I have had pts with this same type of thing, not necessarily from Somalia, but from other Muslim countries. They were very loud also, and even screamed, wailed, closed their legs and grabbed the caregivers hands with extremely gently cervical exams. They would refuse male caregivers which sometimes meant a very increased workload if the only female available was a postpartum nurse because the other was a male CNA. They will refuse even for males to enter their rooms. And here they don't move or do things for themselves either.
My problems with this "cultural" diversity issue are these: It is a form of discrimination against male caregivers. If we were to accede to the pts request in all cases it would be one thing. For example, when a pt who was a KKK member from the South refused minority workers, this request was at first honored, however, minorities complained that the hospital was discriminating by giving in and filed suit against the hospital. The hospital than said that it would no longer do so and in future would assign caregivers without pt input. But we still allow the women to refuse males. I certainly DON"T agree with the KKK, but it is definitely a "cultural" issue to them also, and if you don't think it is also a religious one for them, then you haven't visited certain areas of the Deep South. If it was up to me, I'd let the pt decide, unless there was no one else available or it would impact others care (as in my spending hours with one demanding pt).
Nextly, we try to keep all our moms in private rooms but sometimes have to overflow to semiprivat. These women, even those with no insurance coverage, think that they deserve the private rooms. I think its wrong to move others to these rooms to accomplish this. They have even refused to room with others when there will be no male visitors.
Finally, it would be fine with me if the "entourage" would in fact, help care for the woman. It has been my experience that they mostly stand around and watch. They will call for the nurse, often by coming into the hallway and yelling, and we are expected to wait on her hand and foot. We are also expected to care for the entire entourage--they will ask for water, juice, towels for themselves, and even whole meal trays. They will go to our unit kitchen and empty it of snacks intended for pts and fill paper plates to pass around with juices to the entire roomful of guests.
I'm sorry to be blunt but, this is the USA now people, the melting pot, not Somalia part 2, if you wanted things to stay the same you should have stayed over there. And you can pass that on to all those who think I should learn Spanish too. There is a limit to how much we should have to adapt to them. Why don't some of the bleeding hearts complain about how in Saudi Arabia and other Muslim countries, our American service women are made to act subservient, including in their dress? If we have to change when we're over there...
Also, I find that due to that culture, the women and entourage are extremely disrespectful to nurses..its considered really low class in Arab countries to be a nurse due to the nature of our work. Sorry, but no one should be required by ones hospital to be treated badly in the interests of "cultural sensitivity". Get over it.