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1、RespectfulCommunicationCertaintopicsaretabooinsomecultures.E.g.,askinganolderLatina/Hispanicunmarriedwomanaboutsexbehaviorcanbeconsideredoffensive.Youmaywanttotellthepatientthatyourealizethatsomethingsarenotnormallydiscussed,butthatitisnecessarysothatthebestcarecanbeplannedAlternative&Complement
2、aryHealingSystems/TechniquesLatino/Hispanicalternativeandcomplementaryhealingsystemsortechniquesinclude:Curanderismo,Espiritismo,andSanteria.Healersinclude:Curanderos(generalpractitionersofMexicanfolkhealing)Alternative&ComplementaryHealingSystems/TechniquesEspiritistas(PuertoRicanfaithhealers)S
3、anteros(Cubanfaithhealers)Yerbistas(herbalists)Sobadores(massagetherapists)Folkhealersoftentreatchildrenforconditionssuchas:Alternative&ComplementaryHealingSystems/TechniquesColico(colic)Empacho(lockedbowels)Susto(fright)Maldeojo(evileye)Caidadelamollera(fallenfontanel)Alternative&ComplementaryH
4、ealingSystems/TechniquesHealersalsoperformspiritualcleansing(barridasorlimpias).InsufficientdataexistsregardingtheextenttowhichalternativeandcomplementaryhealersandsystemsareusedbyHispanicsVilla,M.L.,Cuellar,J.,Gamel,N.,&Yeo,G.(1993).AgingandHealth:HispanicAmericanElders(2ndedition),SGECWorkingP
5、aperSeries,Number5,EthnogeriatricReviews,StanfordGeriatricEducationCenter.LatinoHealthCareGapsComparedwithnonLatinowhites,Latinosarethreetimesaslikelytobeuninsured.Manyhavenoregularsourceofprimarycare,receivefewercheck-ups,cancerscreeningsandotherpreventiveservices.Theyrelyheavilyonsporadicandem
6、ergencyroomcare.Asaresultoflatediagnosis,breastcanceristheleadingcauseofcancerdeathamongLatinas.NationalCancerInstitute,CancerNet,BreastCancerFacts,1999Hispanic/Latinos“Doubleburden”DotyandIveshaveextensivelydocumentedLatinos“Doubleburden”1)LimitedEnglishproficiency(LEP)2)LackofhealthinsuranceTo
7、gether,the“doubleburden”canbeadeathsentenceDoty,M.andIves,B.“QualityofHealthCareforHispanicPopulations:FindingsfromtheCommonwealthFund2001HealthCareQualitySurvey.”CommonwealthFund(March2002),Pub#526.English-onlyHealthcarePro
