Assignment: Birth Control Decisions
Touch has variations of meanings among cultures as well. For some, casual touching is seen as a sexual overture and should be avoided. People of the same sex (especially men) or opposite sex do not generally touch one another. In other cultures, especially among collectivist ones, same genders can touch without having a sexual connotation. Health care providers should ask permission before touching someone (Purnell, 2013).
Family Relationships Family relationships include issues such as who makes the decisions in the home, family goals and priorities, child-rearing practices, family and community social status, marriage decisions, divorce acceptance, the roles of the elderly and extended family, and acceptance of alternative lifestyles. These factors influence related issues such as health behaviors and decisions, living situations, and age to marry. Family structure is an important consideration because the quality of social support from family, a practice highly driven by culture, has been shown to have significant consequences for health.
What Do You Think?
Reflect on your own worldview and how it differ from others. What are the philosophical reasons for how your worldview differs from others? How do these beliefs affect relationships and possibly lead to conflict? Consider the following questions:
How comfortable are you with being touched?
What is your perspective of time?
What does it mean to you when people are late?
How do you make health care decisions?
How do you view illness?
Worldview and Medical Decisions Medical decisions such as abortion, the use of birth control, permission to allow blood transfusion, utilization of chemotherapy, advance directives, and euthanasia are difficult and life altering. In this section the focus is on two areas of medical decisions: beginning-of-life and end-of-life decisions.
Beginning-of-Life Decisions The beginning-of-life decisions include choices related to pregnancy, abortion, birth control use, fertility practices, birthing, and the postpartum period. Some of these decisions have deep ties to religious beliefs.
Birth Control Decisions surrounding the use of birth control center around the view about the purpose of sexual intercourse. Is it for procreation or other reasons? The use of birth control is prohibited by some religions for reasons such as that men are not permitted to waste “ their seed” or that it is a violation of the design built into the human race by God. Other religions permit the use of hormonal birth control methods such as pills, patches, injections, and implants, but they do not allow the use of birth control methods that block or destroy sperm, such as condoms and vasectomies. Condom use may be permitted to protect one from sexually transmitted infections, and birth control may be allowed when a woman needs a rest between pregnancies, when pregnancy poses a risk to the mother or baby, or when the man cannot financially support another child.
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