Filipino Concepts of Health

CULTURE

is the shared ideas, meanings, and values acquired by individuals as members of society.

socially learned

culture is ___ __, not genetically transmitted, and often influences us unconsciously

unconsciously

culture is part of the environment we grew up in, so ___ we are influenced

subconsciously

Advices from grandparents, ___ you follow, at some point you'll follow and wonder why

ancestors and around the family

culture passed down from ___ __ __ _- __; becomes ingrained in their daily lives

culture

"totality of socially transmitted patterns of thoughts, values, meanings, and beliefs" (Purnell 2005).

Health is a cultural concept

Cultural awareness

as a prerequisite to cultural competency

Cultural competence

ability to provide, organize, and deliver effective healthcare that can meet the sociocultural and linguistic needs of our patients

Cultural competence

Skill you need to acquire to effectively give treatment to your clients

differences of the culture

You need to be aware of the __ __ __ __ of the people you are seeing, not just in the province but also in metro manila

all walks of life

We have clients with __ __ __ __

Filipino culture

has evolved as a mixture of indigenous as well as imported and borrowed elements

Evolved from the beginning of time

pre-colonial folk traditions, catholic religious concepts, american colonization

Current Healthcare is a mix of

different gods (god of natures)

Before catholicism was introduced, people believed in ___ __ (__ __ __) , apply to beliefs of illnesses and treatment

Spanish colonization

Run by nuns and priests (first healthcare providers)

american colonization

During __ __, allopathic medicine was introduced

Allopathic

different healthcare professional, doctor, nurses, and specializations, Western medicin

Modesty and shame

response to certain illnesses and diseases

Modesty

Example: hindi okay lang ako even though we are the one who feels sick)

Illnesses

can be viewed as signs of weakness and tend to be ignored or disguised up

napagod, namana

illnesses disguised up: example: ay walang lang yan, ___ lang yan, ay __ lang yan)

nilalagnat

In the low socioeconomic status, hindi pa naman siya __ (kaya wala pa sya sakit)

nilalagnatqMisconception: If you are sick but hindi ka __ okay ka lang

Fever

is not the only basis or dictator

confessed

Disguised up: sometimes filipino are not upfront even though one felt fever or chills, sometimes this is not

sickness

misconception can be connected to knowledge of what encompasses ,

specific, vague

That is why you need to know how to probe your patient. Be more ___ and less __.

Physical illness > mental illnesses

People not being aware of reality of mental illnesses (wala naman ganiyan noon, from elderly)

lifestyle, technology, food

Big change in the society

acceptance

Awareness comes with ___, it is not accepted since it is very hard to see

rapport

you have to build ___, to get to know your clients and their caregivers or relatives, and establish trust among everyone

Shaming, Unwillingness to Accept, Reliance to Traditional Medicine, Preclusion to Treatment, Limited Awareness, Connotation of being Weak

Response to Illness

stay at home because you cannot learn, and you are hidden

Deaf Evangelical Alliance Foundation, Found it very difficult to find students when they started the school, they needed to look for deaf students themselves and found only 3 who were willing, Because the belief was when you are deaf you

tube feeding

Carla Quadros's research on perception and beliefs of elderly filipinos on

embarrassing

Tend not to see the benefit of tube feeding even thought it works This is because they perceive it as __, they feel its the lowest point because you can't even feed yourself, It comes with discomfort

Naturalistic Theory

natural causes or elements like hot, cold, and balance of body systems

Pasma

sweaty palms

pasmado

Don't wash your hands after you iron, or else you'll get

pasmado

Don't wash or take a bath right away when you're tired, or else you'll get

Namana

passed down traits

tatay

Namana: Baby is born cesarean, ganyan din ___ niya,

suhi

Namana: pinaglihi daw siya crabs kaya "___" - leg first

pagmamana or pinaglihi

Physical deformities, attribute it to sa

Personalistic

"active, purposeful intervention" of an agent associated with social punishment or retribution from supernatural forces such as evil spirit

human, a spirit, or supernatural entity

Personalistic: Agent can be a

"sumpa" "namaligno"

Other entity causing, may it be human or not

namaligno

naaswang or namonster

sumpa

cursed

Nuno

when you disturb an ant hill, kaya nag higante ang nuno kaya siya nagkasakit

Mystical

experiences or behaviors such as ancestral retribution for unfinished tasks or obligations, Soul comes out of the body and wanders

Bangungot

Sleep paralysis, When you eat a heavy meal then sleep afterwards

Rico Yan

people say na nabangungot siya, went to a party and he ate a lot and natulog

Naturalistic vs personalistic

disease etiologies in the non-Western world

trust

We cannot invalidate the beliefs, because __ won't be established

let go

You have to be willing to accept that they won't completely __ __ their practices just because you said

stress and emotional well-being

Balance of

traditional and home remedies

If it is something that makes the mentally more balanced when they do __ __ __ __ incorporated with a more western approach then it is okay, as long as there is no harm being done

no harm done

Accept whatever they're doing, assure __ __ __

hot and cold

Multiple practices across the world about the balance of __ __ __ in our body

warm, luke warm

Chinese: food should be __ , water is __ and not cold because there should be a balance

heat is circulating

India: after giving birth, you are wrapped in a clothe (lower part of the body), in a room that is closed off because __ __ __ completely

traditional medicine and home remedies

People from rural areas generally rely on __ __ __ __ __

Ointments, Herbs and Roots

Self medication

Manzanilla

Bagong panganak na bata lalagyan ng tummy nito para hindi kabagin masyado, Work to some extent, it keeps the tummy warm

Efficascent Oil

Use for massage, when you have body ache or pain

White flower

You put in the head for headaches

herbs and roots

Medicines came from this before western medicine came about

herbs and roots

as long as there is no harm being done, Keep them well informed, Not well informed to stop them from doing this

Faith healers

More in rural areas than metro manila

Faith healers

Albularyo

Faith healers

Art and science of ancient filipino healing

Faith healers

God-given gift sometimes to find out what's wrong with you/ cure you

herbs/roots

Sometimes Faith healers gives __ __ you can drink

physically remove

Other side of faith healers, __ __ what is ailing you

Hilot

"Hanapin mo baka nabalian pag may sakit", Hindi madadala sa __ lahat, Contrary to put broken bones in a cast

Lamig

knots in the body, kaya masama pakiramdam mo

plants and prayers

Before, they "hilot" while using ___ __ __ to make it go away

Tuob

steam inhalation, evident during COVID, alleviate congestion feeling

Previous use of medicine

Reason for using Folk medicine: Did not work for them, or they believe in folk treatments more

Lack of trust

in current healthcare system, You are from province, it works, But when you are sick in manila there is pills

Continuing tradition

passed down through generations

Supplementing their current treatments

Follow folk treatments that have worked for them in the past

supplements

Prone to scam: because they are using

Popular: white gulaman (clear gulaman)

Claim that their illnesses go away, It is okay as long as you don't cause harm

know more, communicate understand, gauge risk

steps when facing patients using folk medicine

folk medicine

Filipinos tend to know more about __ __ than western/ scientific medicine

Cultural belief

really affect their understanding of the different diagnosis you are trying to discuss

Karen Davila

initially when her child was diagnosed, she asked what medicine is needed to cure her child, Doon niya lang narealize na it's not a disease it is a condition that is life long

life long

You have to explain this enough because people go to you so that this certain condition goes away, but you can't promise that if it is

decision-making

Cultural belief affects their ___ __, when recommending treatments or changes in life

cope

Cultural belief affects how they __ with this changes

cultural beliefs

They need to be well informed with the current practices while balancing __ __

trust

You need to build __, by giving information and communicating it without bombarding and doing it the right way, while knowing when not to give information

Communication

we need to be able to ___ our decisions and rationale, as SPs obligation to the client, parents

precursory skills

Example: Parent: I want them to talk, goal is turn taking, these are __ __ before a certain goal,

steps and prerequisites

You need to inform them the importance of __ _ __ and connect these concepts to them

goals

explain Why we are targeting certain __ →

pakainin daw ng pwet ng manok

How it's related to SLP: Stuttering: "What are remedies" - ", constantly opens and closes, so tutuwid pagsasalita mo