When a person, living thing or object was tapu it would often mean people’s behaviour was restricted. Some areas will be governed by Māori protocol and Tikanga Māori should be observed by all staff and other people using the facility. Mana, Tapu, Noa: Maori cultural constructs 961 traditional Maori belief and Te Runga Rawa (the highest) of the modern Maori churches based on Christianity. Ensuring you give all information clearly, and the patient and their whānau understand it. Puta mai ai te tangata i te urupā, me tāuhi ia i ōna ringaringa me tōna upoko ki te wai kia noa ai ia. The health plan's phone number is on the bottom of the NOA. Tapu (forbidden or restricted) and noa (ordinary or free from restriction) are key M āori cultural concepts that continue to influence and inform present Māori praxis and thinking on all aspects of society, including biowaste management. Things that are noa are clean and safe. 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. See tapu for an example. Tapu and noa, deep concepts which have often been misinterpreted, are seen as underpinnings of a system of "public health" in which spiritual and social health are linked with elements of physical health.  In the positive sense, it is the state of freedom of mind and spirit that comes about through being acknowledged, enhanced, restored and healed. Māori health and causes of illness were once understood through the values of tapu (sacred) and noa (common) that regulated all of society and maintained harmony (Durie, 1998). This Healthy Policies Update is brought to you by the Healthy Policies Team at Toi Te Ora Public Health (Toi Te Ora). Survival in a new (and often harsh) environment! Tapu (sacred) and noa (not sacred) are key concepts that underpin many practices. / 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: Tapu Physical, mental/emotional, spiritual and cultural well being. Delamore Support Services Tikanga Guidelines. Immediately notify Kaiawhina involved in the care of the patient. Mana goes hand in hand with tapu. Any documents such as goals, care plans etc. Area designated as a whānau room for specific purposes. All clothes must be washed separately from linen. Things that are tapu, i.e. Always transport the tūpāpaku feet first. Or you can call the HUSKY Infoline at 1-800-434-7869. New Zealand Association of Medical Herbalists AGM Conference; 29-30 th May 2010. Waitemata District Health Board Maori Values and Concepts (Tikanga) document, Bay of Plenty District Health Board Tikanga Best Practice document. These places are considered tapu for a number of important reasons to Māori. These embodied the mauri, and were protected. Call your practice to talk to a nurse after hours, Non-urgent health concerns, ear pain, fever, Serious accidents, chest pains, stroke call 111, Select your West Coast location (A-Z) for available facilities and detailed information. Restrictions and prohibitions that protect tapu (well being, dignity and sacredness) from violation. Wairua can leave the body and go wandering. When there is a meeting of Tapu, due to the extensions of Tapu, part of the restriction system in place is that the person, and other being, must be made Noa. 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. Specialist doctors from almost every branch of medicine consult with patients from clinic rooms onsite at Marinoto Clinic and Mercy Care East. Sanctity, Power, and the “Impure Sacred”: Analyzing Maori Concepts of Tapu and Noa in Early Documentary Sources * Being flexible about visiting times and visitor numbers, where possible. Be aware and respectful of taonga and discuss any need to handle taonga with the patient and/or their whānau. Understanding that for Māori the concept of “next of kin” may be broadly interpreted at registration. Affirm! Chapel or viewing room when it is occupied by the tūpāpaku. psychotic incidents) and pending death. Discover (and save!) 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). Te Nikau, Grey Hospital & Health Centre (03) 769 7400, South Westland Area Practice 0800 794 325or: (03) 752 0700. behaviour! For example, it is important to keep things that are tapu separate from things that are noa. These concepts are interrelated and concern power and influence, with political (or secular) authority implicit in mana and ritual (or religious) authority determined by tapu and noa. Noa In the negative sense, it is the state of diminished tapu, of … Asking the patient or whānau if they wish to nominate a person to speak on behalf of the whānau. Issue 6 - August 2019. Rooms where a Māori death has taken place. In contrast, anything that had been declared noa did not pose a risk to health. It outlines traditional principles of tikanga and recommends ways to encompass Māori values and beliefs into frontline service delivery. / Yet they shall be ministers in my sanctuary, having charge at the gates of the house, and ministering to the house. Noa in the negative sense is a diminished state of tapu. 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. Mana is a supernatural force inside a person, place or object. Bedpans/urinals and food will not be present at the same time. Do not sit on tables or any other surface that comes into contact with food. A worker should always ask and take notice of what their client and their client’s family considers to be Taonga. This 1 Durie, M. H., (1994), Whaiora: Māori Health Development, Oxford University Press, Auckland. Ensuring the patient and whānau have access to the Māori Health Service Information pamphlets, available in all wards. (For the Maori who accepted Christianity, Jesus Christ had the greatest mana.) As for any patient, whānau should be notified, supported and involved where the death of a patient is expected. Using different flannels for washing the head and washing the body. Tapu (sacred) and noa (not sacred) are key concepts that underpin many practices. Informing the patient and whānau of the risk of storing Taonga and how it will be stored (in the identified valuables safe, where provided). Tapu relates to the four dimensions of wellbeing and an individual’s dignity and sacredness. They were practical forces at work in everyday matters. Māori patients and their whānau should be actively encouraged, supported and included in all aspects of care and decision making. In many cases, these align with good health and safety procedures that should be practised by staff. Tapu’s opposite was noa. There are many things that we have little influence over, we must learn to live with these things and to respect them. Ensuring that Māori patients wishing to have karakia have access to the Māori Health Service Information pamphlet available in all wards. Giving the patient or their whānau the option of removing it themselves. The notions of mana, tapu and utu were sources of both order and dispute in Māori society. 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. Tapu is a state of sacredness, noa is the complementary state (the absence of tapu). The worker should endeavour to ensure such items are always respected. 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. How to make your Mycare Profile stand out. 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. Fridges or freezers used for food or medication storage should not be used for any other purpose. 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