Cultural considerations in patient care



Cultural considerations in patient care





As a health care professional, you’ll interact with a diverse, multicultural patient population. Each culture has its own unique set of beliefs about health and illness and dietary practices that you need to know when providing care.






























Cultural group Health and illness philosophy Dietary practices
African Americans

  • May believe illness is related to supernatural causes, such as punishment from God or an evil spell
  • May express grief by crying, screaming, praying, singing, and reading scripture
  • May seek advice and remedies from faith or folk healers


  • May have food restrictions based on religious beliefs, such as not eating pork if Muslim
  • May view cooked greens as good for health
Arab Americans

  • Believe health is a gift from God and that one should care for self by eating right and minimizing stressors
  • If devout, may interpret illness as the will of Allah or as a test of faith and, therefore, have a fatalistic view
  • Believe in complete rest and relieving self of all responsibilities during an illness
  • May express pain freely
  • After death, may want to prepare the body by washing it and then wrapping it in a white cloth
  • Discourage postmortem examination unless required by law


  • Dont mix sweet and sour or hot and cold
  • Dont use ice in drinks; believe hot soup can help recovery
  • If Muslim, prohibited from drinking alcohol and eating pork or ham
Chinese Americans

  • Believe health is a balance of Yin and Yang and illness stems from an imbalance of these elements; health requires harmony between body, mind, and spirit
  • May use herbalists or acupuncturists before seeking medical help
  • May use good luck objects, such as jade or a rope tied around the waist
  • Family expected to take care of the patient, who assumes a passive role
  • Tend not to readily express pain; stoic by nature


  • Staples are rice, noodles, and vegetables; tend to use chopsticks
  • Choose foods to help balance the Yin (cold) and Yang (hot)
  • Drink hot liquids, especially when sick
Japanese Americans

  • Believe that health is a balance of oneself, society, and the universe
  • May believe illness is karma, resulting from behavior in present or past life
  • May believe certain food combinations cause illness
  • May not complain of symptoms until severe


  • Eat rice with most meals; may use chopsticks
  • Diet high in salt; low in sugar, fat, animal protein, and cholesterol
Latino Americans

  • May view illness as a sign of weakness, punishment for evil doing, or retribution for shameful behavior
  • May use the terms hot and cold in reference to vital elements needed to restore equilibrium to body
  • May consult with a curandero (healer) or voodoo preist (Caribbean)
  • May view pain as a necessary part of life and believe that enduring pain is a sign of strength (especially men)
  • May openly express grief, such as by praying for the dead or saying the rosary
  • May use amulets to ward off evil
  • Typically involve family members in all aspects of decision making, such as with terminal illness


  • Beans and tortillas are staples
  • Eat lots of fresh fruits and vegetables
Native Americans

  • Use herbs and roots; each tribe has its own unique medicinal practices
  • Most use modern medicine where available
  • Use Medicine Wheel, an ancient symbol
  • For some, 4 is a sacred number, associated with the four primary laws of creation: Life, Unity, Equality, and Eternity
  • May use tobacco for important religious, ceremonial, and medicinal purposes; may sprinkle it around the bed of sick people to protect and heal them
  • May believe that the spirit of a dying person cant leave the body until the family is present


  • Have balanced diet of seafood, fruits, greens, corn, rice, and garden vegetables; salt consumption is low
  • Specific dietary practices are based on location; urban dwellers commonly eat most types of meat, while rural dwellers commonly consume only lamb and goat

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Jul 20, 2016 | Posted by in NURSING | Comments Off on Cultural considerations in patient care

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