Asian Population Groups

1. Asian Population Groups Sabrina Ho AMAT API Committee Chair, DMV and Media Relations Specialist, OneLegacy

2. Communities in Transition:Asian Population Sabrina Ho AMAT API Committee Chair

3. Asian Population Projection

4. Immigration

5. Top 20 API Groups

6. Filipino

7. Focus • Donor Potential • Accurate tracking • Forming strategies by Asian Origin • For Community • For Hospitals • For Families

8. Culture as a reason for decline • Is there a “Culture” that does not believe in donation? • What about body integrity? • Hospital vs. Community Discussion

9. Religion as a reason for decline • “All major world religions…” • Overwhelmed by the diversity of religion • Religious support onsite and in the community

10. Buddhism

11. Christianity

12. Confucianism

13. Where should conversations happen? • Principles of family conversation are tried and true across ethnicities • Focus on creating positive donation conversations in the community

14. Conclusion • Discover the largest potential segments of the API population in your area • Focus on how to impact that particular community • Be ready to engage on their terms • Family conversations without culture or religion, focus on the person

15. Hispanic Population Groups Laura Rodriguez Supervisor of Family Services Coordinators, Southwest Transplant Alliance

16. The Cultural Values of Our Communities Laura Rodriguez Supervisor, Family Services Department

17. Objectives • Define the importance of cultural competence when working with patients and families around end-of-life issues. • Compare and contrast sociocultural values surrounding end-of-life topics. • Discuss culturally sensitive communication strategies when discussing death and dying, and end-of-life issues with racial and ethnic minority patients and families.

18. Our DSA

19. Dallas El Paso 2013 Race/Ethnicity Census Estimates Caucasian = 2,271,914 African-American = 665,245 Hispanic = 1,538,230 Other = 311,263 Total = 4,786,652 Corpus Christi Caucasian = 75,928 African-American = 21,869 Hispanic = 665,245 Other = 17,259 Total = 799,976 Caucasian = 139,929 African-American = 17,204 Hispanic = 259,159 Other = 11,182 Total = 427,474

20. Giger and Davidhizar’s Transcultural Assessment Model

24. Providing Culturally and Linguistically Appropriate Service • Constant communication provided throughout the hospital stay • Showing care and concern • Allow religious objects at bedside

25. Social Organization • Families depend on extended family and kinship for emotional and financial support • Provide crowd control • Allow visitors

26. Pronouncement • Private setting • Establish NOK • Include multiple family members and person in charge • Taking time to sit with the family shows respect • Arrange for a translator or language Line

27. Education • Brain death education • Medical examiner process is different in the United States. • Timing • Body integrity • Private setting • Include multiple family members • Taking time to sit with the family shows respect • Arrange for a translator/Language Line

28. Body Integrity

29. Community Relationships • Body integrity • Timing • Transfer • Documentation • Shipping

30. Inner Space Area of thoughts and feelings perceived as acceptable or unacceptable

31. Community Resources • Mexican Consulate • Casa Guanajuato • Victims of a Crime • Catholic Charities

32. References Giger JN, Davidhizar R. The Giger and Davidhizar Transcultural Assessment Model. Journal of Transcultural Nursing 2002;13: 185-188.

33. Questions? ? Questions?

34. Break