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LOUIS — Failing to under stand and respect a hospital patient’s culture may be just as harmful to a satisfactory recovery as failing to pre scribe proper medical treatment. That lesson is taught by Marilyn Rubin, a professor at St. Louis Uni versity, in her course on transcul- tural nursing. Not every culture views illness in the same way, Rubin said in an inter view, so American hospitals and nurses should be careful not to im pose distinctly American values on patients from other backgrounds. “We don’t study every culture,’’ Rubin said, “but we use a few exam ples to whet the students’ appetites, to open theiTeyes to these questions. “We want to make sure they’re not denying anything to their patients j just because they don’t understand their needs. It works.’’ ; Lectures by representatives of black, American Indians and Chinese cultures are part of the course. Rubin recalled what a black nurse on the university’s staff told ! the students: “After white patients have been hospitalized for a few days, nurses probably will address them by their first name. The patients may be cal ling the nurses by their first name. But blacks generally don’t like that. “They want to be addressed more formally, to be called Mr. or Mrs. They haven’t had a history of this respect in our culture — for a long time it was ‘Hey, boy’ or calling them by their first name. They want to be addressed with respect. It affects the personalization of their care.” Rubin said care should also be taken in assigning personnel — black patients generally want white doc tors and nurses to look after them. “It may not be true that the whites give better care, ” she said, “but the blacks often judge the quality of their care by what the white patients get. ” Hospital rules may seem arbitrary and impersonal to all patients, re gardless of background. But to someone from another culture, Rubin said, they may seem particu larly harsh and could even be harm ful. ‘ Some patients, when they are acutely ill, may not want their spouses to be with them. American Indians want their mother’s sisters, who are very important to them. “When a Chinese father is dying, it’s the oldest son who should be there. If this is denied to the son, and only the wife may go in, this‘could be terribly upsetting to the family. It goes against their culture, their tra dition, sometimes even their reli gious beliefs.’ Interest in transcultural nursing is new but growing, Rubin said. In a profession dedicated to helping pa tients be comfortable and recover as easily as possible, little things can mean a lot. “If you’ve ever visited in a foreign country where they don’t speak English, you know how good it is to come home and hear your mother tongue. 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Optional Retirement Plan Tax Sheltered Annuity Deferred Compensation Financial Planning Call Hays Glover GUGGENHEIM GLOVER, ASSOCSATES 779-5555 United Press International MOSCOW — Why the constant reference to weather, tension and depression among U.S. diplomats and their families stationed here? “Bitching and griping are common ways to deal with stress,” said Dr. Samuel Karson, clinical psychologist under contract with the State De partment’s medical section. “Chekhov had a story about a man whose friend had died. He wanted to talk but couldn’t find anyone to lis- mi ten. So he told his horse all and felt a lot better. I tbiii know that a good ear is agood The State Department 4,:;*“ agrees. After years of pressaiil various employe organizatio™ department officially added health to its list ofservicestui ago. There is a full-time psyclii Kabul, Afghanistan, andcliid number of other embassies.!]’ lias visited Vienna, Jakarta,l| Kabul and Bangkok, whenH embassies also have program I He spent a month hereati I quest of Dr. Carl Nydell, thea I sy’s medical officer, whobmslF against the difficulties oftB Moscow as he treats theeal community’s medical ailmenl en You save about one-half the cost of using a moving company by renting a Ryder truck and moving it yourself. Not bad pay for doing your own moving, is it? And, with Ryder, you know that you’re renting a truck from the best- maintained, most dependable fleet in the world. That’s nice to know when you’re rolling across the highway with all of your family and possessions with you. THE TRUCK PROFESSIONALS U RENT M COLLEGE STATION ASK FOR RALPH BRYAN ASK FOR VINCE 693-1313 779-0085 RYDER. THE BEST TRUCK MONEY CAN RENT. He now finds there isantH more activities for diplomiH their families, particularly tkH dren. “They want more of theH they were used to stateside,iH “More Big Macs, moresportiJ plays and more activities. “Most people take theirpil with them, said Karson. if put much less emphasis 1 environment as it relates! lems than on what is goingij tween a person’s own ears.*, “You see the same old; here as everywhere else. 1 problems. Problems with! Problems with anxiety i sion.” The difference, accord^ son, is that in most person could take his _ mental health clinic* In 4 that’s impossible. Any place where yoil families, there will he need™ tal health services,” he saill Don’t leave school without it, Now that you’re going out into the ] world, you’re going to need the American Express®Card. It’s indis pensable, for vacations or business. But don’t wait, because we’ve made it easier to get for graduates. All you need is a $10,000 job (or the promise of one). It’ll be tougher later, so look for this display in the Student Center and other locations around campus. CARD PRIVILEGES BEFORE YOU GRADUATE The American Express Card. Don’t leave school without it. © American Express Company, 1979