Canterbury DHB

Context

Cultural Considerations for Nutrition Support

Approximately 10–20 patients per year will receive an Allogeneic Stem Cell Transplant (Allo SCT) in Christchurch Hospital’s Bone Marrow Transplant Unit (BMTU). Data from the last ten years shows six percent of transplant patients identify as Māori.

Types of nutrition support currently provided during the transplant admission include enteral nutrition (EN) and parenteral nutrition (PN).

Due to traditional Māori values and beliefs these two forms of nutritional support may cause additional distress for Māori tūroro (patients) and their whānau (family), which may in turn affect their health outcomes.

Two aspects of traditional Māori beliefs that may be challenged by a enteral or parenteral nutrition are:

  1. The head is tapu (sacred, to be protected), and as such should not be touched by another person

    Key practice points:

  2. When whānau bring kai it is an act of manaakitanga which is crucial for the wairua (the spirit or soul of a person) of both tūroro and whānau.

    Key practice points:

Translations

tūroro

patient

whānau

family

te reo Maori

the Māori language

whakawhanaungatanga

relationship building

kai

food

aroha

love

wairua

the spirit or soul of a person

tapu

sacred; to be protected

noa

to be free from the extensions of tapu

About this Canterbury DHB document (578281):

Document Owner:

Sean Macpherson (see Who's Who)

Issue Date:

January 2019

Next Review:

January 2022

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 578281