census Bureau, October 2003, accessed at: www.census.gov/prod/2003pubs/c2kbr-29.pdf. Many Latino immigrants experience tremendous stress once they are in the United States. The teach back technique should be incorporated into the cross-cultural patient encounter to ensure patient understanding of discharge instructions. They also must beware of the tendency toward "othering"; that is, the penchant to understand non-dominant groups as inferior, exotic, or deviant.17 Some efforts at cultural competence may incline toward these unhelpful postures. Get to know your fellow coach managers and direct reports. , may be one strategy to increase treatment . In one survey of Mexican American nurses, family support was identified as one of the most important areas to which health care providers should attend while caring for Latino patients. Similarly, in a national epidemiological survey of Latino households in the U.S., of those who reported awareness of a problem with at least one symptoms (overweight, binge eating, or weight control), only one fifth to one third of Latinos in this sample reported ever receiving treatment for an eating disorder (Alegria et al., 2007). The final commentary, drawing on the others, seeks to join the issues from an explicitly bioethical perspective. Chagas Disease Is a Consideration in Latino Patients, http://www.stanford.edu/group/ethnoger/hispaniclatino.html, http://www.rice.edu/projects/HispanicHealth, http://www.hogarhispano.homestead.com/HispanicHealth.html, http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=1&lvlID=3, http://www.ohsu.edu/xd/education/library/research-assistance/patient-education-handouts.cfm/, https://www.aamc.org/download/54328/data/tacctresourceguide.pdf.pdf, http://depts.washington.edu/pfes/CultureClues.htm. al., "Racial and Ethnic Disparities," Chart 4-1. If successful, the intervention could be adapted to other racial or ethnic minorities, such as Hispanic Americans. Spanish language handouts are a better option. Yet the call for cultural competence can-at its best-urge practitioners to adopt instead a stance of cultural "humility": one which encourages an open mind, and a recognition that each one of us sees the world through our own very distinctive cultural lenses. savoie's real cajun dressing mix; PURPOSE Though patient variables are likely to play an important role in the undertreatment of depression, little is known of patients' perceptions of standard depression treatments. The Immigration Reform and Control Act of 1986 granted amnesty to immigrants who came to the U.S. before 1982; but the northward trend from Mexico and other parts of Latin America has continued since then, and many who have crossed the U.S.-Mexican border now live in the United States illegally. For instance, a doctor could perceive as evasive a patient who declines to make direct eye contact, when in fact,that patient may be demonstrating respect for the doctor's position and authority. A significant share of Hispanic adults who lack a regular health care provider are native born, have a high school diploma, speak English and have health insurance. Azarcon and greta (lead salts) and azogue (mercury) compounds, which are sometimes given for teething or empacho, are contraindicated.22 Some injuries have occurred with curandero treatment of caida de la mollera (fallen fontanel). Hence, the individual's good cannot be neatly separated from his or her community. Hayes-Bautista relayed that one important theme presented in the collaborative workshops is how . A consequence of these problems is a marked disparity in the quality of care that Latino patients receive. The Bracero program, a guest worker program started in 1942, was designed to bring experienced agricultural laborers to the U.S. from Mexico and led to a huge influx of Mexican immigrants. However, the most useful technique is teach back or show me: having patients repeat their care instructions until they do it correctly. Modern Mexicans turn to old ways of childbirth. | Mar 1, 2011. Interferon gammarelease assays are preferred to tuberculin skin testing in immigrants with a history of BCG vaccination. A wide array of herbs offered at La Botanica Orquida in northeast Georgia. Hispanic Heritage Month, September 15 - October 15, is an important opportunity to raise awareness about these trends and more importantly, identify culturally and linguistically appropriate prevention and treatment strategies to reduce mental and substance use disorders in the Hispanic/Latino population. She agrees to start taking medications, but does not refill her prescriptions or lose weight. The agency is contracted with the leading insurance carriers and works diligently to secure contracts with additional funding sources on an on-going basis. high speed chase sumter sc 2021 marine city high school staff marine city high school staff We sought to describe the prevalence, awareness, treatment, and control of hypertension in Hispanic/Latino adults with CKD. Latino refers to a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.1 Latinos comprised nearly 16 percent of the U.S. population in 2009, making them the largest minority group.1 By 2050, it is projected that they will comprise up to 30 percent of the U.S. population.2 The three largest subgroups include Mexican Americans (about 65 percent), mostly settled in the Southwest, Puerto Ricans (9.1 percent) in the urban Northeast, and Cuban Americans (3.5 percent) in Florida.3 However, these demographics are rapidly shifting as Latino populations are increasingly integrated into suburban and rural communities throughout America. Older patients should be addressed as seor or seora rather than by their first names. Additionally, when a woman gets married, her husband's name may be appended to her father's name. You call the dietitian to alert him to this patient's cultural concerns. The LEARN technique can facilitate cross-cultural interviews. hispanic methods of treatment. Mexican Americans with hypertension are less likely to be treated than non-Latino whites (35 versus 49 percent). 1Elizabeth M. Grieco and Rachel C. Cassidy, "Overview of Race and Hispanic Origin 2000," Census 2000 Brief, U.S. Census Bureau, March 2001. Home remedies, along with "lay healers" are also an integral part of the healthcare regimen for families in this culture. By the year 2050 that figure is expected to rise to 24 percent of the total U.S. population. Herbal therapies play a major role in Latino folk medicine, so knowing the Spanish names of common herbs can be helpful (eTable A). Although most Latinos living in the U.S. do speak at least some English, 60 percent of Latino adults speak primarily Spanish at home.6 According to the U.S. Census, more than half of U.S. Latino residents age 5 and older speak English "very well," but a nevertheless significant number of Latino adults speak English "not well" or "not at all. Web-based resources are available to assist physicians in understanding Latino health beliefs (Table 4). Active Journals Find a Journal Proceedings Series. Emotional distress often presents with headaches (dolor de cabeza) or other physical symptoms instead of depressed mood.9 Consequently, a high index of suspicion is needed to recognize adjustment reactions or depression. Adding to the language barrier is the pitfall of false fluency, when physicians mistake the meaning of a Spanish word because of unfamiliarity with cultural or linguistic subtleties.4 Another barrier is inability to afford health insurance; nearly one-third of Latinos (30.7 percent) lack coverage.5 Yet another barrier stems from cultural mistrust coupled with a predisposition to seek alternative care first, thus delaying conventional treatment. One exception is the Methods for the Epidemiology of Child and Adolescent . First-generation immigrants are likely to seek out curanderos, whereas their children may scoff at the idea. Addiction can affect a person's impulse control, ability to stop using a substance, using despite risks, and physical and mental changes. . Mexican Americans are much less likely to be treated for hypertension than non-Latino whites (35 versus 49 percent).11 Targeted public health campaigns are needed for hypertension, diabetes prevention, and weight control. Plants are used on their own, or mixed together to form herbal remedies. The APA additionally reported that both language barriers and values created barriers to treatment for Hispanics experiencing mental health issues. SAMHSA Blog. Latinos have disproportionately higher rates of obesity and diabetes mellitus (Table 1).914 Approximately 43 percent of Mexican Americans older than 20 years are obese, compared with 33 percent of the non-Latino white population.12 Diabetes and hypertension are closely linked with obesity; 11.8 percent of Latinos older than 20 years have type 2 diabetes (13.3 percent of Mexican Americans), making it the foremost health issue in this population.14 A higher-calorie diet, a more sedentary lifestyle, and genetic factors contribute to this problem. This inequality puts these communities at a higher risk for more severe and persistent forms of mental health conditions, because without treatment, mental health conditions often worsen. Her visits to your clinic have been challenging because of her limited English proficiency, late arrivals, and nonadherence to several medications. placed on religious beliefs in the maintenance of health and the treatment of illness. Cold linseed tea and hibiscus flower tea for diabetes. To sign up for updates or to access your subscriber preferences, please enter your contact information. Today, one in three farm workers are newcomers to the United States, with most of these coming from Mexico. Remedies used for common pediatric illnesses and for the traditional folk illnesses: mal ojo(evil eye), empacho(blocked intestine), mollera caida(fallen fontanelle), and susto(fright). Case 1: Delinquency or a Mental Health Problem: The Case of Pablo Sanchez, Case 3: From Chronic to Critical: End-of-Life Decisions. Have a question about government service? www.behaviorfrontiers.com. Hispanics have different degrees of illness or health risks than whites. These broad generalizations are just that: broad generalizations. Copyright 2023 American Academy of Family Physicians. Racial/Ethnic and Sex Differences in Somatic Cancer Gene Mutations among Patients with Early-Onset Colorectal Cancer. Spanish language handouts are available from several Internet sources.33 Recruiting Latino physicians and staff, and recognizing Latino holidays at the office (e.g., Cinco de Mayo), will open many doors to the Latino community.34 Office staff, as well as physicians, should be instructed in basic cultural sensitivity (Table 5).34,35 Hospitals can include culturally appropriate foods in their menus. 15 supp. Moreover, 32.7 percent (nearly one-third) of all U.S. Latinos completely lacked health insurance that year, compared with 15.3 percent in the general population; and nearly half of Latinos reported being uninsured at some point during the previous year.9 Latinos are nearly two and a half times more likely than whites to report that they have no regular doctor.10 Even among many insured Latinos, coverage and care are far from adequate. In fact, the number of Latino physicians dramatically lags behind Latino population growth; and, according to cross-cultural health care expert Larry Purnell, Latinos are the most underrepresented major minority group in the entire U.S. health care workforce.5 This discrepancy contributes to many different linguistic and cultural hurdles for Latino patients, as well as for their health care providers. SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. While this has been a challenge across patient populations, it has been especially pronounced among the U.S. Latino population, which shows a rate of non-adherence almost 40% higher than the rate seen in the U.S. Caucasian population. This is especially (though far from uniquely) true in the agricultural sector of the U.S. economy. One suggestion she readily agrees to is to include nopales (prickly pear cactus pads), a favorite from her childhood in Mexico. Contact USA.gov. Objective Breast cancer is the leading cause of cancer death among Hispanic women. Hispanics generally use multiple methods to treat themselves which involve prayer, folk medicine, prescription medications left over from friends as well as new medications prescribed by physicians. Garlic and onion are used extensively, as is aloe vera. It took extra time in relationship-building (personalismo), a team approach, an interpreter, negotiation, and a bit of research to make it all happen. It is the primary method used in hospitals. Apart from these language and socioeconomic disparities and variation in the way health care is envisioned and sought out, differences in the way values are ordered and articulated can also strain the clinical health care encounter for Latino patients. In Santa Clara County the figure is 25.7 percent-over a quarter of the total population. 2 Although the new guidelines comprehensively address how to define, measure, and treat high blood pressure . She has lost 10 lb (4.5 kg), and for the first time has acceptable blood pressure and fasting glucose levels. By comparison, only 35% of Hispanics 50 and older say the same - a 30-percentage-point gap. The cultural value of familism has important implications for the successful treatment of a child with AD/HD. 14 Kleinman et. Alonso, M., Val, E., & Rapaport, M. M. An open-label study of SSRI treatment in depressed Hispanic and non-Hispanic women. Latinos are a multiracial, multicultural group." Some Mexican Americans have been in the US for many generations. Although patients of all cultural backgrounds warrant kindness, a personal connection, and respect, the consequences of omitting these traditional values may be more problematic with Latinos.

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