With an estimated 803,500 refugees residing in the United States, many NPs will encounter patients who do not speak, read, or understand English. Many of these patients have challenging health issues such as parasitic diseases and chronic or acute diseases not commonly seen in the United States and NPs will need to be prepared for these challenges. © 2011 Lippincott Williams & Wilkins, Inc.

Cultural practices Refugees Somali Bantu female circumcision

Communication Barriers parasitosis refugee human communication disorder Refugees acute disease language chronic disease ethnology United States Humans male female preschool child tuberculosis Child, Preschool pregnancy cultural factor Circumcision, Female Article female circumcision Somalia Cultural Characteristics Nurse-Patient Relations hepatitis B nurse patient relationship Parasitic Diseases