Communication:
Primary
language is Spanish. Speech tends to be loud and fast by western standards, and
direct eye contact is acceptable during conversation. Greetings should be
formal. Shaking hands and casual contact are okay, but necessity to touch
private areas during an assessment may need to be explained.
Health-care Practices:
Language
is the biggest barrier to health care and many may seek traditional,
alternative treatment first; otherwise, Western medicine openly accepted. Blood
transfusion is generally acceptable.
Diet and Nutrition:
Yams, yuca,
plantains, and grains are a staple. High incidence of lactose intolerance.
Being overweight is seen as positive, healthy, and sexually attractive.
Pain Management:
Pain is
expressed openly as verbal complaints, moaning, and crying. Explaining that
pain medication promotes healing will help Pts to accept pain medication more easily.
Death and Dying:
Bereavement
is expressed openly and mourning may be elaborate by Western standards. Organ donation
is generally acceptable.
Taboos and Disrespect:
Cutting
an infant’s hair or nails before the age of 3 months is believed to cause
blindness and deafness.
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