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A student post this as a discussion, please reply with 1 up-to-date reference. The Amish are a collection of relatively isolated, conservative Christian communities across the United States and Canada. Amish reject worldly conveniences, including modern medicine. Authority in Amish families rests largely with the father or head male, something to keep in mind when interacting with women and children in an Amish community. Because the Amish wed within their communities, the gene pool is significantly smaller than the general public and Amish are at a higher risk of genetic disorders. Amish believe their health comes from God and there is little health care providers can do to influence it. Amish also do not believe in birth control and value quality of life over longevity so the use of life support is rare (Weller, 2017). When it comes to immunizations, the Amish are less likely than the general public to receive vaccinations including the COVID-19 vaccine. A study found that up to 60% of Amish children are not vaccinated. Amish children with special needs are more likely to be vaccinated though. Families that choose not to vaccinate their children most often cite their Bishop, or local religious leader, as the largest influence not to vaccinate (Scott et al., 2021). One survey asked those in an Amish community where they obtain their health information. The majority of respondents answered from books. These books however, contained mostly natural remedies and would not be considered evidenced-based by the general medical community (Rohr et al., 2019). This effects patient care as these patients may be more apt to try at-home remedies first and be further along in the disease process before they seek contemporary medical care. Amish patients may also be more skeptical with contemporary medical care as it differs from their medical care received in their community and homes. Communication is vital regardless of what culture your patient identifies with. A study on the Amish’s beliefs pertaining to medical care revealed communication with providers was the key driving factor to patient and family satisfaction, not the outcome of the illness or injury itself. It is important to remember that formal education in Amish communities only goes through the eighth grade and focuses on religion and agriculture rather than mainstream education topics such as health (Rohr et al., 2019). Therefore, it is necessary to ensure any written material given to the patient is at an appropriate reading level and to make sure the patient understands the education provided. Utilizing techniques such as the teach-back method which has the patient “teach” the provider what they just learned can be helpful to assess a patient’s understanding. One study found that those in an Amish community had lower health literacy rates than other rural residents in the same area not belonging to the Amish community and as such, each patient’s health literacy should be evaluated prior to providing patient education (Rohr et al., 2019). While the Amish generally prefer natural and at-home remedies, a study found Amish respondents would not outright refuse any specific medications if prescribed by a medical doctor (Rohr et al., 2019). As with any patient, education regarding medication prescriptions needs to be given including why it is being prescribed, how to take it and any side effects o look for.