Please respond to discussion below using current APA edition and 2 Academic (Scholarly) references within 5 years or less. Must be at least 150 words.
Choose two or three areas of prenatal care that you would want to discuss with Mary, and then write brief notes about what you know and/or need to learn about Amish values to discuss perinatal care in a culturally congruent way.
Reproductive health is one of the culturally contextualized aspects of care. Many issues need to be addressed in this case. First, I would advise and educate Mary about reproductive health planning. Even though there is no specific number of children women are recommended to have, I would advise her to consider a family planning option. Even though Amish families do not practice birth control to limit family size, I can educate and sensitize her about family planning options to help her make decisions and control future childbearing. The knowledge and attitudes surrounding family planning might be shaped by culture. Thus, there is a need for cultural competence care that will address the health problem from a cultural perspective. The requirement for cultural competence is recognized by healthcare providers and health-associated institutions in the U.S. and globally by acknowledging that people deserve respect within their cultural framework and as individuals (Purnell & Fenkl, 2019). As a result, the family planning care for Mary would be implemented while respecting Amish cultural frameworks.
Secondly, it would be necessary to highlight and discuss the essence of healthcare services and follow-up. Amish families often have different perceptions of health and illness, with a mix of modern and traditional medicine, complementary or alternative medicine. I would openly discuss their values, preferences, and attitudes toward specific therapeutic options for managing the sick child. Baby Melvin has respiratory problems, and the physician has informed them that the baby will be hospitalized if he does not improve within two days. Amish people may not seek medical attention for minor illnesses. However, they are more apt to use folk remedies and herbal teas. Thus, in this case, while managing this child, it will be essential to consider the risk of the child not being presented to the hospital due to the potential use of alternative medicine. The mother and her family need to be sensitized about the essence of medical follow while, at the same time, considering Amish cultural values and beliefs regarding healthcare services.
Discuss three Amish values, beliefs, or practices to consider when preparing to do prenatal education classes with Amish patients.
The knowledge, beliefs, and practices linked to childbearing among Amish women or families remain the center of focus in their healthcare delivery. Amish childbearing health practices feature high-risk problems during the childbearing period, with a general mistrust of outsiders. In addition, it must be noted that Amish separateness is quite isolated from the larger society at large, thus, worsening cultural conflicts when it comes to the delivery of care. As a result, there is a growing misunderstanding that has contributed to challenges for care providers who are not conversant or practice the Amish culture. This cultural diversity calls for an in-depth examination of Amish culture so that culturally congruent care for this population. First, babies are considered a gift from God in the Amish culture, which makes fertility be a highly valued element. Thus, birth control is unwelcome practice because it counters fertility. In other words, Amish families may not use birth control to limit their family size.
Second, modern medical interventions such as therapeutic abortions, amniocentesis, and invasive prenatal diagnostic testing are not accepted by the Amish community. Families who have children with genetic conditions are expected to manage health care within the context of cultural communities. Amish families do have a significant rate of genetic conditions, but few studies have documented family management of such disorders, given their low acceptance of therapeutic abortions, amniocentesis, and invasive prenatal diagnostic testing (Kueny et al., 2021). Thus, it becomes challenging to address their reproductive ethical concerns and carry out diagnostic procedures for identifying fetal abnormalities. Third, prenatal care commences in the first trimester of a first pregnancy but with delays in the subsequent pregnancies so long as the mother has no health challenges. This cultural aspect should be considered when developing a prenatal care plan for Amish families.
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