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The Republic of the Philippines is a country in South East Asia it has an estimated population of about 94 million people The tropical climate makes the Philippines one of the richest biodiverse areas in the world and prone to typhoons and other natural disasters Many people are of Malayan ancestry and have been influenced by Spain and neighboring countries the Filipino culture is distinct from neighboring countries because it has been highly influenced by Spanish and American colonization Purnell 2009 There are more than 100 different dialects spoken in the Philippines each dialect being distinct and associated with their region Tagalog is the primary language used Along with English which is used when conducting business legal transactions and in education past third grade the combination of both Tagalog and English is common Tag-Lish Filipinos are typically soft spoken people who are more concerned with saving face than disagreeing with others they have been raised to maintain smooth interpersonal relationships Giger 2008 They are willing to do what it takes to avoid a conflict which leads to them being perceived as being flakey Similar to other Asian cultures Filipinos have a hierarchy system that they adhere to family is very important to them it is taboo to place an aging family member into a skilled nursing facility they believe that it is their responsibility to care for their own especially their elders It is common for the family to make health decision for an aging family member in the hospital Typically Filipinos will seek medical advice from folk healers faith healers and massage healers hilot instead of traditional Western medical practices Communication among Filipinos is very contextual they are raised to pay attention to what people are saying and find a way to not offend Purnell 2009 They have grown up being taught that having a smooth interpersonal relationship is important often times
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