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Family and Cultural Care of the Critically Ill Patient 167

Māori consideration ● Most Māori hold a holistic and spiritual view of the world that is interconnected with the physical environment. ● Determine the person’s and the whānau understanding of health, illness and dying. ● Māori also have a collective orientation (rather than an individualistic one), so having whānau present is important. ● Find out any concerns the person and their whānau may have. ● Be aware of tapu and its influence on a pers

Considerations for working with Aboriginal or Māori people

Aboriginal consideration ● Consider both the mind and body when delivering health care. ● Talk to the family and Aboriginal health workers in an attempt to alleviate fears. ● Explore how traditional medicine can complement Western medicine. ● Acknowledge Aboriginal peoples’ needs to connect to the land and possible need to return to their land to die. ● Respect of community elders. ● Elders are often spokespersons for the family so the

Holistic, spiritual world view Beliefs around hospitali- sation and places to die Establishing relationships Women’s business and

TABLE 8.3 Issue Traditional healing Connections Elders Diversity Language men’s business Relocation