Sie sind auf Seite 1von 3

Scott Batten

CP 1102
Monday, January 25th, 2016.
Cultural Competence/special populations/diversities: History of multiculturalism in chiropractic,
Hofstede Culture compass, definitions, women in chiropractic and health care, LGBT issues
Being a Chiropractor allows one to work in a variety of settings and environments.
Chiropractor's are fortunate to be able to interact with people of different race and ethnic backgrounds n
a daily basis. The profession of Chiropractic allows one to work with human beings as a whole and not
be limited to who we can help. One must keep in mind patient preference, patient needs, and patient
bio psychosocial needs1. These are important to help give the patient the best experience possible. A
chiropractor must also look at one's customs, actions and feeling when trying to understand themselves
and others1. Multiculturalism has greatly developed over time in the way of chiropractic. Martin
Luther King Jr. Advanced civil rights in the United States after black Chiropractor's had been
ostracized in 19681. World War II from 1939-1945 saw an increase in black chiropractic students1. DD
Palmer discovered chiropractic when he adjusted Harvey Lillard in 1895 who was a black man1.
Whites and blacks were not treated on the same tables1. In the mid 1900s black students were not
permitted to enter the Palmer Institution and the first black student was forced to study there1. Dr. Fred
Rubel was the earliest known African American chiropractor graduating from National in 19131. Dr.
Rubel established the Rubel College of Chiropractic in 19221. Clarence Reaver a white Chiropractor
helped establish Black and integrated schools in the 1940s-1950s1. Dr. Reese graduated in 1930 and
became the first black chiropractor to earn an MD degree1. Dr. Clague became the first black woman
chiropractor1. Dr. Kawaguchi graduated from Palmer in 1916 and first introduced Japan to what
chiropractic is1. One can see that multiculturalism has greatly changed over time. In today's society no
one even looks at the race of a person, it is based on who can help me more?. This is why providing
your patients with knowledge and treating every patient equal is how chiropractor's are truly successful.
The 6 dimensions of Hofstede's culture compass include the Power Distance Index,
Individualism versus Collectivism, Masculinity versus Femininity, Uncertainty Avoidance Index, Long
Term Orientation versus Short Term Narrative Orientation, and Indulgence versus Restraint. The
Power Distance Index looks at how societies handle inequalities among people2. Societies with a
higher Power Distance Index believe that everyone has a place and their is a certain order of how
people are looked at2. Societies with a low Power Distance Index try to equalize the amount of power
everyone has2. Individualism versus Collectivism can be broken down into its two parts.
Individualism is looking after one self and doing what you have to do to be successful2. Collectivism
allows for families and friends to look after one another in order to survive2. Masculinity versus
femininity again can be broken down. Masculinity looks at a societies assertiveness, achievements,
and rewards2. While femininity looks at cooperation, caring for one another, and the quality of life of
it's individuals2. The Uncertainty Avoidance Index looks at a societies thoughts into the unknown2. It
also looks at a societies ability to feel uncomfortable with uncertainty2. The Long Term and Short Term
Orientation look at maintaining connections with the past and honouring traditions, versus looking
ahead and adapting to new things to prepare for the future2. Lastly, the Indulgence versus Restraint
dimension looks at a societies willingness to give gratification or suppress this need2.
Cultural Competency is something that has greatly developed over time and will always be
continuing to grow. Under the term Cultural Competency there are many definitions that can be
discussed. Cultural awareness is the foundation of communication and allows us to step back from
ourselves and look at our cultural values, beliefs and perceptions3. Cultural competence is made up
behaviours, attitudes and policies that come together in a system3. Cultural safety is defined as the
effective nursing practice or family from another culture that is determined by that person or culture3.
Cultural sensitivity can be defined as the awareness and sensitivity of other practices and cultures3.

Culture is a way of life of a group of people who believe in their own things3. Diversity can be defined
as the state of being diverse or a range of different things3. Ethnicity is a common group of people who
identify with each other based on ancestral, social, cultural, or national experience3. Race is a
classification system that categorizes humans into large and distinct populaitons3. Race consciousness
is similar too cultural sensitivity in it is being sensitive to other races and racial groups3. Selfawareness is the ability to recognize oneself as an individual separate from the environment and other
individual's3. All these terms and definitions allow for one to become cultural competent and
understand the society that they live in.
The evolution of women in chiropractic has greatly developed over time and changed the
profession for the better. In the early years of chiropractic women were not welcomed into schools and
looked down upon in society. Throughout the years there have been women chiropractor's that have
developed the profession to what it is today. Marbel Palmer wife of BJ Palmer, graduated the Palmer
institute in 1904 and taught there for 42 years4. Minora Paxson co-authored the first textbook of the
chiropractic profession in 19064. Paxson was also the first chiropractor to pass the state board exam
under the other practitioner statute4. Alma Arnold was the first woman at Iowa's Langworthy
American School of Chiropractic in 1907 and was also the first woman arrested and imprisoned for
advocating for the profession4. Almeda Haldeman was the first practicing female chiropractor in
Canada in the year 19084. Sylva Ashworth was cured of diabetes through chiropractic treatment and
this motivated her to go too Palmer and graduate in 19104. Ashworth was also the first woman
president of the National Chiropractic Board4. Appa Anderson was the first female chiropractor
radiologist and received diplomatic status in 19604. All of these females were extremely important in
developing the chiropractic profession and limiting obstacles that female chiropractor's go through
today. All chiropractor's must be careful treating patients but especially female chiropractor's. In
today's society female chiropractor's are common and looked at no differently. Again, society has come
along way in many things and females chiropractor's are considered equal in today's world.
The LGBT community has greatly grown over the past couple of years and has become a well
known staple in the world. In 2005 Canada opened its door to the LGBT marriage and immigration,
and in 2012 Ontario recognizes gender identity, gender expression in it's human rights legislation5. The
LGBT community is very diverse and should be treated as regular patients. Should include things such
as open-ended questions, build trust and respect, do not stereotype, and keep personal beliefs out of
discussions5. Although these are true for the LGBT patients, these guidelines should be used for all
patients. Also, use the pronoun that matches the clients gender identity, mirror the client's language,
use gender neutral terms, and also be cautious of offending someone5. The LGBT community is
becoming more and more popular and should be treated normally. Although they should not be treated
differently, caution can be taken in the language one uses.
Societies in today's world have greatly changed over time and deserve respect for this. These
difficult topics that at one point in time were looked at very differently are normal today. Race,
females, and the LGBT community are well known and well established. As a chiropractor everyone
should be treated as if you were treating a family member. These topics will continue to develop and
be explored in more detail throughout time and this can only lead to more positive benefits.

References
1.eLearning Module: Cultural Competency: Jan. 24(2016).
2. The Hofstede Centre [Internet]. United States: National Culture; 2015 [Cited 2016 Jan 24].
3. Haldeman S. Principles and Practice of Chiropractic. 3rd Edition. New York: McGraw-Hill
Medical Publishing Division; 2005.
4. eLearning Module: Women in Chiropractic: Jan 24(2016).
5. LGBT_CMCC 2015 PowerPoint: Jan 24(2016).

Das könnte Ihnen auch gefallen