Pharmacology Chapter 3 Cultural and Pharmacogenetic Considerations

The study of drug responses that may be unique to an individual due to social, cultural, and biologic phenomena
Ethnopharmacology

Ethnopharmacology integrates pharmacokinetics, pharmacodynamics, and
pharmacogenetics

The effect of a drug that varies from the predicted response due to genetic factors
Pharmacogenetics

Spencer Wells study indicates that there
are not multiple races, but multiple genotypes

Practice that combines traditional beliefs with mainstream health practices
Complementary health practices

Clients of Asian decent might
speak in a soft voice and avoid direct eye contact

Americans usually desire
a great deal of space

Limiting the amount of time a client can visit with members of a social group is a long-standing practice in
American health care settings

It is expected that family members remain at the client’s bedside and participate in care in this culture
Phillipines

Clients that are more likely to be concerned with long term health outcomes have a
future-oriented perception of time

Clients more likely to discontinue mainstream prescriptive therapies when they perceive they are well have a
present-oriented perception of time

Clients with future oriented perceptions of time are more likely to
more adherent with medications and take them on time

Time moves quickly for a busy nurse but
moves slowly for a patient who is anxious or in pain

Poor metabolizers of tricyclic antidepressants
European

Poor metabolizers of isoniazid (INH)
European

Diminished therapeutic effects from beta blockers
African

Diminished therapeutic effects from ACE inhibitors
African

Diminished therapeutic effects from Warfarin sodium (Coumadin)
African

Have high incidence of lactose intolerance resulting in low calcium diets
Latin and Native American

Exhibit enhanced vasomotor responses to alcohol
Latin and Native American

Diminished therapeutic effects from codeine
Asian

Rapid metabolizers of isoniazid (INH)
Asian

According to 2010 census 34.6% of population is of African, Asian, Hispanic, American Indian, or some other ancestry. Name four common characteristics of all cultures Culture is learned Culture is taught Culture is social Culture is an adaptation Culture is …

melting pot a concept implies that people are so completely blended together that everyone shares the same values, beliefs, health practices, communication styles, and religion society a nation, community, or broad group of people who establish particular aims, beliefs, or …

a set of beliefs, values, and assumptions about life that are widely held among a group of people and that are transmitted across generations What is culture? a biological designation whereby group members share features (e.g., skin color, bone structure, …

1. 1 Explain the importance of a holistic approach to managing pain and discomfort Holistic care aims to take care of the whole person – not only the physical needs (i. e. pain what they are suffering from) of the …

Hawaiian Death seen as part of life and not feared. Lifestyle more revered than compliance with health care issues. Ohana actually referred to extended family Aloha does not mean hello, it means “deep love, respect, and affection between people and …

What are the 5 different race categories? White Black American Indian or Alaska Native Asian Native Hawaiian or other pacific islanders What are the two categories of ethnicity? Hispanic or Latino Not Hispanic or Latino WE WILL WRITE A CUSTOM …

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