Exercise three instructions

Kindly refer to your lecture “Culture- Social and Behvioural influences on public Health” and answer the questions.

Recommended time 1 hours. Answer each question in approximately 100-150 words, use Font size 11. Each answer is worth three (3) marks, total of 18 marks. Do not type outside the boxes provided. Do not cut and paste. Write economically and relevantly (bullet points are acceptable).

The deadline for assignment submission is 12:00 (UAE time) on Sunday 21 February 2021.


  Case 1:

Ibrahim showed up in the pediatric clinic to take off his head bandage that was applied 10 days ago post a traffic accident. The gauze applied was soaked with old blood and his face was so dirty. He was accompanied by his father who is around 40 years old. He was wearing a dirty white gown, a slipper. The dad admitted that the child’s bandage was not changed since the night of the accident.

1.      Identify social and behavioural cultural related issues in this case (please use the social influences model as a guide to answer the question)


The Kid showed up with a dirty gauze and face, if we look to the full situation the father as well was wearing dirty gown the child behavior was the result of a negative influence which was his dad. That makes the child think that this is normal therefore, he did not complain for 10 days. The culture influence on the child was strong, the socioeconomic status. This led to health illiteracy that’s clear from the gauze appearance, if the father knows the consequence of not cleaning the wound, he would have cleaned it. Therefore, the father clearly admitted that without feeling any guilty.

2.      Describe the most culturally appropriate model to communicate with you’re the client.

We would use the cultural competence model to communicate with the patient and his father. And we will be using with it the patient-centered communication in align with it. The father and the kid clearly are living in low socioeconomic status and their level of education is low therefore, we should treat them in a very simple way without embarrass them. At the end the father would do anything to help his kid. Try as much to acknowledge their culture indirectly and respect their believes.


3.      How would you help the patient taking into consideration cultural aspects?

Most probably the father is not healthy aware. So first of all we should take into consideration the language barrier if there is, we try to use very simple way and not make them feel guilty about what they did. Then we must demonstrate for the father how to clean the wound and apply the gauze and make sure the father can do the process. Try to know if they have access to clean water or not and take the appropriate action if we can. Explain for them in simple words why this process is needed and how it affects his kid’s health


Case 2

Salma is an 18 years old girl from a rural area in the gulf who was diagnosed with Nasopharyngeal cancer. Her brother who he is her guardian has refused to give her chemotherapy and preferred to seek traditional treatment. He showed up to the oncology clinic with his mother and his sister after few weeks from her diagnosis (he missed the treatment appointment). He claims that he used some herbal treatment and that she is supposed to be cured. He asks for another set of diagnostic test to confirm that the treatment used was effective. The doctor agreed to perform another scan which revealed that the tumor size has not changed. The brother still refuses to give her treatment.



1.      Identify social and behavioral cultural related issues in this case (please use the social influences model as a guide to answer the question)

Salma and her brothers are strongly influenced by their culture and the community that they are coming from. They strongly believe that the herbal treatment is the only way to cure diseases. The brother is cultural destructive, and he’s not accepting any other opinion or ways to treat his sister and wants to prove that he’s right and we observe that from his action when he didn’t show up in the treatment appointment and insists to do another diagnostic test to confirm the herbal treatment effectiveness. Even though the results was not as he claimed he still refused the Chemotherapy

2.      Describe the most culturally appropriate model to communicate with you’re the client

We will be using the explanatory model and we’ll be using the cultural competence model. The Patient and her brother strongly believe what will help cure Salama is the herbal treatment. We should know her brother’s perspective of the disease and the herbal treatment and how the herbal treatment can treating the cancer. Then we can give him an example of patients from the same culture who survived because of the chemotherapy.

3.      How would you help the patient taking into consideration cultural aspects?

Raise their health awareness by explaining to them about the disease discuss with them about the chemotherapy and how effective it is but at the same time respect their perspective. Praise the herbal treatment and ensure to them that herbal treatment can be effective in many ways and they can use herbal treatment with the chemotherapy. Show them some examples of successful stories and for how many years they’ve been using the chemotherapy. It’s preferable to let a woman communicate with the patient as it’s forbidden if a woman communicate with a man in their culture. And most important never enforce them to do anything if they are not convinced.






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