Discussion reply to Lisandra Alejo

Discussion reply to Lisandra Alejo

APPALACHIAN AND ARABIAN HERITAGE AND ITS EFFECT ON HEALTHCARE PROVIDENCE Appalachian and Arabian Heritage and its Effect on Healthcare Providence Lisandra Alejo Florida National University Culture in Nursing Professor: Cassandre Millien 01/29/2019 APPALACHIAN AND ARABIAN HERITAGE AND ITS EFFECT ON HEALTHCARE PROVIDENCE Appalachians and Arabs are two dynamic communities living in different parts of the world, yet they are seen to have certain similarities in their ways of living. Also, the two communities live in entirely different topographies, yet they seem to exhibit similarities in their culture. This fact has prompted a study on these two heritages which seeks to help understand how healthcare is provided to people in these heritages. The study is contained in this paper. The paper is arranged in order of a brief description of the nature of the people living in these two heritages and the structural setting of the two systems. A description of the similarities that the people inhabiting the two heritages have towards the delivery healthcare is also looked into in this paper. It then concludes with a description of how the religion and the beliefs of the people living in these heritages have affected the delivery of healthcare to the people. Appalachia is a region in the eastern United States which starts from the northern part of Alabama and Georgia and ends in the

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Southern part of New York. The place is well known since it is entirely cultural. According to the National Census of the United States in 2010, there are approximately twenty-five million inhabitants of the Appalachian heritage who are mainly made up of immigrants from Scotland and Ireland (Finer 2016). The numbers are deemed to have increased over the years since the mortality rate of the area is low as compared to the rate of childbirth. The region is strictly made up of mountains which stretch all through the stated region and covers most of the heritage. As already mentioned, the people living in this heritage are considered cultural. On the other hand, the Arab nations are made up of people from the Arabian Sea, the Mediterranean Sea, and the Atlantic Ocean. As compared to Appalachia which is typically made of Mountains, Arab countries are more surrounded by seas and deserts. The inhabitants of the Arab countries are mostly Arabs, and they are also seen to appreciate their culture and heritage APPALACHIAN AND ARABIAN HERITAGE AND ITS EFFECT ON HEALTHCARE PROVIDENCE strongly. Most of their cultural beliefs rotate around mysticism, spirituality, philosophy and mainly art including many other more. Some of the similarities on how healthcare providence is affected by the cultural heritage of the Appalachians and Arabs are discussed. The Appalachian culture often seems as backward which does not allow for the delivery of healthcare to its people. Similarly, the Arabian culture and beliefs insist that it is a vice for a woman to receive personalized healthcare from trained personnel. This fact makes it difficult for the people living in these regions to access quality healthcare from healthcare providers in the area. Both Appalachian and Arab cultural beliefs state that folk medicine is enough for treatment and that the remedies are to be passed down from one generation to another (Khalifa 2014) (Mixer et al. 2014). These beliefs end up affecting the quality of healthcare provided to the people of the two heritages which in turn permanently jeopardize the health of the people in the heritage. The religion of the Appalachians and Arabs affect healthcare deliverance to the people (Suleiman 2014) (David 2017). An example is the religious beliefs of prenatal care and childbirth among the Appalachians and Arabs. They believe that they have the best-required knowledge on these two critical aspects of child delivery yet they are barely informed about the quality that they should receive, but they are missing out on with continued following their religion and folks. Arab women are not allowed to deliver in hospitals by belief which will affect their childbirth process as a whole. It is therefore vital for continued reinforcement of the people on the importance of quality healthcare providence for the good existence of a society. By so doing, there can be minimized reported case of lack of proper medical healthcare providence to the people who belong to the Appalachian and Arabian heritage. APPALACHIAN AND ARABIAN HERITAGE AND ITS EFFECT ON HEALTHCARE PROVIDENCE APPALACHIAN AND ARABIAN HERITAGE AND ITS EFFECT ON HEALTHCARE PROVIDENCE References David, R. R., & Cole, S. (2017). Healthcare in Appalachia and the Role of the Federal Government.W. Va. L. Rev.,120, 1001. Finer, L. B., & Zolna, M. R. (2016). Declines in unintended pregnancy in the United States, 2008–2011. New England Journal of Medicine,374(9), 843-852. Khalifa, M. (2014). Technical and human challenges of implementing hospital information systems in Saudi Arabia.Journal of Health Informatics in Developing Countries,8(1). Mixer, S. J., Fornehed, M. L., Varney, J., & Lindley, L. C. (2014). Culturally congruent end-oflife care for rural Appalachian people and their families. Journal of hospice and palliative nursing: JHPN: the official journal of the Hospice and Palliative Nurses Association, 16(8), 526. Suleiman, A. K. (2014). Attitudes and beliefs of consumers of herbal medicines in Riyadh, Saudi Arabia. J Community Med Health Educ, 4(2), 269. Running head: APPALACHIAN AND ARAB HERITAGE Roxana Tejera Florida National University Nursing Department BSN Program NUR 4636 01/29/2019 Prof. Cassandre Milien 1 APPALACHIAN AND ARAB HERITAGE 2 1. An overview of the Inhabited localities and topography of the Appalachian and Arab heritage. • Arab heritage Arabs are originally from 22 countries which are united by a common language. The majority are Muslims, but original Arabs reportedly were Christians and settled in the Northeastern United States. The original 22 countries stretched from the Arabian Gulf to North African countries which included Libya, Syria, Egypt, and Morocco. To the east, it stretches to Yemen and Iraq, and contrary to the common belief, Turkey and Iran are not Arab countries. Their communication majorly involves speaking of the common classical Arabian language with diversity noted in religious views, political standing as well as ethnicity (Anjum, 2015). In the United States, the Arabs majorly occupy the areas of Detroit, Los Angeles, Washington, and New York cities. • Appalachian heritage The name originated from the Appalachian Mountains, and the people took the name as they secluded themselves and settled along the Appalachian Mountains found on the Eastern part of the United States. The region stretches from the Mississippi to Western areas of the New York State. They majorly practice farming and are typical classical people with typical activities including white and blue collar jobs. The Appalachian people origin is majorly from the European countries of Germany, Scotland, France, England, and Wales and shared many cultural beliefs. 2. Health heritages of the Appalachian and the Arab people similarities Both heritages believe that Good health is the ability to deliver on one’s responsibilities and as such, it is a gift from God, and it is because of his Grace and Will. Religion plays a significant role in the lives of people. Good health is desired by all and as such illness is feared as it inhibits one’s productivity. Moreover, both cultures have beliefs against seeking of external help APPALACHIAN AND ARAB HERITAGE 3 in resolving health issues, and the doctor may be consulted at an advanced stage where the illness may have reached a critical condition. This is a belief that the people have held for a very long time. Public display or a direct approach towards an illness is highly frowned upon by the two heritages. Furthermore, both heritages encourage aggressive practices for self-care and as such self-reliance regarding personal health. The traditional approach toward medication of sicknesses is still highly regarded and practiced. This includes the use of herbal medicines, Poultices and teas in trying to treat and cure diseases. Both heritages highly portray the tremendous influence of outstanding cultural traits in the process of communal healthcare. There is distrust towards outside forces as regard to counseling intervention. This is to mean that any psychological issues are highly disregarded especially among women. It is therefore prudent of existing therapists to utilize the knowledge they have to understand the significance of cultural distinctiveness and its application in solving the issue. The Appalachian and the Arabian heritages are highly patriarchal, and as such, it is passed on to stigmatizing of mental health victims. 3. Folks and religion influence in healthcare delivery Folks reservationist beliefs and traits have largely influenced and impacted healthcare delivery among the Appalachian and the Arabian people. Religion as well makes the people believe that good healthcare is according to God’s will and that God grants want the sense of wellbeing in the form of good health. Consequently, this leads one to easy believing that any form of ill health or sickness would require divine intervention. Such belief is outrightly digressive and pervasive in the manner it affects the well-being of individuals in the society. The Appalachian people, for instance, have one essential health practice of passing the management of illness to individuals with no relevant medical training and as such it serves as big hindrance to seeking APPALACHIAN AND ARAB HERITAGE 4 effective healthcare interventions. This is primarily reflected in the deep-rooted smoking habits of the population such that the majority of the population are reluctant to make confident decisions such as quitting smoking. The Arabs, on the other hand, have numerous misconceptions regarding the causes and the treatment of sicknesses (Hajaj, 2015). Most of the diseases are attributed to fatal reasons and that a supreme being is in charge of their health. This is in deep contrast to the Westerners’ belief that they are the masters of their own destiny. Most of the Arabs, therefore, do not consult professional health services, and such is a detrimental trait as it spans across both genders (Purnell, 2012). The above is just a depiction of the detrimental health practices of the Appalachian and the Arabian people attributed mainly to cultural and religious beliefs. APPALACHIAN AND ARAB HERITAGE 5 References Anjum, O. (2015). Islam as a discursive tradition: Talal Asad and his interlocutors. Comparative Studies of South Asia, Africa and the Middle East, 27(3), 656-672. Hajaj, H. (2015). Working with Arab American Clients: A culturally relevant, sensitive, and competent approach. Retrieved from Purnell, L. D. (2012). Transcultural health care: A culturally competent approach. FA Davis.
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