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With America becoming more diverse, cultural competency when dealing with different patients is vital, and includes culturally sensitive approach to chronic illnesses, sensory impairment and end of life together with effective communication. Hispanics are a growing community, and though not homogenous Spanish is the first language for Hispanics who have roots from Central and South America. The older Hispanic people tend to be less proficient in English, and understanding Spanish enables nurses to elicit problems and concerns better to Hispanic patients (de Pheils et al., 2009). Cultural factors affecting nursing care of Latino patients with chronic illness Impact of extended kinships and family is vital, and there is information sharing among family members when dealing with chronic illness

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