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In Spanish culture, it is believed that the health of the body and the health of the spirit have to do with each other. They rely on each other, and are ultimately one in the same.

Things that influence people from Spain's spiritual health:

1. They are naturally a relaxed and laid back people group, which infers that they are a less-stressed people group.

2. They value family very highly. Being around family can be seen as food for the soul and spirit because of the positive affects of having a close relationship with your family can bring.

Things that influence Spaniard's bodily health:

1. Good vitamin D. Spain is a place known for its beaches and climate. The people of Spain take full advantage of the sun and the vitamin D it offers.

2. Their diet. The people of Spain eat a Mediterranean diet, which is very healthy. This diet consists of fish, vegetables, fruits, whole grains, beans, olive oil, nuts, and seeds. A Mediterranean diet proves to have a great affect on overall health. Maintaining this diet has proven to lower risks for heart disease, such as high cholesterol and high blood pressure.

3. Less stress. Stress has a great impact on the overall health of a person. Less stress can be very beneficial for a persons body.

4. Regular exercise. Types of everyday exercises in Spain are things like walking, swimming, playing football, and dancing.

Spanish People are considered one of the healthiest groups of people in the world. Spanish people have the top life expectancy of any other people group ranking at an average of 85 years old.

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The most common language spoken in Spain is Spanish. About 73% of people in Spain, can only speak Spanish. Of the 27% of people that claim to be bilingual, 10% speak Catalan, which is a type of Spanish that has more vowels, and has an unpredictable word stress.

The most common religion in Spain is Catholicism, with over 95% of the country claiming it to be their practiced religion. Spain was founded on Catholicism, so although Today, Spain is not considered to be a "catholic country," it has been largely influenced by it's catholic background. This can be seen in architecture, as well as the country celebrating saints, or having religious festivals and holidays. Every village, town, and city in Spain has their own patron Saint.

The remaining 5% of the country of Spain claims to follow Islam.

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When it comes to healthcare, Hispanic adults tend to face more healthcare challenges than the average American. In the US Hispanic Americans are offered lower health insurance coverage, endure language/cultural barriers, and endure higher levels of poverty.

Hispanic adults are less likely to visit healthcare providers.

Those who do not speak English as their first language are less likely to visit the doctor for many reasons. They may feel misunderstood, judged, or embarrassed to visit the doctor. Pew Research Center surveyed Hispanic adults compared to the average American when it comes to receiving healthcare treatment. 70% of Hispanic adults said they had visited a doctor in 2021, whereas 82% of Americans received care from a doctor.

Those who are Hispanic often have worse healthcare outcomes.

Hispanic adults are more likely to work in a job that puts them at a greater risk for injury or health complications. The most common job for Hispanic men is working in construction. This widens the risk factor for work-related injury and sickness.

Other factors include limited access to quality medical care, communication barriers, and environmental factors.

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Spain culture : Language, religion, food - original travel. (n.d.-b). Retrieved from https://www.originaltravel.co.uk/travel-guide/spain/culture

Verbalplanet. (2023). Retrieved from https://www.verbalplanet.com/learn-spanish/blog/spanish-versus-catalan-key-differences.asp#:~:text=Grammar%3A%20Catalan%20has%20a%20more,predictable%20word%20stress%20than%20Spanish.

(N.d.). Retrieved from https://www.britannica.com/list/10-iconic-churches-in-spain

(2023). Retrieved from https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/mediterranean-diet/art-20047801

Mendoza, J. (n.d.). Retrieved from https://www.statista.com/topics/8283/health-in-spain/#topicOverview

https://www.jstor.org/stable/44124734

https://pubmed.ncbi.nlm.nih.gov/25409673/

https://www.qualityinteractions.com/blog/border-walls-

cultural-competency-and-the-hispanic/latino-population

https://en.wikipedia.org/wiki/Spanish_language_in_the_United_States

https://www.oncologynurseadvisor.com/home/decision

Tyson, A. (2023, October 30). 5 facts about Hispanic Americans and health care. Pew Research Center. https://www.pewresearch.org/short-reads/2023/10/30/5-facts-about-hispanic-americans-and-health-care/

E, R. (2015, October 14). Famous Hispanic traditions you should celebrate. Spanish Studio Language School. https://www.spanishstudio.sg/famous-hispanic-traditions-you-should-celebrate/

Traditions deeply rooted in Hispanic culture. UNM Newsroom. (2020, October 9). https://news.unm.edu/news/traditions-deeply-rooted-in-hispanic-culture

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1) Dia de Los Muertos (Day of the Dead) is celebrated in Mexico and involves family/friends gathering to honor and remember those who have passed.

2) The lighting of luminarias involves lighting (tea candles) in paper bags, bonfires, and hanging lights. This is done on Christmas Eve to light the way for the Holy Family.

3) When a girl turns 15, she is thrown a Quinceanera. This represents the passage from girlhood to womanhood. It is a big party, almost equivalent to an American wedding.

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SHOW RESPECT: In most Hispanic cultures, first names are not typically used unless permission is given to do so, especially for the elderly.

KNOW THEIR MEALS: herbal tea is part of their daily meal, check if it can be added in their hospital meal. Some herbal teas often have hot or cold properties; hot herbs are used to treat cold conditions, and vice versa.

PATIENT INVOLVEMENT: Patients should be actively involved in their care rather than passively acquiescing to instructions. Such “patient activation” or motivation for change is more challenging in foreign-born Hispanic, but may be achieved through active dialogue and discussion. (Teach-back system)

BE MORE UNDERSTANDING OF THEIR SCHEDULE: some population of the Hispanic adult have little time for healthcare visitation because they work in jobs that time demanding and put them at risk for health problems. Always consider their work and availability before rescheduling them for the next appointment.

HELP NEW PATIENT ADJUSTS TO SYSTEM: If this is a parent’s first time in a new office, there can be many confusing elements they did not anticipate, and the large size of the hospital made navigation a challenge that was further compounded. Be patient and explain the process thoroughly both in the office and in your correspondence with parents prior to their visit.

ESTABLISH TRUST: Hispanic’s are more likely to fear being treated unfairly due to the barrier of language and ethnicity. However, use “teach back” in the form they are conversant.

INVOLVE FAMILY CARE: Hispanic people are family oriented and including their family in care plan.

PROVIDE WRITTEN INSTRUCTION: employ professional medical interpreters for your limited English proficient patients or Spanish language handouts.

CONSIDER THEIR RELIGION: Most Spanish people are religious are work either want to pray or do other forms of religious activities before receiving some procedure, respect and consider that aspect.

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1. What are some foods that a diet of a person living in Spain would eat that may affect their health? (negatively or positively)

2. What are three ways you can be conscious of Hispanic culture while you are caring for them?

3. what is the second most learned language other than English?

4. What are three things that may impact the care a Hispanic person receives?