Preface to the Fourth Edition

ix

Acknowledgments

xiii

1

Basic Concepts

1

2

Communication and Time Orientation

27

3

Pain

52

4

Religion and Spirituality

62

5

Activities of Daily Living and the Body

79

6

Family

93

7

Men and Women

109

8

Staff Relations

126

9

Birth

148

10

End of Life

167

11

Mental Health

183

12

Traditional Medicine: Practices and Perspectives

197

13

Making a Difference

222

Appendix 1

Cultural Profiles

231

Appendix 2

Selected Religions

244

Appendix 3

Dos and Don’ts of Providing Culturally Competent Care

249

Appendix 4

Tips for Working with Interpreters

251

Appendix 5

Summary of Case Studies

253

Bibliography and Resources

273

Index

289