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Health to me means my wellbeing.  Health can be broad and individualized however, to me being physically well, mentally strong and thriving in a healthy society is what matters most.
I feel healthy when I wake up early, eat good food and surround myself with people that make me happy. For me my health is non negotiable and my health and comfort will always come first to anything.

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Bhutan is known as the happiest country in the world. In the past 50 years, the country chose to measure progress beyond Gross Domestic Product (GDP) and focus on Gross National Happiness (GNH)(Nguyen, 2022).
The concept was implemented by the fourth king of Bhutan in 1972. Bhutan embraces its overall wellbeing by sustainable and equitable socio-economic development, environmental conservation, preservation and promotion of culture and good governance(Zubiri, 2021).

Nguyen, L. (2022a, August 18). Bhutan: The First Carbon Negative Country In The World. Earth.org. https://earth.org/bhutan-carbon-negative-country/
Zubiri, S. (2021b, September 21). The key to Bhutan’s happiness. Www.bbc.com. https://www.bbc.com/travel/article/20210920-the-key-to-bhutans-happiness

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A collection of pictures taken by me when I was in Bhutan portraying the flora and fauna 

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"Nature itself is the best physician" -Hippocrates
Bhutan is a country with rich flora and fauna. The small landlocked nation covering approximately 38000 sqkm has almost 70 percent of the country under forest cover and is the only carbon negative country(Nguyen, 2022).

Nguyen, L. (2022b, August 18). Earth.org - Past | Present | Future | Environmental News, Data Analysis, Research & Policy Solutions. Earth.org - Past | Present | Future. http://earth.org

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Afghanistan is a landlocked country in central of South Asia. Thousands are rushing to flee Afghanistan after the Taliban seized back control of the country after almost two decades after they were ousted by a US led coalition(The Visual Journalism Team, 2021). The Australian government plays a huge role in providing asylums and humanitarian visas to resettle in Australia since, 2013.

According to Australian Refugee Health Practice Guide, three of the common health issues are:

1.Hepatitis B Virus(HBV)
Chronic HBV is usually asymptomatic and can cause serious liver diseases and cancer. On routine screening it is shown that most refugees have chronic HBV.  A serology testing for HBV infection is must for refugees and further treatment and immunization for chronic HBV patients is always encouraged (Maclachlan & Cowie, n.d.).

2.Mental Health
A common concern is the mental health of refugees as the number of trauma, conflict, family separation and terror is as high as almost 21% of the refugees being reported as victims of mental abuse. Clinical screening for emotional wellbeing and mental disorder post arrival and health consultation son mental health are common treatment options (Paxton & Davis, n.d.).

3.Immunization
Refugees or people from refugee like backgrounds are often under-immunized or unimmunized due to forced migration and different immunization schedule in different countries. They are often found with no proper vaccine documentation. Treatment of this issue requires providing them with vaccination and documentation (Paxton et al., n.d.).

The Visual Journalism Team. (2021, August 26). Afghanistan: Where will refugees go after Taliban takeover? BBC News. https://www.bbc.com/news/world-asia-58283177
Maclachlan, J., & Cowie, B. (n.d.). Hepatitis B Virus (HBV)» Australian Refugee Health. Australian Refugee Health Practice Guide. https://refugeehealthguide.org.au/hepatitis-b/
Paxton, G., & Davis, G. S. (n.d.). Mental Health» Australian Refugee Health. Australian Refugee Health Practice Guide. https://refugeehealthguide.org.au/mental-health/
Paxton, G., Singleton, G., Gardinier, J., & Hocking, D. (n.d.). Immunisation» Australian Refugee Health. Australian Refugee Health Practice Guide. https://refugeehealthguide.org.au/immunisation/

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Video Blog on Social Determinants of Health on Migrants/Refugees

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Social Determinants of Health of Migrant/Refugees

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Social Determinants of Health of Migrant/Refugees

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World Health Organization. (2023). Social determinants of health. World Health Organization. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

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Me and my friends with our nursing tutor

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Domain 7-Professional Nursing with Cultural Competence

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Domain 7-Professional Nursing with Cultural Competence

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Cultural competence in healthcare is a journey which includes learning as you go. Delving into Domain 7 of Culturally Responsive Clinical practice :Working with people from Migrant and Refugees Background competency standard frameworks for clinicians.This mainly focuses on professional practice and specifically on the competency standard "Demonstrating commitment to cultural competence and continuous learning."

As a nurse in the future, I feel that cultural competence is a lifelong journey which makes me self aware of skills and attitude towards nursing.

I feel that as a Bhutanese, my culture makes me self aware of how I should communicate with elders. Discipline being the core of Bhutanese culture, it is always in my roots to serve patients with compassion and respect. I seek learning opportunities for myself furthermore encouraging my fellow mates join me in these experiences.

I am happy to know that culture humility and patient centered care is also a concept I embrace. I strive for effective communication and giving customized care for culturally diverse clients.

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Me at one of the most popular sacred site in Bhutan

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Being located in the Himalayas, Bhutan is a hotspot for people who love hikes and treks. Across the mountains, monasteries and sacred sites are located on almost 3000m-5000m above sea level (Bhutan Monasteries - 10 Most Stunning Monasteries in Bhutan, 2019). Moreover, being a Buddhist country, hiking up to monasteries on auspicious days to offer their prayers is a tradition well enjoyed by everyone.

Hikes and treks can take up to 3 hours to 3 days of walk depending on landscape and weather and the ability of a person to walk. This shared hobby of many is good for the body as well as the mind due to its breathtaking view from the top.

Bhutan Monasteries - 10 Most Stunning Monasteries in Bhutan. (2019, December 20). https://www.gobhutantours.com/10-most-stunning-monasteries-in-bhutan/

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Picture taken by me when I was in Bhutan (Dec 2022)

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Khuley is a buckwheat pancake commonly served in Bhutan as a substitute for rice or an assortment alongside traditional Bhutanese curry. I enjoy making this pancake as it is easy to make and healthier than rice. My mother tells me that it is also good for digestion.

Recipe below

Ingredients
-Buckwheat flour
-Eggs
-Milk/Water
-Salt/Sugar

Method
Empty all ingredients in a bowl and mix it till it forms a thick batter. Pre-heat a pan on medium heat. Lower the heat and pour some batter on the pan. Flip the pancake when little pores start forming. Turn off heat and enjoy it with some curry or just salt and butter.

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Cordycep Sinensis known as "yartsa guenbup" in local terms is a traditional medicine of Bhutan found in the mountains of Bhutan (Ping, 2022). The fungi has high medicinal values and is as efficient as hard it is to find.

According to Ping (2022) the benefits of Cordycep are:
-prevents hyperglycemia (diabetes type 1 or 2) as it improves insulin sensitivity
-reduce the risk of dementia as it helps increase antioxidant enzyme activity
-has anti-depressant effect as it influences adrenergic and dopaminergic systems
-increase vitality by improved glucose metabolism
-good for the heart as it promotes regular heart rhythm and inhibit platelet clotting
An interesting fact about cordycep is that it is also a natural aphrodisiac.

Hot Spring known as Tsha chu in locally is a place where groundwater is heated up by the earth (Denkar,2021). They are a tourist hotspot as well as a well known therapy and are usually found in sacred sites.

Benefits of Hot Spring Bath:
-curing ailments like joint pains, sinusitis , tuberculosis, headaches and skin diseases (Denkar,2021).
People visit hot springs as a way to rejuvenate their body and often stay as long as 3-6 months to soak in the water.

Ping, C. (2022, September 25). Home. Www.dailybhutan.com. http://www.dailybhutan.com
Denkar, T. (2021, April 25). The popularity of hot springs and hot stone baths in Bhutan. Www.dailybhutan.com. https://www.dailybhutan.com/article/the-popularity-of-hot-springs-and-hot-stone-baths-in-bhutan

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Myself and friends in grade 10 wearing national attire in a traditional dance concert 

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Music is therapeutic amidst chaos everywhere. In Bhutan generally, there are three classifications classical and contemporary music : Zhungdra, Boedra, Rigsar. Traditional performances has always been loved and existed since a long time ago (Denkar, 2021).
Since 1954, The Royal Academy of Performing Arts(RAPA) has bee working to document, preserve and promote traditional music (Denkar, 2021).
I feel that any activity involving music, singing and dancing is much loved and it is always a way to heal mentally and even act as a form of physical activity.

Denkar, T. (2021, January 17). What are the types of traditional dances and music in Bhutan? Www.dailybhutan.com. https://www.dailybhutan.com/article/what-are-the-types-of-traditional-dances-and-music-in-bhutan