Please advise me if anyone knows how to work with or deal with
I am a visiting nurse and the majority of my clients are Indian or Bhutanese.
When I enter their homes I always remove my shoes as they do, smile and begin to visit with them with my interpreter who will become their PCA ( care giver).
I can never get a straight answer to a question.
I can never get a yes or no.
Those who have diabetes have no idea what the diet is or what I am asking them or showing them. They refer to themselves as "very old lady" when they are still in their 50's.
Often the response is no response at all. But a foggy look and literally they shrug the shoulder toward any conversation re. their diagnosis.
I spend most of my time calling their Dr. offices trying to get answers that way.
Any advice would be most appreciated.
I am most aware of the difference in cultures. The lack of basic education and obvious lack of nutrition that I seem to be witness to. The elderly women cannot sign their names. I have them "x" for signatures.
They and I are each polite and friendly but a 1 hour evaluation ends up with lots of loose ends.
Thanks to Anyone who can provide specifics.
This is not a quick fix, but if you wish to learn about Bhutan and Bhutanese, there is a wonderful list of sources that can be found in Google Books
. Just type in Bhutan in the search box.
Also, general info regarding Bhutan:
CIA - The World Factbook
Culture of Bhutan - Wikipedia, the free encyclopedia
Health in Bhutan - Wikipedia, the free encyclopedia
Last edit by Emergency RN on Dec 19, '10