Make sure the patient and their whānau understand what is happening, and what resources and support are available, including speakers of Te Reo Māori, patient advocates, Kaiawhina and Chaplains. Wairua can leave the body and go wandering. 2. For many Māori individuals karakia is an essential part of protecting and maintaining te taha tinana, te taha hinengaro, te taha wairua and te taha whanau (Physical, mental, spiritual and family health). / When a person comes out of a cemetery he/she should sprinkle water on his/her hands and head so that she/he is freed from tapu. Tapu and Noa utilised in traditional Māori society as a recognised approach to health and wellbeing. Tikanga relating to food 1 The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices, Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices. Tapu (sacred) and noa (not sacred) are key concepts that underpin many practices. Tikanga practice guidelines can however also be applied to practice with other cultures. Contrary to popular belief, Noa is tied in, but not opposite to Tapu. Whanaungatanga is the concept of connection, relationships, to incorporate whanau in working relationships to be able to share experiences, build strong relationships, create a sense of belonging and truly honour a client’s needs. The head is tapu (sacred), kai (food) is noa. This page summarises the West Coast DHB Tikanga Recommended Best Practice Guidelines policy. A violation of tapu could have dire consequences, including the death of the offender through sickness or at the hands of someone affected by the offence. A healthy person is in a state of tapu, a sick person is in a state of noa. Whanau should be encouraged to take part in care plan development and decision making. The aim is to ensure West Coast DHB upholds the wairua (spiritual), hinengaro (psychological) and tinana (physical) wellbeing of tūroro and tangata whaiora (Māori patients and clients) and their whānau (family and extended family group). Discusses 3 concepts, mana, tapu, and noa, that are of fundamental importance in the Maori culture. Something that is noa is free from being tapu and can remove tapu. If you need outstanding healthcare professionals, we can help – we are highly compliant, and we pride ourselves on providing an exceptional service that can be adjusted to suit your requirements. Things or places which are tapu must be left alone, and may not be approached or interfered with. (For the Maori who accepted Christianity, Jesus Christ had the greatest mana.) These guidelines can also be made available and delivered to all health care consumers regardless of ethnicity, as they include best practice standards of care. Tapu and Noa . They were practical forces at work in everyday matters. When tapu is removed, things become noa, the process being called whakanoa. Because of this, translating them into english can be difficult, heoi ano, tapu can be understood as sacred, holy, to set aside, forbidden, or closer to the atua. tapu (sacred) are kept separate from things that are noa (not restricted.) If you need help with this form, call your health plan. Any documents such as goals, care plans etc. All clothes must be washed separately from linen. Whānau is fundamentally important to Māori. Understanding that for Māori the concept of “next of kin” may be broadly interpreted at registration. 5.4 c) Determinants of health 35 5.5 Ko te Tuawha – Article Four: Wairuatanga 37 Working with Article Four38 5.5 a) Normalising wairuatanga 38 5.5 b) Te Reo me ōna tikanga 40 5.5 c) Tapu and noa 41 6.0 Pathways Forward: Taking action 42 6.1 Taking action – being an ally 42 the state of noa indicates that a balance has been reached, a crisis is over, health is restored and life is normal again. Kaiawhina) in the care and decision making process, if this is agreed to by the patient and the whānau. Returns should follow Tikanga best practices and protocols determined in consultation with Māori staff. For Māori, health was achieved through staying within societal bounds by obeying the lore of tapu to remain in harmony with people and with the environment. Flora, fauna and objects in the material world could all be affected by tapu. Ensuring the patient and whānau have access to the Māori Health Service Information pamphlets, available in all wards. When working with Māori clients and their whanau Tikanga must be implemented in care design and delivery in order to achieve culturally competent practice. A person, object or place that is tapu may not be touched or, in some cases, not even approached. Introducing methods of health and wellbeing in traditional Māori society Prior to colonization, Maori society was constructed around the relationship between people … Informed consent must be obtained where required. Whanau is extremely important in all aspects of Māori wellbeing. Asking the patient or whānau if they wish to nominate a person to speak on behalf of the whānau. Whanau consent must always be obtained before conducting any new care duties. Noa is the opposite of tapu. Giving the patient or their whānau the option of removing it themselves. Returning unconsented body parts/tissue/substances is expected to follow existing protocols. Also, turn the page over to complete the back. That’s why you should avoid sitting on pillows and touching or passing food over a person’s head, since it’s considered very sacred by Māori people. The English word taboo derives from this later meaning and dates from Captain James Cook's visit to Tonga in 1777.. Fridges or freezers used for food or medication storage should not be used for any other purpose. What to bring...Registering with a general practiceManagement teamMental health servicesSexual health clinicCervical Screening ServicesCommunity Pharmacies, West Coast District Health Board © 2020About This WebsiteTerms & ConditionsAccessibility. Noa is the opposite of tapu, and includes the concept of ‘common’. This Tikanga best practice document has been formed using the Waitemata District Health Board Maori Values and Concepts (Tikanga) document, the Bay of Plenty District Health Board Tikanga Best Practice document and the Delamore Support Services Tikanga Guidelines. Or you can call the HUSKY Infoline at 1-800-434-7869. It lifts the ‘tapu’ from the person or the object. Be aware and respectful of taonga and discuss any need to handle taonga with the patient and/or their whānau. Waitemata District Health Board Maori Values and Concepts (Tikanga) document, Bay of Plenty District Health Board Tikanga Best Practice document. To Book Appointments times are suited to your availability, Mon-Fri 9-5pm Washing the body in a strict order starting from the neck, to the genital and then anal area. Bedpans/urinals and food will not be present at the same time. Tapu is a state of sacredness, noa is the complementary state (the absence of tapu). Tapu is evident in the Marae and in the Whare as well. This divine power was delegated Noa in the negative sense is a diminished state of tapu. Tapu relates to the four dimensions of wellbeing and an individual’s dignity and sacredness. See tapu for an example. Bedpans/urinals must be placed on the correct equipment (not where food trays are placed) and always stored in their own designated area. Where possible use different coloured flannels to differentiate. on admission or referral). Taonga – treasure, something of great value such as a social asset, resource or object. A violation of tapu could have dire consequences, including the death of the offender through sickness or at the hands of someone affected by the offence. Offering the option for further support from the appropriate Māori staff, e.g. Keeping separate from food anything that comes into contact with the body or body fluids, for example: Combs and brushes should not be placed on a surface where food is placed. These embodied the mauri, and were protected. SPEECH: Speech jumbled or slurred? Caregivers enhance both their own mana, the mana of their client and the mana of the client’s whanau by empowering the client and whanau through performing care duties as helping another promotes restoration of tapu. Kāore he kai maoa o runga i tēnei waka, i a Tākitimu, nā te tapu. As the head is tapu all personal cares that involve cleaning a client shall begin at the head and work the way down the body. Access is by appointment only via referrals to He Waka Tapu externally and internally. Providing access to appropriate water and containers for the purpose of spiritual cleansing. Taonga are extremely important to Māori and have much more significance than just sentimental value. This document is not for all tribal affiliations and some iwi may have differing protocols. Tangata whenua have a long history of maintaining the health of populations through concepts and practices such as tapu, noa, and r – ahui that protected water supplies, food sources and safety of wh – anau. In the realm of health services the concept of mana can be interpreted as the spiritual power of restoring tapu. Noa is clearly in opposition to the extensions of tapu, but there is no case in GNZMMSS 28 and 31 of noa being in direct opposition to any intrinsic tapu. Noa is the opposite of Tapu and refers to ordinary, everyday things such as food or alcohol. Where possible allow the whānau to take the tūpāpaku to a designated area, e.g. The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices, Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices. Receptacles used for drinking water should be used solely for this purpose. Where possible this must happen prior to any intervention. Information about changes at West Coast DHB Grey Base Hospital and health centres can be found on our dedicated COVID-19 Information page, Grazed knee, light cough, go to healthinfo.co.nz, Diarrhoea, runny nose, hayfever, sore throat, Unwell? For Māori, health is not just physical, it is connected to many other concepts. Being supportive of whānau visiting when death is expected or imminent. Places can be rendered tapu for a certain length of time, according to the purpose of the tapu. Noa, on the other hand, lifts the tapu from the person or the object. This film was made for the 'Titiro Mai' WHS Year 9 project by Tomas Tashkoff (director), Nick Kan, Dylan Jones and Murad Mohammed. Tapu and noa – Tapu and noa influence the way Māori interact with the natural world. For example, body parts/tissue/substances should be returned in containers that are durable and reflect tikanga best practices. 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