Health Promotion for Older AdultsCurriculum Module Latino

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					Health Promotion for Older Adults: Curriculum Module

                 Latino Elders
    Northwest Geriatric Education Center
    module by Frances Munet-Vilaro Ph.D
        presented by Walter Barillas
         Supported by HRSA Grant # D31 HP 70139-02 NWGEC and AKGEC




                        slide prepared by A. Jache
                               AKGEC 2004
Latino Ethnic Cultural Groups in the US
Central America South America                 Caribbean
Belize         Columbia                       Cuba*
Costa Rica     Venezuela                                   g
                                              Santa Domingo*
El Salvador    Brazil                         Puerto Rico*
Guatemala      Chile
Honduras       Argentina
Mexico
Mexico*        Ecuador
Nicaragua      Bolivia
Panama’
Panama         Paraguay
               Uruguay
               Peru
               P
                 slide prepared by A. Jache
                        AKGEC 2004
slide prepared by A. Jache
       AKGEC 2004
      Diversity of Latino Elders
  Many Mexicans and P t Ri
• M      M i                                 to the
                      d Puerto Ricans came t th
  US in search of jobs.
• Many Cubans came to the US as political
  refuges
• Puerto Ricans are American citizens - free to
  travel to their country or origin
• Puerto Ricans, as citizens, and Cubans, as
  citizen refugees, receive social and health
  services not available to undocumented Latinos
• There is variation in enculturation among Latino
  elders and their families

                   slide prepared by A. Jache
                          AKGEC 2004
Shared Cultural Beliefs and Values
• Religion
  – Primarily Catholicism as introduced by Spaniards
• Luck and Fate
  – Belief that external forces cause disease and illness
  – Health and illness understood as outside control of
    individual
• Familismo
  – Strong sense of loyalty, reciprocity and solidarity



                     slide prepared by A. Jache
                            AKGEC 2004
                 Simpatía
•   Smooth and pleasant social relationships
•   Warmth
•   Concern for others
•   Harmony in personal relationships
•   Ability to share in others feelings
•   Dignity and respect toward others


                  slide prepared by A. Jache
                         AKGEC 2004
                 Dignidad
• Self-worthiness and dignity
• Behavior that reflects respect for self and
  others during interpersonal relationships
  and interactions




                 slide prepared by A. Jache
                        AKGEC 2004
           Power Distance
• Obedience to and support of those in
  charge of organizations
      g       g




                slide prepared by A. Jache
                       AKGEC 2004
               Respecto
• Respect
• Avoid negative behavior in interpersonal
  relationships




                slide prepared by A. Jache
                       AKGEC 2004
               Lineality

stress the role of authority in solving
problems




               slide prepared by A. Jache
                      AKGEC 2004
                   Familism
•   Loyalty
•   Reciprocity
•   Identification with
•   Solidarity
•   Attachment
    – Within nuclear and extended family



                    slide prepared by A. Jache
                           AKGEC 2004
               Confianza
• Trust and generosity




                slide prepared by A. Jache
                       AKGEC 2004
            Personalismo
• Formal friendliness




                slide prepared by A. Jache
                       AKGEC 2004
               Fatalismo
• Está para pasar
   what              be
• “what will be will be”
• Should not be regarded as a negative life
   i
  view




                slide prepared by A. Jache
                       AKGEC 2004
           Health Practices
• View good health as a state of equilibrium
• Illness comes from imbalances and
  supernatural causes
  Treatment
• T t       t
  – Hot or cold
  – Wet or dry



                  slide prepared by A. Jache
                         AKGEC 2004
    Hot and Cold Classifications
            of Illnesses
HOT ILLNESSES                   COLD ILLNESSES
Fever                           Pneumonia
Infection                       Phlegm
Diarrhea                        Joint Pain
Kidney Problems                 Menstrual Period
Skin Rashes                     Tuberculosis
Sore Throat                     Headache
Constipation                    Stomach Cramps
Cancer                          Paralysis
                  slide prepared by A. Jache
                         AKGECCancer
                                 2004
                  Hot or Cold
• Example
  – Gastrointestinal ailments attributed to
  – Empacho
     • Eating too much hot or cold food that irritates the
       stomach lining
     • Treatment of empacho
        – teas and broths made from “warm” herbs treat empacho
          caused by eating too much cold food
        “cold” herbs such as yerba buena treat empacho caused
          by eating to much hot food


                     slide prepared by A. Jache
                            AKGEC 2004
         Hot and Cold Foods
HOT FOODS                       COLD FOODS
Cheese                          Fresh Milk
Eggs                            Barley
Chocolate                       Lemons
Evaporated Milk
   p                                y
                                Honey
Beef                            Chicken
Light beans
Li ht b                         D kb
                                Dark beans
Garlic                          Sugar cane
                                  g
                  slide prepared by A. Jache
                         AKGEC 2004
        Selected Hot and Cold
              Remedies
HOT REMEDIES                    COLD REMEDIES
Iron Tablets                              g
                                Milk of magnesia
Chemotherapy                    Lemonade
Mentholatum rub                 Bicarbonate of soda
Vitamins                        Sage
Herb teas                       Linden
Penicillin                      Mint
Aspirin
Cinamon
                  slide prepared by A. Jache
                         AKGEC 2004
      Home Health Remedies
• Beef bone marrow soup for anemia
• Passion fruit juice for high blood pressure




                 slide prepared by A. Jache
                        AKGEC 2004
 Herbs used as home remedies
SPANISH    ENGLISH      BOTANICAL REMEDY            PREPARATION

NAME       NAME         NAME
albahaca   Sweet        Ocimim         empacho
                                      “empacho” tea
           basil        bacilicum
 yerba
“yerba”    mint         Mentha            Colics and tea
buena                   arvensis          to reduce
                                          g
                                          gastric
                                          secretions
Hoja de    Sour          Citrus           To calm    tea
Naranjo    orange        aurantium nerves
           leaves                         insomnia
Salvia                                    Menstrual tea
           Red sage slideSalvia by A. Jache
                          prepared
                         officinalis
                           AKGEC 2004
            Folk Beliefs
Healers distinguish between diseases with
natural origins and those caused by
           g                      y
external, supernatural forces.

   e.g. Mal de ojo (evil eye)
        susto (fright)



               slide prepared by A. Jache
                      AKGEC 2004
FOLK HEALERCOUNTRY/ORIGEN EXAMPLE

Curandero(a) Mexico/Aztec and             Herbs and poisons
             Spaniard
Sobadora                                  Manipulation of bones and
                                           usc es      oils and o o s
                                          muscles with o s a d lotions
Partera                                   Herbs and spices
Yerbero                            “midwife” with no formal
                                   training
Espiritista   Puerto Rico/African, Candles, poisons, animal
              Spaniard, Indigenous sacrifices, prayer
              inhabitants
Santero       Cuban/African and           Herbs, rituals, poisons, animal
              Spaniards                   sacrifices, prayers
                        slide prepared by A. Jache
                               AKGEC 2004
  Health Promotion Strategies
  Provide trained interpreters
• P id t i d i t          t
                                   g
• Demonstrate Cultural Understanding of
  – Personalismo
  – Confianza
  – Respteto
  – Familisma
• Understand cultural beliefs
• Recognize the use of alternate health
  p
  practices
                   slide prepared by A. Jache
                          AKGEC 2004
   Northwest Geriatric Education
    Center Curriculum Modules
• This presentation was prepared using
  content from Health Promotion for Older
  Adults: Latino Elders by Frances Munet-
  Vilaro PhD
  Vilaro, PhD.
• The complete module including list of
  herbs used as home remedies is available
  from the NWGEC website at
  http://depts.washington.edu/nwgec

               slide prepared by A. Jache
                      AKGEC 2004

				
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