Care of Mother, Child and Adolescent What is the family religion?

Do
Religion
(Well-Client) members actively practice?
Filipino Culture, Values and Practices in Relation to Maternal What does the family believe make
and Child Care one healthy? Cause illness? Make
Health Beliefs illness better? Do members use
Nursing Care Planning to Respect alternative therapies or traditional
medical practice?
Cultural Diversity Does the family mainly eat ethnic
ASSESSMENT Nutrition foods? Are the foods they enjoy easily
• Care can be planned based not on predetermined available in their community?
assumptions but on the actual preferences of a
Is the predominant culture in the
family.
community the same as the family’s?
• Poverty is a major problem for many minority ethnic Community
Can members name a neighbor they
groups.
could call on in a crisis?
o The reason for the late prenatal care and other
problems experienced by pregnant women in
relation of care. NURSING DIAGNOSISn
o Inability to purchase stuffs. • Anxiety r/t a cultural preference for not wanting to
• Many characteristic responses described as cultural bathe while ill
limitations are the consequences of poverty • Fear r/t possible ethnic discrimination
• Assess patients as individuals, not one as a group. • Impaired verbal communication r/t limited English
proficiency
Note particularly any cultural characteristic that differs from • Imbalanced nutrition, less than daily requirements,
the usual expectations of your care setting, so potential r/t unmet cultural food preferences
conflicts can be acknowledged, and culturally competent • Powerlessness r/t expectations of care not being
care can be planned. respected

AREA OF QUESTIONS TO ASK OR OBSERVATION OUTCOME IDENTIFICATION AND PLANNING

ASSESSMENT TO MAKE • Consider the culture towards that hospital field that
Where were the patients and we are working on
grandparents born? • It needs to be very specific for individual families
Ethnicity and very personal
What ethnicity does the family state is
theirs? • Begin care with an in-service education for team
What’s the main language used in the members who are unfamiliar with a cultural practice
Communication and its importance to a specific family involved.
home?
Does the family typically touch or hug • There may be need an adjustment to the hospital’s
each other? policy to accommodate cultural preferences
Touch
Do they mainly use intimate or
conversational space? IMPLEMENTATIONn
• Not to force your cultural values on others
Is being on the time important? Is
Time • Appreciate that such values are ingrained and
planning for the future important?
usually very difficult to change
Do family members express pain or • If possible, establish a network of healthcare agency
remain stoic in the face of it? personnel or personnel from a nearby
Pain
What do family members believe best university/firm to serve as interpreters
relieves pain? • Cultural negotiation – may call for both sides to
Is the family nuclear? Extended? adjust
Family
Single parent? Are the parent’s same
structure EVALUATION
sex? Are family roles clear?
• Parents list 3 ways they are attempting to preserve
Is the family male or female
cultural traditions in their children
Male and dominant? What is the patient’s
• Child states she no longer feels socially isolated
Female roles gender identity and what pronouns
because of her family’s differences
does he or she use?
 • Family members state they have learned to o Soft drinks
substitute easily purchased foods for traditional but
unavailable foods to obtain adequate nutrition ENCOURAGEDn
• Child with severe hearing impairment writes that he • To do activities such as:
feels communication with ambulatory care staff has o Rub coconut oil onto belly
been adequate o Listen to music a lot is she wants the baby to be
• Adolescent patient states he is ready to tell family musically inclined
about gender identity/ sexual orientation • To eat:
o Twin bananas
o Raw eggs
Myths and Beliefs Related to Pregnancy
o Eat a lot!
PREPARTUM
AVOID/DISCOURAGED FROM
OTHER MYTHS
• Wearing anything around neck
• A pregnant woman's food cravings will affect the
o It causes the umbilical cord to wrap around the
physical appearance of the baby.
neck of the baby (cord coil)
• “Pag matulis ang tiyan ng nanay, lalaki ang anak.
• Wearing of nail polish
Pag mabilog naman, babae.”
o Gel manicure is harmful because the UV lamp
• “Ang laki ng ilong mo! Babae ’yan.”
used to dry the manicure is harmful to the baby
• Did you say severe morning sickness?
• Going to funerals and the cemetery
Congratulations, you’re having a girl!
o Tie a red scarf – to prevent the bad spirits
• “Nangingitim ba ang kili-kili at leeg mo? Ah lalaki
o Reason why this myth is built is because it gives
‘yan!”
stress to the pregnant women
• “I watched Leonardo di Caprio movies all
• Steps over his husband and he will experience the
throughout my pregnancy, so I know my baby will
pregnancy discomfort
be tisoy, gwapo, and talented!”
o The “discomfort” he is feeling because he is
• A pregnant woman’s pinaglilihian will not affect her
also stressed about being a father
baby’s physical appearance. A baby’s looks are
• Eating from the same plate as a pregnant person,
developed from the parents’ DNA.
he/she will become sleepy
• Pregnant women to sew
INTRAPARTUM
o The pregnant women will have a difficulty in
• Traditions and superstitions
delivering a baby or may result to CS delivery
• Only women in the delivery room
• A pregnant woman should avoid crying so she
• Squash leaves on belly facilitates with birth
doesn’t end up with a crybaby
• Drinking coconut juice facilitates fast labor
• Drinking cold water or taking a bath at night
• Placenta given to father to be buried or hung
o “Lalamigin daw si baby”. But not true because
of the amniotic fluid • Evil spirits cause complications during birth
• Watching scary movies
PAIN MANAGEMENT DURING LABOR
o May lead to ugliness of the child
o It may cause preterm labor • Endure pain silently
• Negative thoughts towards a person • Ginger (drank boiled ginger or rubbed on belly)
• Walking outside barefoot (because of the pressure • It reduces pain
pt) • Has an anti-inflammatory effect
• Wearing tight – fitting clothing
OTHER MYTHSn
• Staying dependent position during last few months
• More pregnant women experience labor pains or
o It may lead to possible water retention
give birth when the moon is full.
• Sexual intercourse during last months
• Kung mahaba ang buhok mo, mahihirapan kang
• Eating:
manganak.”
o Taro [causes perineal area to be itchy]
• If you’re giving birth at home, lie down with your legs
o Sticky foods [didikit daw si baby]
facing the door. The bigger the door, the easier it will
o Prunes [magiging kulubot si baby]
be for you to give birth.
o Sweet foods
o Squid [it can tangle the baby’s cord] • A baby born at nighttime will stay awake during the
evening. So when giving birth, try to hold it until the
o Black foods [darker skin tone for baby]
next morning.