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I define health as feeling good physically, emotionally, and mentally, wherein I can look after myself and my family's wellbeing. If I am feeling happy and good, I will have a good appetite, I can do my tasks energetically, I can be mentally alert in solving life's problems, and I can be emotionally stable when faced with sad situations. Moreover, I can take good care of my family, like cooking them good food and having fun because I am healthy.

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Competency Standards Framework for Clinicians Domain 7: Professional Practice

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Competency Standards Framework for Clinicians Domain 7: Professional Practice

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Diversity in the Australian population from migrants and refugees requires clinicians to have culturally responsive practices and competencies to communicate effectively and provide quality healthcare. The Framework aims to inform the development of clinical education, training, professional development curriculum and competency standards for clinicians across all healthcare settings. Moreover, I am glad to learn about the Framework's seventh domain, wherein its competency standard 12.3 states that clinicians should manifest culturally responsive care to migrants and refugees committed to the principles of person-centred and family-focused care, access and equity, quality and safety, dignity and respect, and effective communication (CBRHL).

As a future nurse, the Framework's competency standard made me aware of how I should deal with patients from different cultures, such as respecting their decisions and giving them autonomy in their health. For example, suppose I have a Jehovah's Witness patient who cannot receive a blood transfusion; I must know why they are not allowed to do so so that whenever the circumstances come that they need the said procedure, I can handle it (JPAC).

Citations:
https://cbrhl.org.au/wp-content/uploads/2020/10/Culturally-responsive-clinica.pdf

https://www.transfusionguidelines.org/transfusion-handbook/12-management-of-patients-who-do-not-accept-transfusion/12-2-jehovah-s-witnesses-and-blood-transfusion

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Social determinants of health among refugees and migrants in Australia.

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Social determinants of health among refugees and migrants in Australia.

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The social determinants of health are non-medical factors affecting one's wellbeing, like education, employment, income, access to health services, and housing (WHO).

Education as a social determinant of health impacts refugees in Australia because fees are expensive to study in universities, wherein refugees can gain skills and qualifications. Lack of education among refugees could result in unemployment and poverty, which causes them to suffer mental problems like depression that could affect their overall health (The Conversation).

Refugees and migrants usually fly out of their countries due to war or economic crisis, which makes them vulnerable to diseases and injuries. Moreover, refugees and migrants in Australia face a social determinant in health: inadequate access to healthcare services that are vital to them. The factors that cause this include limited bilingual health workers, high-cost consultations, and difficulty navigating the healthcare system (MedicalXpress).

Housing is a social determinant of health that impacts refugees and migrants in Australia due to various reasons for acquiring a house. It is difficult to get a house because of the inadequacy of affordable houses, high rental costs, competition in renting, and discrimination. For these reasons, refugees and migrants are stressed, affecting their physical, mental, and emotional health (Refugee Council of Australia).

Citations:
https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

https://theconversation.com/education-is-a-human-right-but-for-most-asylum-seekers-in-australia-university-is-an-impossible-dream-174881

https://medicalxpress.com/news/2020-02-health-gaps-refugees-migrants-australia.html

https://www.refugeecouncil.org.au/settlement-challenges/2/

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Country of Origin: Syria

Syria is a country in Southwestern Asia (Britannica). In March 2011, the Syrian war started, and people fled their country to seek safety. Moreover, Australia has granted 1,109 visas to Syrian refugees under its Humanitarian Program (Parliament of Australia). The health conditions seen in Syrian refugees in Australia include schistosomiasis, anaemia, and mental health issues (Australian Refugee Health Practice Guide).

Schistosomiasis is a parasitic disease acquired when there is contact with freshwater contaminated by infected human feces or urine. The drug treatment for schistosomiasis is praziquantel, which has a high cure rate and is generally safe (Australian Refugee Health Practice Guide).

Anaemia occurs when red blood cell is below the normal range. Treating anaemia includes giving iron supplements when anaemia is caused by iron deficiency and introducing a healthy diet containing iron and other vitamins (Australian Refugee Health Practice Guide).

Mental health issues like trauma are common in Syrian refugees due to the conflict and violence that they experience. This mental health issue is managed by referring refugees to trauma services, providing support to decrease their feelings of isolation, educating them on common mental health symptoms, and advising them about having good nutrition and relaxation (Australian Refugee Health Practice Guide).

Citations:
https://www.britannica.com/place/Syria

https://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/FlagPost/2015/April/Syrian_refugees

https://refugeehealthguide.org.au/

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"Dinagyang" Festival
I come from the Province of Iloilo in the Philippines, where the famous "Dinagyang Festival" is held. Dinagyang came from the Hiligaynon word "dagyang, "meaning merry-making. Moreover, the Dinagyang festival is a cultural and religious celebration that showcases the heritage, culture, and devotion to the Child Jesus. The locals and tourists enjoy the Dinagyang festival by watching world-class performances, merry-making in the streets, and engaging in activities like eating local foods in various food stalls (Camella).

Citation:
https://www.camella.com.ph/everything-you-should-know-about-dinagyang-festival/

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"Bayanihan"
Among the Filipino values, "Bayanihan" is the leading one. "Bayanihan" came from the words "Bayani", or hero and "bayan", which means community. In "Bayanihan", community people help one another during calamities or hardships without expecting something in return. Furthermore, the most popular act of "Bayanihan" is helping a family relocate their nipa hut, wherein community members carry the hut together on their backs (Jef Menguin).

Citation:
https://jefmenguin.com/bayanihan/

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Amulets and Charms
The Filipinos are fond of amulets and charms as a form of art, which they also believe to have powers that can protect them from harm or sickness and give them luck. The amulets and charms come in bracelets or pendants with special gems. Moreover, Filipinos believed an amulet and charm could be effective with a special prayer (Lifestyle.Inq).

Citations:
https://lifestyle.inquirer.net/151951/do-amulets-charms-and-anting-anting-work/

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"Nazareno"
Most Filipinos are devotees of the Black Nazarene or "Nazareno," which depicts Christ's passion in many stages. The missionaries from Mexico brought the "Nazareno" when Spain colonised the Philippines. Moreover, many devotees attend when the "Nazareno" is paraded in Quiapo, Philippines, because they believe it has miraculous powers of curing illnesses (Esquire).

Citation:
https://www.esquiremag.ph/culture/lifestyle/black-nazarene-the-tale-of-traslacion-a1729-20190109-lfrm

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“Malunggay” or Moringa Oleifera

"Malunggay" is a wild plant in the Philippines commonly seen in Filipino houses' backyards because it has many uses for consumption and medicinal value. Moreover, most parts of the malunggay plant are beneficial, like the leaf is crushed and applied to a minor wound as a cleanser and used in certain Filipino dishes as a source of calcium, iron, and vitamin C. The seeds and flowers have anti-oxidant and anti-diabetic benefits, too (Philippine Herbal Medicine).

Citation:
https://www.philippineherbalmedicine.org/malunggay.htm

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"Sinigang"
Filipinos are proud of the traditional dish "sinigang", the best soup in the world (ABS CBN News). The sinigang dish has a distinct sour flavour and comprises meat, usually fish, shrimp, or pork, and vegetables like eggplant, radish, and beans. Sinigang gets its sour and comforting broth from tamarind or calamansi fruits and its umami flavour from meat (196 Flavors). Moreover, I am a fan of this dish, and I usually serve it to someone sick because it is tasteful and nourishing.

Citations:
https://news.abs-cbn.com/life/01/29/22/sinigang-is-worlds-best-soup-in-tasteatlas-awards

https://www.196flavors.com/sinigang/