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Purnell's
Model
Overview/Heritage:
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2
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4
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5 Communication
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Family
roles & organization
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Workforce
issues
Biocultural
ecology
High-risk
behaviors
Nutrition
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2
Pregnancy
Death
rituals
Spirituality
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3
Health
care practices
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3
Health
care practitioners
References
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Prescriptive,
Restrictive and Taboo behaviors for children and adolescents.
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In
Haitian culture, obesity is a sign of health.41, 43
Purgatives are commonly used in infants to
"clean the blood."
41, 44
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Toilet training,
independent
feeding, and dressing are expected later than in American culture. In
fact many Haitian children would be labeled "delayed" by Denver
Developmental testing.45
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In
contrast, Haitian children are encouraged to
be independent and self-reliant from an earlier age than American
children.40, 45
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Haitian children are socialized to
know they must be obedient, quiet, and subordinate to their parents.4, 29, 30, 40
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Education is valued and children
are supposed to be high achievers. 29, 30
Lack
of discipline and respect for authority are taboo.4
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Discussion of sex is to be with
parents or family only.46
Family Roles and Organization:
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