The author performed a literature review and incorporated published literature, interviewed health care providers experienced in end-of-life care, and drew from her own clinical experience. The discussion a health care provider, including physicians, advanced nurse practitioners, nurses, and social workers, has with a patient about end-of-life care is often a challenge.
American core values emphasize autonomy and individual rights to make life choices, especially health care choices. These American core values may often be in conflict with the values of many ethnic and culturally diverse groups in the United States.
These conflicts can lead to health disparities resulting in fragmented care, inadequate or inappropriate symptom management, miscommunication with the patient and family, and a difficult and poor death for the patient. There are numerous studies that support these conclusions Campinha-Bacote, ; Doorenbos et al. The focus of this article will be on cross-cultural issues at the end of life for ethnically and culturally diverse groups in the United States.
Additionally, an assessment should be made of how acculturated a person and their family are, their language skills, and whether an interpreter is needed. Be aware of some of the overall cultural values of the community and then explore the pertinent themes as they relate to providing health care for individual patients.
Remember there is great diversity within a community. Experiences will vary greatly depending, for example, on whether people lived in rural or urban communities in their countries of origin, how long they have been in the United States, their immigration experiences, former occupations, and levels of education. Keep in mind that patients are individuals. The examples included are to illustrate concepts and are not meant to be all inclusive or representative of everyone within a particular community or of all ethnic groups.
The United States is rapidly moving towards becoming a more ethnically and culturally diverse country, with whites expected to account for less than fifty percent of the population by Frey, Four states and an increasing number of metropolitan areas and their suburbs have a minority majority population composed of over fifty percent non-whites and Hispanics Frey, As America evolves into a multiethnic society, how health care providers manage that shift is critical in establishing culturally appropriate and effective care.
Through cultural competency in clinical practice, health care providers can provide care that ensures the individual receives high quality of care regardless of culture or ethnicity.
Trust is the underlying purpose behind cultural competency in the development of the health care provider and patient relationship. Humility is the key factor in this process. Humble health care providers have a genuine desire to discover what the patient is thinking and feeling.
Also of critical importance is seeing each individual as a unique and worthy person to be treated with dignity, fairness, and deserving of quality of care. Through this process the health care provider becomes cognizant and reflective of his or her own cultural identity, attitudes, biases, and prejudices and how they shape his or her behavior, specifically in the provision of health care services.
Culture is a powerful determinant of behavior towards illness. A critical component of cultural skill is the development of interpersonal communication skills that convey respect, appreciation, and sensitivity to other cultures.Anne Enright is an extraordinary, masterful writer whose prose brims with confidence, intelligence, and wit Hello, Login.
Visit Our Stores. Motherhood turned out to be Wolf's toughest fight of the gender wars. During her first pregancy, hormones eroded her independence, and ultrasound tested her commitment to abortion rights.
The weeks after her daughter's birth taught her how inevitably society, employers, and even husbands, manipulate new mothers. In Misconceptions, Naomi Wolf demythologizes motherhood and stakes out feminist battle-grounds. Misconceptions speaks to anyone connected -- personally, medically, or professionally -- to a new mother.
Naomi Wolf is the author of the best-selling The Beauty Mythwhich helped to launch a new wave of feminism in the early s and was named one of the most significant books of the twentieth century by The New York Times. More recently she has authored Fire with Fire and Promiscuities. She lives in New York City with her family. Bestselling author of The Beauty Myth "Ultimately, Misconceptions offers the possibility of a freer, more compassionate road to parenthood for women and men.
Our nation has the highest postpartum depression rate in the developed world. Some people might argue that the rate is a direct result of our equally high rate of C-sections, while others might wonder if the rate stems from better reporting, or from doctors being more willing to make the diagnosis.
On the other hand, many doctors are perhaps too willing to lump postpartum symptoms, whatever their cause or most appropriate treatment, under one convenient and conveniently dismissable umbrella.
Discuss this and other instances you might know about, examining how a diagnosis of postpartum depression, or the condition itself, affected you or people you know. Why do you suppose the incidence is so high in this country, and so much lower in others?
Explore the ways in which a charming, rosy picture of pregnancy and parenthood might trivialize this challenging experience. End your discussion with a quick look at maternity clothes. Wolf writes touchingly and persuasively of the loss of self experienced by women who bear children. Describe what you feel must mark the biggest difference between the two sets of people. Clearly, Wolf herself entertains both views, holding the light of folklore to the light of the scientific, and vice versa.
Where do you stand? How do you choose to make sense of the things that spook you?Goodreads helps you keep track of books you want to read. Want to Read saving…. Want to Read Currently Reading Read.
Other editions. Enlarge cover. Error rating book. Refresh and try again. Open Preview See a Problem? Details if other :. Thanks for telling us about the problem. Return to Book Page. At the same time, ISRAEL is a sensitive, deeply thoughtful and personal examination of a highly charged issue, an account of a journey Sarah never expected to take. Her experience clashes with her preconceived notions again and again, particularly when she tries to take a non-chaperoned excursion into the West Bank.
As she struggles to "understand Israel," Sarah is forced to question first her beliefs, then ultimately her own identity. Her work has appeared in numerous anthologies.
Cultural Relevance in End-of-Life Care
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Is this book good for kids or just for adults? Rachel Birks Children would be bored with the book. It is pretty informational and focused on politics. They would have difficulty understanding it, but a smart …more Children would be bored with the book. They would have difficulty understanding it, but a smart preteen or teenager might like it if they don't mind reading about politics.
Lists with This Book. Community Reviews. Showing Average rating 3. Rating details. More filters.Sarah Koenig didn't expect her new podcast, Serial, to get so much press, but she says the attention helped keep her on her toes: "It was just a constant reminder of how careful we needed to be," Koenig tells Fresh Air 's Terry Gross.
Serial is Koenig's reinvestigation of the murder of Hae Min Lee, a Maryland high school student who was strangled in Her body was discovered buried in a park in Baltimore. Her schoolmate and ex-boyfriend Adnan Syed was convicted of the murder and is serving a life sentence.
Nearly 16 years later, he continues to maintain his innocence. Syed's conviction was based on testimony from his friend, Jay — identified only by first name in the podcast — who said he helped Syed bury the body. Since its launch in October, Serial has become the most popular podcast in history.
Online the story took on a life of its own, as podcast listeners — wrapped up in the "whodunit" aspect of the case — began tracking and discussing the evidence presented in each episode. Serial is a spinoff of This American Lifewhere Koenig was a producer for 10 years. The first season of 12 episodes ended on Thursday.
Serial presents detective interviews and excerpts of the trial, along with new interviews Koenig conducted with Syed, who spoke with her by phone from prison. Koenig guides the audience through the story, uncovering information that apparently neither the defense nor the prosecution had been aware of at the time of the trial. Koenig says classmates of Lee and Syed have been in touch with her throughout the podcast and since it ended.
It helped her to know that so many people had the same questions she had. One person, she says, told her, "At least I know it wasn't just me being a teenager not understanding the world. There are a lot of people still who don't understand this — and I'm not alone in feeling this way.
Koenig also says she wasn't trying to rouse painful memories for those involved in the story — she was trying to get to the bottom of a case that seemed to have holes in it. Obviously I don't want anyone to suffer because of the work I'm doing, but I also feel like there's a strong tradition of doing these kinds of investigative stories.
And we weren't doing anything differently than we would do in any other story. This American Life has raised money for a second season of Serial, but the show hasn't announced what the focus will be. It's funny, I did not fret about the ending that much. I really didn't.
So many people were asking me [about that] and I was like, "Wait, should I be more worried about this? Should I be more freaked out?
Should I be thinking about this in a different way? The reporting is going to take me there. I can't pre-engineer this, right? So I just have to keep going with it. I can't remember when it was, but maybe after Episode 3 or I was having a meeting with Julie Snyder, the executive producer, and I think Dana [Chivvis], who is also a producer, and Ira Glass came in, who's like, our boss, and Julie said, "Ira says he has some ideas about the ending.
Let's hear it. Uh, OK, we'll do our best. That was a little disconcerting. I have great faith in the people I work with to help me get there [and] we know how to make stories on This American Life. We all have been doing it for a really long time, and it just felt like, we'll get somewhere and it's not going to please everyone, but tough luck. It was very complicated.This topic was continued by puckers attempt to read This topic is currently marked as "dormant"—the last message is more than 90 days old.
LibraryThing All topics Hot topics Book discussions. Hi guys I recently joined this group but I've been working on reading the " books to read before you die" for a couple of years. I use the combined list of the three books just to make things more interesting. So far I've read of the books, with about the same number waiting for me on the shelves at home.
My brother in law also has a great collection of books so I have plenty of books on hand for the coming years. I live in the outer suburbs of Sydney so have two hours a day on the train, meaning I generally get through one book per week. My Books app helpfully tells me I will get through all the books before I die! Doctorow The Siege of Krishnapur - J. Peter Carey is one of my favourite authors.
I particularly enjoyed his earlier works - Bliss, Illywacker, Oscar and Lucinda Illywacker is one of my all time favourite books that hasn't made the list. I would have read Jack Maggs on publication so don't remember all the details now - I quite enjoyed it but prefer the novels listed above. Read in short bursts - I read this over a month to absorb and enjoy the individual stories.
You've accomplished a lot! I noticed the comment on Jack Maggs and I wanted to say I've read both of his on the list and thoroughly enjoyed them.
There's a mystery to Jack Maggs that was fun and intriguing, and I feel like Carey's characters are well developed. Hello and welcome - I have had Jack Maggs on my shelf for so long - but I just can't seem to motivate myself to read it I'm another Peter Carey fan and agree that Illywhacker should have been on the list. Probably instead of Jack Maggs. Auto da fe - Elias Canetti.
An obsessive scholar's world spirals out of control after marrying his housekeeper.
Best Theories Explaining Season One Serial Podcast
I enjoyed this book. Very funny with ridiculous characters and fast and furious dialogue many lengthy monologues. Some darker themes mixed in. Now I feel encouraged to give it a try!
The classic tale of betrayal and revenge. This was a long read. The first quarter of the book is a brilliant adventure - the betrayal, imprisonment and escape. The last quarter sees the revenge ruthlessly enacted, with some moving moments.You are not logged in, either login or create an account to post comments. FAQ on Coronavirus and Mefi : check before posting, cite sources; how to block content by tags.
Or he was a bewildered bystander, framed for a crime he could never have committed. After 15 months of reporting, we take out everything we've got - interviews and documents and police reports - we shake it all out, and we see what sticks. Especially after it had seemed like solid leads had dried up over the last couple of weeks.
This was the first episode where they address the "maybe everyone is lying" scenario. They seem to think it is likely, but don't have time to really flesh it out. It will be very interesting to hear about that DNA evidence. I wonder if they'll end up doing a follow-up special episode next year. Commenting before I finish listening just started! My immediate thought is, if Adnan isn't exonerated by this, then what is the point? I feel really sad if this produces more evidence that he's guilty.
I'm going to listen on the way to work, but I'm not really expecting to change my mind: I don't know if he's innocent or not, but there is reasonable doubt, and this was a bad conviction. That was an impressively well-executed finale, I thought. It's hard to imagine a better one that didn't fully exonerate or condemn Adnan. The influx of new information was exciting. It was more dynamic than I expected. SK still seems a little too credulous to me.
She has a weird view of probability. Being able to come up with an unlimited number of circumstances consistent with the evidence doesn't imply that we can't rank them by likelihood, as she argued at one point. Once the Innocence Project revealed their plans, I was really curious to see how Adnan would react to the possibility of procuring DNA evidence.
It was pretty startling towards the end of the episode, when SK points out that they only thing we know for sure is that Jay knew where Hae's car was. Also, the Serial producers feel pretty confident that Adnan asked Hae for a ride, but at the same time they find Asia McLean's alibi for Adnan credible.
Even if Adnan did ask Hae for a ride, it doesn't seem like he got one, since it sounds like one way or another, she left school right away. Except for the wrestling-team manager girl who made it clear that Hae was talking to her until at least I can understand SK's frustration that it seems like we know less now than we did when we started.
Those are definitely two different words, presented in all capital letters, followed by a period. Me too! I thought that, "Big picture, Sarah. I agree, and I wonder what the show would have been like without Dana's perspective.
I appreciated her forthrightness in today's episode and sort of long for a recreation of the season with that sort of clarity. But, well, maybe I'm just saying that because it's how I've been looking at the case, as well.
All in all, this is probably both the best podcast I've ever listened to, and one of the most disappointing. I don't want to be overly critical because I loved the show so much, but I just feel like the show held so much promise earlier in the season and that promise wasn't fully realized.
These people are really good at what they do, though, and I look forward to next season. Thinking about it a little more, I think the "big picture" is that she doesn't necessarily think this other guy actually did it; she just needs a somewhat credible theory to get the DNA tested. Her job isn't to find the killer.By Jennifer Smith For Dailymail.
Internet mogul Josh Harris above in is living in Las Vegas in a grubby apartment after becoming convinced he is the subject of FBI surveillance. Josh Harris pioneered webcam technology and made millions after predicting how the internet would grow in the s. Now 56, he lives alone in Las Vegas with an army knife next to his sleeping bag. The installation saw a group of performance artists apparently remove a window on the 91st floor of the North Tower in with suction pads and replace it with a balcony where they stood, one by one and naked, at 6am on a March morning in It has eerie links to the atrocity which destroyed the towers, however.
How to Understand Israel in 60 Days or Less
Harris claims he was put on the FBI's watch list for his involvement in a art installation at the World Trade Center which saw a group of artists replace a window on the 91st floor of the north tower with a balcony and stand on it at sunrise while the internet mogul filmed them from a helicopter pictured above.
The first is the name given to it by its creators, the Vienna-based artists group Gelatin who referred to the project as 'The B-Thing'. The second is the scheduled date for an art show documenting the installation: September 11, Gelatin was living in the World Trade Center on the 91st floor in the spring ofoccupying a shared studio space with other artists.
According to the myth surrounding the installation, at 6am one March morning, they removed a window from the building with suction pads and replaced it with a box-like balcony. Each of the four artists then stood on the balcony naked, dismantling the piece 19 minutes later and without anyone, apart for those invited to view and film it from a helicopter, finding out.
Harris was one of those invited on the helicopter, he says. An art show documenting the installation was scheduled for September 11 the following year before the deadly attacks.
Drawings detailing the artists' plans were included in a book about the project titled The B Thing. The artists however tried to separate themselves from the project beforehand, with their dealer claiming the stunt never happened.
A photograph from The B Thing, a book on the subject, purportedly shows two of the four artists studying the window frame on the 91st floor. After them, Harris says authorities grew suspicious of the project and its artists, some of whom were Arab.
He assumed that police suspected the 'The B-Thing' could be code for Bin Laden and suggested in an interview with The Financial Times that the FBI believes the artists somehow knew about the attack before it happened. Since disappearing from the public eye inHarris has traveled the world.
He believes he was being watched by the bureau throughout stints in Malta, Ethiopia and on an apple farm in upstate New York. On one occasion, he said he was stopped from shooting his pet dog when it ate one of his cats by an unexpected knock on the door from a handy man he had hired months earlier. The man, he said, took the dog home with him.
The bizarre encounter served as proof, alongside other such curious incidents, for Harris that he was being watched round-the-clock by agents. When that hand comes in, I wonder about the algorithm,' he told the FT. Harris resurfaced in for publicity commitments after appearing as the star of a documentary about his previous involvement in the art world.