Discussion 4

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California State University, Dominguez Hills *

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306

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Medicine

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Apr 3, 2024

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docx

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Discussion 4 Topic 1: Holistic Health: Complementary and Alternative Medicine Word Count: 406 Tai Chi, originating in ancient China, has gained significant popularity in the realm of complementary and alternative medicine (CAM). Rooted in Taoist philosophy and martial arts, Tai Chi combines slow, flowing movements with deep breathing and mindfulness techniques. Its gentle, low-impact nature makes it accessible to people of all ages and fitness levels, attracting attention for its potential health benefits (Urits et al., 2021). Tai Chi is believed to have been developed in the 12th in China (Sharma & Haider, 2015). Over time, various styles and forms of Tai Chi emerged, each with its own characteristics and emphasis on different aspects such as health, self- defense, or spiritual development. While it is not practiced as a primary source of health care, it has been used as an additional form of therapy and health practice for centuries (Sharma & Haider, 2015). In the realm of CAM, Tai Chi is often praised for its myriad health benefits. Research suggests that regular practice of Tai Chi may improve balance, flexibility, and strength, which can be particularly beneficial for older adults in reducing the risk of falls and improving overall mobility (Sharma & Haider, 2015; Urits et al., 2021). Additionally, studies have shown that Tai Chi may help alleviate symptoms of chronic conditions such as arthritis, hypertension, and fibromyalgia, as well as improve mental well-being by reducing stress and anxiety levels (Urits et al., 2021). While the effectiveness of Tai Chi in promoting physical and mental health is supported by a growing body of scientific evidence, its integration into mainstream healthcare and insurance coverage remains limited. Some insurance plans may offer coverage for Tai Chi classes if they are part of a structured program aimed at managing specific health conditions, such as chronic pain or cardiovascular disease (Sharma & Haider, 2015). However, coverage policies vary widely among insurers and may depend on factors such as the specific diagnosis, provider qualifications, and regional regulations. Tai Chi continues to gain recognition as a valuable adjunct therapy in integrative healthcare settings. Many hospitals, clinics, and community centers, including the hospital I work for, now offer Tai Chi classes as part of their wellness programs, which shows a broader acceptance of mind-body practices in conventional medicine today. Tai Chi's roots in ancient tradition and its demonstrated health benefits have positioned it as a valuable tool in complementary and alternative medicine. While insurance coverage for Tai Chi may be limited, its integration into mainstream healthcare settings shows its potential to contribute to CAM approaches to health and wellness. References Sharma, M., & Haider, T. (2015). Tai chi as an alternative and complimentary therapy for anxiety: A systematic review. Journal of Evidence-Based
Complementary & Alternative Medicine, 20(2), 143–153. https://doi.org/10.1177/2156587214561327 Urits, I., Schwartz, R. H., Orhurhu, V., Maganty, N. V., Reilly, B. T., Patel, P. M., Wie, C., Kaye, A. D., Mancuso, K. F., Kaye, A. J., & Viswanath, O. (2021). A comprehensive review of alternative therapies for the management of chronic pain patients: Acupuncture, tai chi, osteopathic manipulative medicine, and chiropractic care. Advances in Therapy, 38(1), 76–89. https://doi.org/10.1007/s12325-020-01554-0 Topic 2: Part I: Time Orientation Word Count: 221 Different cultures value time orientation diversely. Western cultures, like North America and Europe, prioritize punctuality and have been described as future oriented, especially more middle and upper-income individuals (Galanti, 2015). People in lower socioeconomic groups often have more present-time orientation. In contrast, many Asian cultures, such as Japan and China, embrace a more traditional past-oriented view. Moreover, cultures in Latin America often have a more relaxed, present-oriented approach to time, valuing spontaneity over strict schedules (Galanti, 2015). Understanding these differences is crucial for effective cross-cultural communication and respecting cultural diversity . Personally, I might have taken for granted the different viewpoints cultures have about time orientation when interacting with patients in a hospital in the past. I have typically spoken to patients in future oriented terms. As a new graduate nurse, it has been difficult to stay on time in my tasks and I have the tendency to rush in and out of patients' rooms. This class is making me more aware of these cultural differences and allowing time for non-health related inquiries might be important to incorporate into my practice. While I have never encountered a situation where time orientation clearly posed a problem between myself and a patient, I could see how a patient might feel more respected and build better rapport if their time orientation is taken into consideration. References Galanti, G.-A. (2015). Caring for patients from different cultures. University of Pennsylvania Press. https://doi.org/10.9783/9780812290271 Topic #2: Part II: Communication and Time Orientation: Working with Health Care Providers from Different Cultural Backgrounds Word count: 221 In nursing, time orientation barriers can occur when healthcare providers from different cultural backgrounds have differing views on punctuality and timing. For instance, a nurse who is used to following strict appointment schedules may encounter difficulties when working with a coworker from a culture where flexibility in timing is valued. This has happened to me before when communicating with about volunteering at clinical sites where the
event organizer had a much more flexible time orientation than myself. In the healthcare setting, this mismatch in time perceptions can lead to misunderstandings, delays in patient care, and potential conflict. Effective communication, knowledge of cultural differences, and cultural sensitivity are essential for navigating these obstacles. I value promptness in my work, because of how difficult time management and scheduling can be in nursing. Communicating clearly in regards to time orientation is important between healthcare staff, and can even be a factor in the perceptions of electronic health systems (Lin, 2015). Orders that are written as STAT clearly communicate an urgent need, but other communications between healthcare teams might not be as clear. We also need to be aware during our interactions with patients if we are clearly communicating time orientation when we explain the course of medication and reasons for follow up. Understanding time orientation can prevent miscommunication and improve patient teaching (Galanti, 2015).
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