Verbal And Nonverbal Communication In Health Care

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Communication
“Communication embraces the entire world of human interaction and behavior” (Giger & Davidhizar, 2002, p. 185). Communication is how culture is preserved and transmitted (Giger & Davidhizar, 2002). There are two types of communication in one’s culture, these include verbal and nonverbal. Some examples of nonverbal communication are, facial expressions, body language, hugging, shaking hands and other forms of touching. Communication can be the biggest barrier in working with patients from diverse cultural backgrounds (Giger & Davidhizar, 2002).
Space
Space refers to the distance between individuals when they interact (Giger & Davidhizar, 2002). According to Hall (1966), there are four zones of interpersonal space: intimate, personal,
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185). By choosing what environmental activities or what environments to be around can affect the health of an individual. If an individual comes from a cultural group where there is less belief in internal control and more in external control, there may be a fatalistic view in which seeking health care is viewed useless and may not believe in medical intervention (Giger & Davidhizar, 2002).
Biological Variations
Biological variations exist between individuals in different racial groups, especially with genetics (Giger & Davidhizar, 2002). Individuals in different cultural groups are predisposed to certain health problems. The biological differences in people are not as well understood in various racial groups (Giger & Davidhizar, 2002). A general knowledge of a cultural group is a good start in how to provide culturally appropriate care for an individual.
Jewish Culture and End of
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This individual is not permitted to fast on Yom Kippur, because fasting at such a time would endanger the person’s life (Rich, 2017). Jewish law recognizes that the agony of a moribund person should not be stretched so, when the time to die comes, this should be respected (Baeke, Wils Pierre, & Broeckaert, 2011). Where death is imminent and certain, and the patient is suffering, Jewish law does permit one to cease artificially prolonging life. So, in certain circumstances, Jewish law permits stopping life support or refusing extraordinary means of prolonging life (Rich, 2017).
Communication in Jewish Culture Some orthodox Jews do not shake hands with members of the opposite sex, and prefer to only greet verbally (Jewish Culture, 2010). This is something the nurse should be aware of so they don’t offend the patient or the patient’s family or friends. When it comes to communication, there could be a need to discuss medical care with the family and a rabbi (Staff, 2017). Since in the Jewish culture death cannot be rushed or delayed, some groups of Jews may feel that discussing impending death with a patient is a sinful activity and likely to worry them prematurely into death (Staff, 2017). Because of this it may be worth talking to a patient and their family before a diagnosis is made, about whether to reveal the full extent of a condition (Staff, 2017). Because of these limitations and accommodations, dealing

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