Amiya Nidhi was a young woman in her twenties who had recently immigrated to the

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Amiya Nidhi was a young woman in her twenties who had recently immigrated to the United States from India. She was in the hospital to give birth. Her support person was her sister, Marala. Marala kept telling her to get an epidural, but Amiya said that even though she would like one, she could not get one; her husband would not allow it. Cindy, her nurse, overheard the conversation. Having learned that husbands are the authority figure in the traditional Indian household, she went to speak with Mr. Nidhi. She explained why an epidural would be advisable. She said that he seemed pleased that she came to him about it. He said he would think about it and let her know.
1. What is the issue from a cultural perspective?
2. Identify the 4C’s of culture to this case study
What do you CALL your problem?
What do you think CAUSED your problem?
How do you COPE with your condition?
3. What CONCERNS do you have regarding your condition?
4. What would have you done differently? Why?
5.What responsibilities do health care providers have in this situation?

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