Since marime status is spread from object to object through contact, all upper-body clothes are washed separately from lower body clothing, and washed in separate containers, which are reserved exclusively for those clothes. Women 's clothes, because of women 's periodic marime status (due to menstruation), are washed separately, as are children 's clothes. An apron, interestingly, may be washed with upper body clothing because of its role in cleanliness and food preparation. Also, all cookware and tableware, since it comes into contact with food, is washed in its own container. Marime status is spread through contact, but contact is not limited to physical contact. According to Miller, actions such as yawning or looking sleepy -"because 'it means you 're thinking about going to bed '"- or discussion of childbirth at the table are taboo (Larkin, 1998).
(Campinha-Bacote, 2011), indicates the practice of cultural competency skills allows the individualization of care provided to patients, based on cultural group and not stereo-typing. Campinha-Bacote also stresses that a patient-centered and culturally competent approach to effectively resolving cultural conflicts should not result in a “win or lose” situation for either the patient or nurse; but rather result in a “win-lose/win-lose” situation in which values of the nurse and patient are