Honestly, I had a hard time doing research for this week's "culture" because there are way too many countries that make up the Asian continent.  There is no way that one article or one study is able to understand all the different Asian cultures and summarize it into cultural traits of all those people.  I did not appreciate the inference that there is only one Asian culture, but I did research some of the issues that Asian Americans face while trying to find access healthcare here in the United States.

Some of the problems that Asian Americans face when trying to access healthcare in the United States are language barriers, conceptualizing illness, interpersonal relationships and the influence they have over sick individuals.  First, the language barrier exists on many levels.  It is not simply the inability to understand English and needing an interpreter.  Many times Asian people, especially the elderly, are not literate to a standard that US medical pamphlets are printed in.  Also, many times, older Asians are illiterate in their own native languages, as well.  Even if an interpreter can be found, they cannot simply give a pamphlet to the patient and tell them it explains it all.  Also, it is very hard to translate medical information into Asian languages and often the interpreter will translate literally.  This goes hand in hand with conceptualizing illness.  Many Asian countries do not have the words to conceptualize different illnesses or problems within the body.  There is no medical terminology to explain or translate to.  Without a basic medical language, it is impossible to explain illness and procedures from one language to another.  Interpersonal relationships come into play because the family needs and wants outweigh what the individual needs and wants.  Accommodating the family and individual at the same time is very difficult and sometimes clashes against each other.

I know I will have the opportunity to care for an Asian patient in my career, but it honestly seems a little overwhelming trying to communicate what I want to convey even with the use of a translator.  I will have to find a way to make myself understood to both my patient and the patient's family to have good communication and compliancy of care.  I will need to find my boundaries of where I am willing to let the family override the patient and where I am not.  This is difficult and I will need to search how I feel before I can enter a situation like this.

I honestly do not know enough about the many different Asian cultures to be able to form personal feelings about it.  I will say that I love all kinds of Asian food and the Asians I have been able to meet were all very nice and polite.  It has always been my dream to travel to some of these countries, and I hope I will have the opportunity to form some good and happy feelings toward their cultures.

I have to admit I do not know much about this week's culture for our transcultural nursing class.  The only things I know about the Jewish culture are their food restrictions, a few of their observances, and the history of the Holocaust, which I feel would have a big impact on Jews today.  The gate is wide open for the knowledge I expected to gain during my research.

I chose to research the Jewish culture's view on charity.  Little did I know I was opening a can of worms.  I typed a few simple words and up pulled a long list of articles about the Jewish custom of Tzedakah.  Tzedakah roughly translated means charity.  Traditionally, this was a very important practice and part of the Torah way of life.  Everyone was expected to give in any way they could.  It was not only for the rich to bestow help to the poor.  It was for everyone to help who they could.  Even those who were in need should help how they could.  Through these acts as well as repentance and prayer, a Jewish person is able to receive forgiveness or a favor from God.  In addition to providing assistance, it was not looked at as shameful to accept assistance.  One should not act foolishly and cause themselves to be a burden, but they should be willing to ask for help.  These practices are still very much alive today among the Orthodox Jews.

I think that the way a lot of Jewish people perceive the act of charity is very inspiring.  Knowing this information, I can strive to give my patients the same courtesy and charity that they would show me.  I also would make sure to thank those who have donated to healthcare facilities as that is one of the ways they are able to fulfill their obligation of Tzedakah.

Based off the information I have learned, I have a new found respect for Jewish people and their desire to give and be charitable.  I think it is something we should all be striving for whether we are Jewish or not.  I have always respected devout Jewish people and their strict observances of their religion.  The more I learn, the more I understand why they do what they do and I can only gain more respect for their customs and culture.

I was not quite sure what I expected to learn about this week's culture.  We researched Native Americans, but since there are many tribes with differing cultures and regions, it is hard to pinpoint a whole collective culture.  I have learned a lot about the Shoshone this semester as it is my semester project, but I wanted to learn more about other tribes than just this one group, which in itself is made up of three different regional tribes.

My research did find one article that was pretty all-encompasing as far as I can gather about the traditions surrounding pregnancy and childbirth for Native Americans.  The article talks about how Native Americans traditionally believed in taking great care of themselves during their pregnancy to ensure a swift and uncomplicated birth.  They ate healthy and took care of themselves physically as well as maintained a happy and peaceful spiritual setting during their pregnancies.  They often used herbal remedies to prepare for birth and utilized physiological birth practices such as upright positioning and intuitive birthing movements to speed the birthing process.  Traditionally, First Nation women were served by only other women during their birthing time and many rites and rituals were performed to ensure good fortune and a swift birth.  Some of these traditions are still practiced today.

Since I am going to school to be a midwife, I found this information particularly important.  It is good to know where particular beliefs and practices that our clients have come from to understand why they do what they do.  There seem to be more regarding pregnancy and childbirth specifically.  I want to provide for those beliefs and practices among my varied clients as long as they are safe.  This research helps me know what I can do to enable these practices for this culture.

I find this culture to be the most interesting out of any I have researched.  I have always had some intrigue about Native American culture and history.  I love to read their stories and learn about their mythology and beliefs.  I have had a few Native American friends and they are wonderful people with wonderful backgrounds.  I hope I get the opportunity to serve Native American women in my practice and learn more about their traditions and culture.

The Deaf culture is a very interesting one and one that I fully enjoyed immersing myself in.  I have a lot of Deaf friends and have taken American Sign Language classes in the past.  I was hoping to learn something that I did not already have previous knowledge of because of my previous experience with Deaf people.  I know I do not know everything about their culture even though I have many Deaf friends and I was excited to find something new.

Most of research results were things I had experienced with my friends and classes.  I read about how open most Deaf people are.  They are very straight forward and prefer you speak directly to them instead of trying to avoid them.  They are accommodating and will try to help you understand them if you can't.  Many do not perceive themselves as having a handicap and will not worry about or seek ways to correct their hearing deficit.  They have a rich culture and language and are wonderful people to learn about.

One new thing I did learn was that there is a difference in the way they describe themselves.  There is deaf and there is Deaf.  People who associate with the culture, do not see themselves as handicapped, have mainly Deaf friends, and do not try to live within the hearing community are considered Deaf.  Those who do not learn sign language, try to be as close to hearing culture as they can, and try to fix their hearing loss are termed deaf.  Another thing I learned is that Deaf people tend not to seek healthcare because they feel like caregivers see them as having a disability and often leave feeling traumatized or worse than when they arrived.

I am very saddened by that last bit of information about the barrier between caregivers and Deaf people.  I would never want to create those feelings in another person whether it is because they are Deaf or not.  I know that there are translators available, but even with translators, I will still try my best to treat Deaf people as normal and listen intently to what they communicate and make them feel welcome.  There is no reason for them to unwelcome when they are seeking healthcare and there are always ways to communicate without words.

I love and appreciate the Deaf culture and everything they offer.  All the Deaf people I have met and had the privilege of associating with have been very courteous, kind, patient, and willing to talk.  They are honest and blunt but so good about it.  I like being able to communicate more with my hands and body movements and be able to read people honestly instead of hoping to catch the tone of their voice correctly.  It is so wonderful to spend time with Deaf people and I love all those that I have the privilege of having in my life.