Saturday, March 31, 2012

Reflection on Cultural Competency: Identify the major cultural and economic groups in your target community or focal area.

            My targeted community, East Utica, major culture groups are divided in race chronologically, such as white, African American or African or Black, Hispanic, Asian, Native American or West Indian, and least Arabs. On the economic groups are based on various categories, such as race and social life such as level of education. For example in, my neighborhood, whites are majority by race and their economic level is affluent, followed by Asian and Arabs, compare to the African American, Hispanic and Native American. In my neighborhood, economic status tends to be better from individual to individual based on the level of education, the more one is educated the better of economically is; in this case, Asians then Africans are better of by ratio.

Case Studies Euthanasia, Assisted Suicide, and Palliative Care; Legal and Ethical Issues In The Healthcare: Critically Ill and Dying

 After reading chapter 11 in the Tong book, answer the Case Study questions for the four case studies at the end of the chapter, pp. 285-288. Post your answers here. Connect your answers to the readings.

Case Study #1
Q. a
            On Mr. Najiri’s case, physician may have raised a serving no usefulness purpose of medication to Mr. Najiri’s condition that justifies discontinuation of artificial means of life support due to Shiite Muslims belief. However, the physician justified his/her position that Mr. Najiri’s brain dead means no life, and no medical treatment is possible according to main stream American values when he/she said that “in the United States brain death is death” {Tong, 2007 p.286}.  Regardless of Shiite Muslim faith, since Mr. Najiri is in America and physician has pronounce his brain dead and further ruling out that since Mr. Najiri’s brain is dead “the hospital will no longer continue to support his cardiac functions artificially”. {Tong, 2007 p.186}. Because professionally physicians are trusted by American community to evaluate and treat patients and that only a physician can pronounce death, on Mr. Najiri’s case the family members would have to abide by physician’s decisions or transfer him to another hospital outside of America for further treatment that can fulfill their faith and belief of death.

Legal and Ethical Issues In The Healthcare: Case Study The Professional Patient Relationship

On question a I believe that the medical staff met their obligation of diagnosing Lincoln’s sickness, which was “severe anemia due to hemorrhaging” by Tong 2007, and were able to explain the care plan procedure and its importance, his physician recommended blood transfusion immediately before his lost his consciousness. (Tong, R. 2007p.58)

I understand that faith of Jehovah’s Witnesses does not allow them to agree to blood transfusions for themselves or their children. Because they believe that blood transfusion is the same as eating blood and is prohibited by the Holly Bible. ( However, as physician I would have go ahead and transfuse blood on Lincoln, because the ethical responsibilities of healthcare staff is to serve life’s within their capabilities as such powers are vested to them upon licensure. As a healthcare staff on the scene of such incident, Lincoln was willing for blood transfusion after the merit of such practice were explained to him by his medical staffs. He was competent enough to understand and he showed signs of acceptance of treatment. Therefore transfusion to Lincoln is of his best interest and not otherwise. (Tong, R. 2007p.58)

Thursday, March 1, 2012

Tanzanian Salad (Swahili Kachumbari)

Tanzanian Salad (Swahili Kachumbari)

This is Tanzanian -Swahili side dish -salad recipe from Fatherhood Life Blog. It is simple, easy to make and healthy side dish that fathers can make to cheer up family meal. I guarantee you that kids and guests will always remember this kind of dish, or side as you may call it. It goes well with chicken/beef sauce  with rice, Pilau/Swahili-Tanzanian spice dirt rice, Ugali-Tanzanian main food made from maize stiff porridge like (Fufu as West African calls it), and Machalari- Moshi Kilimanjaro Chagga people main dish made of Banana and beef.