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Domain 7 of culturally responsive clinical practice talks about being a culturally competent health practitioner that minimizes the culturally insensitive practices, it gives us an idea on how to handle migrants and refugees and to take their opinions while providing health treatments.

As a nursing student who has grasped the information of domain 7 I would like to apply my knowledge into providing proper care to people of different culture without discriminating their beliefs, I would remind my self that everyone has their own practices that govern their lifestyle and instead of forcing my ways onto them i would like to change my ways of thinking and adjust to the means of treatment they would prefer while making sure that i maintain certain standards of professionalism and create a proper boundary between work and personal life. I would like to put the 3 factors which are psychological, social and cultural factors into considerations and understand the deeper cause of their illness or trauma while making room for self evaluation and correction by constantly reflecting upon my own cultural bias and working towards minimizing judgements made based on insensitive cultural practices. with understanding the 3 factors i would also like to understand the cultural variability and how people are adapting to different environment and the ways this culture are shaping an individuals behavior and health. To sum up, I as a nurse would like to provide the best means of treatment in the most cultural competent way.

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A man wearing a Gho and playing our national sport which is archery.

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The national sport of Bhutan comes down to one word that is archery, in Bhutan people of all ages are seen to be playing this sport and audience often fill up the place as they come to cheer the sportsmen on, it is quite common for an archery tournament to take place from time to time as each region takes up their bow to face off against their competitors. Bhutan is also exposed to a very unique sport called Khuru which is throwing darts but the radius of the arena and the size of the darts are greatly increased compared to the western sport.

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Young monks basking in the sun of our great kingdom as they smile with content.

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Religion in Bhutan and its co-relation to health.

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Religion in Bhutan and its co-relation to health.

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Buddhism has been a long standing religion in Bhutan and has been spread by the great saints who have lived generations before us, The red incarnate pattern is the dress code of our monks, with their shaved heads they walk proudly amidst the streets of Bhutan. Buddhism is more than just a random scripture, it is a way of life and our roots are what binds us to this religion. Now, how is Buddhism connected to health? well a person who practices Buddhism are taught to wake up early and pray to god this practice anchors our soul for the entire day, we are taught to practice mindful meditation not withstanding the vast health benefits that come along with it. The holy scripture teaches us that smoking is the very form of devil itself and that the abuse if drugs must be avoided at all cost. Religion is often an integral part of our health and to treat a patient means to respect their religion as well, because at the end of the day we are all bound by our certain beliefs but if we take a step back we can see that we are all part of the same species and that is what makes us humans.

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The main health issues concerning refugees and migrants in Australia.

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The main health issues concerning refugees and migrants in Australia.

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Refugees and migrants upon emigrating to Australia can face a lot of challenges in aspect to ones health. The common health issues can include,

Immunization: As people enter into Australia it is important to note that the seasonal differences cause seasonal flus and also a lot of diseases which may not have been common back in the migrants country. It is important to get vaccinated with the latest doses like for instance getting hepatitis B vaccines however migrants are not able to get access to this vaccines very easily as there can be a lot of language barrier along with not having enough money to afford this services, they might even face discrimination which can deny them of good health. As per the recent national multicultural health priorities it is important to provide equitable access to health care services for individuals of different backgrounds and also informing them about the risk associated with not getting vaccinated by carrying out health promotion and education. The only treatment option would be to get vaccinated on timely interval.

Mental Health: It is of no doubt that issues regarding our mental health can be a very common problem within the migrants and the refugees. With a sudden exposure to a new environment attached with the lingering feeling of going back home, a persons mental health can be severely be deteriorated resulting in a lot of diseases. A person with weak mental health can have hard time adjusting to new environment and may indulge in self harm. The treatment options available are visiting a therapist, accepting reality and practicing mindful meditation, the therapist should recognize mental health and wellbeing while demonstrating culturally safe practices in regards to the national multicultural health priorities.

Tuberculosis: Migrants and refugees upon entering Australia have high risk of getting Tb that is because of the risk of exposure to stress mainly from work and economic point of view, furthermore, they are deprived of nutritional foods which can increase the risk of Tb to a certain aspect. A migrant who loves to smoke can also be a victim of Tb. The treatment methods include getting a combination of antibacterial doses for a period of 6-12 months however Tb can easily be prevented if we take 3 healthy sets of meals on a daily basis. It is important to identify the vulnerable population and address them accordingly.

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An image of our royal family wearing the national dress.

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The Bhutanese national dress is very unique and colorful while being popular amongst the Bhutanese population, men wear a dress called Gho which extends from our shoulders all the way till our knees, the foot area is then covered with a long black socks along with a beautiful long shoes called Tsho-lham, personally speaking being in the Bhutanese national dress gives me utmost confidence and a sense of pride.
Women from Bhutan wear Kira, both Gho and Kira are made from different materials depending on the region they were made and the general population often agrees that women in Bhutanese attire can be seen like a goddess remarking on the beauty of our national dresses. Women along with the national dress are seen to wear expensive pearls and beads around the necks region to amplify their beauty.

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A night view of our proud architecture that we call Dzong. There are more than 20+ dzongs in Bhutan.

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The Bhutanese style of architecture goes back to the time of Zhabdrung Ngawang Namgyal a renowned builder and an incarnate of our god. He brought peace to our lands and based on his designs countless numbers of beautiful Bhutanese Architecture had been born, the houses of old times were mainly built with mud and stones while the richer ones had extraordinary designs engraved into their walls and roofs. We can still visit this places today especially the Dzongs which are tall fortress and are craved with the finest patterns and inside the Dzongs the place is filled with old relics and the statues of our Gods.

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How Social determinants of Health can have an impact on migrants of Australia.

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How Social determinants of Health can have an impact on migrants of Australia.

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Social determinants of health are the condition people are raised in and can greatly contribute to shaping a persons overall health and wellbeing.
Narrowing it down to the Australian refugees and the migrants, there are several social determinants that severely impact their health which include,

Income and social protection : Many refugees struggle to find a stable job which can cause strain on their economic status depriving them of better health facilities.

Early childhood development: Growing up in a new country can be a very big challenge for the children as they can find themselves having a hard time making new friends and often facing discrimination, in fact every 1 in 3 teen are reported to face discrimination in Australia and this can have a suitable amount of toll on a young children's overall health.

Unemployment and job security: correlating to the first point the refugees find it harder to secure a proper job which leads to stress and also as they fail to secure nutritional foods their health and wellbeing in general are greatly affected.

Social determinants of health can vary from one country to another. While there can be similarities between different determinants there can also be a unique factor specific to certain country, with that being said the common global social determinants include economic inequality, education, social and support network and cultural and social norms. the social determinants of health are both influenced by global and local perspective and while there maybe some common grounds a multicultural country like Australia faces a lot of issues in regards to language, cultural diversity and a need for culturally safe health healthcare service.

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The Institute of Traditional Medicine in Bhutan. (Alamy stock photo)

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The floras and faunas of Bhutan are very rich as it thrives in the prideful mountains of the Himalayas, Bhutan has an incredible amount of more than 600 medicinal plant species. The official traditional medicinal form in Bhutan is known as sowa rigpa. The traditional medicine in Bhutan is mainly herb based along with traditional massages and it is fascinating to realize that the Bhutanese medicines have been identified to be one of the oldest method of treatment. The most popular herb can be identified as Cordyceps which has been sold at a price of 44000 USD per kilo as of this year. Bhutan also uses certain parts of the animals as a mean of treatment for instance, deer meat and bears bile.
Taking into account of the Australian traditional means of healing there are a lot of similarities between the worlds views on traditional medicine and Australian views with each party focusing on the herbal plant species however taking the difference of environment into consideration the types of plants and animals used for medicines can greatly vary from place to place.

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Bhutanese people wear beautiful dresses as they dance to the tunes of music which we call Boedra and Zhungdra.

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Bhutan is a magical place enriched with culture that has been running throughout our ancestors time and even today, we take pride in calling ourselves a Bhutanese.
Our traditional dances are of two types, Zhungdra which is a slow rhythm song and an older version of our dances where the dancers mover around in circle as they demonstrate the beautiful moves that has been been passed down throughout the generation followed by Boedra which is a slightly faster rhythm where the dancers perform wonderful dance moves, and it is said that this songs were first started at the royal court where the kings men used to dance to this rhythm as they entertained the royal family. This dances can still be seen throughout Bhutan on special occasions as people of all age groups embrace this songs and dance to their melody.

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In my opinion, Health can be defined by one word that is freedom. A healthy person is given the liability to express their emotions and are not restricted by their body's ability. The definition of health can vary from person to person, for some it might be having proper food or having proper sleep while for others it may simply be an absence of illness so, it is important to consider every opinion and work towards the betterment of health in general  not withstanding the difference in culture and races. Overall health to me is the presence of physical, mental and emotional wellbeing attached with the absence of any uncomfortable feelings.