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#178015 02/06/05 09:19 PM
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My ancestors are from all over Europe...some from Ireland. I am in nursing school and doing a report on the Irish culture related to health care. There are some things nurses must take into consideration when dealing with so many different types of people (ie> eye contact, space, religion, common health risks). I was wondering if anyone could tell me things about the Irish-American patient that a nurse might need to take into consideration, esp during pregnancy. Thanks for your thoughts and your help!!! <img src="/images/graemlins/smile.gif" alt="" />

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#178016 02/08/05 10:36 PM
Joined: Jul 2004
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Gecko
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This is a very well-considered question, very insightful. It's a hard thing to say, but many Irish struggle with depression. Part of the blame can be laid on the weather, which is often wet, cold, and dreary, and sucks the life out of people. I've often seen it in action. The winter is a depressant. The summer, with its long days, is an anti-depressant. Also, one would be remiss if there was no mention made of alcoholism and in recent generations, add drug use to that.
Eye contact is generally direct in the Irish people. They will look you straight in the eye, which is an indication of the general hospitality attributed to the race. When you see an Irish person who will not do so, look a little deeper. There is a good chance he or she is not well. Personal space is important, though privacy is often difficult to achieve in small houses with large families. A modesty screen is very much appreciated by people who often dress and undress with their backs to you in a closet. I am being very frank now. Of course this is not the case in every family, but it is especially prevalent among people who are not very well off. I cannot address religion as it impacts these things as each person only knows their own.
Best wishes,
Mary Ellen

#178017 02/26/05 03:16 PM
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Gecko
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Thinking more on this topic, and I have many memories of times when family were hospitalized, most recently an aged aunt in hospice with end-stage pancreatic cancer. Well, she had emigrated before computers, and the only proof she had of American residency was an entry card from the 40's. She became very upset when this was considered unacceptable by the social worker, who challenged it as a form of INS ID. This marked the beginning of her end.
So please, be very discreet when discussing business matters with family. The family can "take" the stress of officialdom, but elderly emigrants may not be able for discussion of their emigrant status. You never know, they may have been illegal aliens for 50 years...or think they were. It can mean their end, as the fear of officialdom for some may have been a lifelong burden that no one knew they were carrying. Discretion about immigrant status is very important, especially when dealing with the elderly. It may even be life-threatening.
You never know,
Mary Ellen

#178018 02/27/05 07:33 PM
Joined: Feb 2005
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It is very important to have some knowledge of the persons background. Always ask the patient. EG. an Irish person from the travelling community will have different personal hygiene expectations that have been handed down from their ancesters, which they ridgetly follow.
Don't assume that all Irish people are catholic.
Some people still adhere to eating 'fish' on Friday (old catholic custom.
Some may wish to have 'Holy communion'or Mass on Sunday or see a 'Priest for the last rights' if there is a suggestion they might die.

#178019 02/28/05 11:52 PM
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Gecko
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Good ones, Molly. Especially sensitive not to assume all Irish are Catholic. (And even the ones that were, may not be any more in these times, and may be quite upset about the whole issue. A lot of the drop-outs feel very strongly about having left the Church and it would be quite inappropriate to make it your mission try to bring them back, even though you may know that their time is limited.) Still, it is not inappropriate to ask if the person would like a visit from the visiting clergy of their choice.

If there is family about, it would be good to ask them if they would like to speak to the visiting clergy on the issue of last rites. That could be quite frightening for the seriously, but not necessarily moribund.

It's Lent now, so there should be a choice about meat-free meals for the devout.

Thanks for your contributions, Molly. Stick with us, we're delighted to have you.

Nice to meet you,
Mary Ellen


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