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    Count Us In Initiative

    SerbianCultural

    ProfileHandbook for aged

    care providers

    working with Serbian

    residents

    Serbian Community

    Association of AustraliaInc.

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    Acknowledgement

    The Serbian Community Association of Australia would like to thank the Department of

    Health for funding the current project under the Count Us Ininitiative. Whilst this is an

    overview of the Serbian culture we would like to acknowledge diversity of our culture

    and we should not assume that all the features would apply to everyone. Therefore it is

    important to treat each Serbian as an individual and appreciate everyones individuality.

    First EditionPrinted and Published February, 2010

    Serbian Community Association of Australia Inc. is supported by funding received from

    The Department of Health.

    Published by the Serbian Community Association of Australia Inc. A00 26175J

    PO BOX 7507

    Dandenong, 3175

    All rights Reserved. No part of this publication may be reproduced without prior written

    permission from the publisher.

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    Table of Content

    Introduction 4

    Regions where Serbian people originate from 5

    History of Serbia 6

    Serbian Migration to Australia 8

    Australian Statistics 10

    Serbian Culture 12

    Everyday Customs 15

    Serbian Cuisine 16

    Family Dynamics 19

    The Ageing Serbian Community 20

    Attitude towards physical and mental health 21

    Death and Dying (Palliative Care and Death) 22

    Basic Serbian Phrases 24

    Recreation and Leisure 26

    Serbian Orthodox Churches 28

    References 29

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    The Department of Health Count Us In initiative aims to facilitate

    community inclusion, good health and quality of life for people living in residential aged

    care facilities. The Serbian Cultural Profile is one of the many projects undertaken by the

    Serbian Community Association of Australia (SCAA), as part of the Count Us In

    initiative, to assist in social inclusion of older people of Serbian background residing in

    Aged Care facilities.

    SCAA understands the issues and challenges faced by residential aged care service

    providers when dealing with people of culturally and linguistically diverse CALDbackgrounds. However, given the growing ageing trend of the CALD communities over

    the next decade residential facilities will be increasingly characterised by people from

    diverse cultural backgrounds.

    The aim of this Serbian Cultural Profile is to provide vital information regarding Serbian

    culture, traditions and customs. This will be of benefit to various health care providers

    who currently or in the near future will be dealing with Serbian clients/residents.

    Understanding individuals cultural background will enable the establishment of rapport,

    and easier transition and adjustment to nursing homes. It will also allow health care

    providers to communicate more effectively and cater to their clients needs.

    This symbol can be found throughout the booklet, and is used to indicate a

    key take home message, or a tip, which you as a caregiver of a person of

    Serbian background might find useful in your day to day support of the person.

    SCAA hopes that the following resources will be of benefit to your organisation presently

    or in near future.

    Serbian Community Association of Australia

    Introduction

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    Regions where Serbian people originate from

    The following map encompasses areas where Serbian people are coming from. Whilst

    Serbia is often synonymous with the Serbian people, other areas of former Yugoslavia

    (i.e., Bosnia and Herzegovina, Croatia, Montenegro) are countries of origin to many

    Serbian people currently living in Australia.

    Serbia is a country which is largely populated by the Serbian people identifying with the

    Orthodox religion. However, it is important to note that there are some Serbian people as

    well as other ethnic minorities (i.e., Albanians, Bosnians, Croatians, Hungarians and

    Romanians) living in Serbian who belong to other religions.

    Whilst the Serbian language is the official language of Serbia, ethnic minority groups as

    mentioned above could also speak the languages of other ethnic groups.

    Many people of Serbian background might have not been born in Serbia, but

    emigrated from other regions of former Yugoslavia. Therefore, their place of

    birth does not correspond with their ethnic identity or their religious beliefs.

    Asking the resident about their religious affiliation, what language they

    speak and cultural beliefs might clarify any misunderstandings or cultural

    confusion

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    History of Serbia

    The Serbian people were one of the many Slavic tribes that originally inhabited an area

    along the Carpathian mountains in Eastern Europe, around present day Southern Poland,

    Slovakia, Western Ukraine and Northern Romania. Serbs settled in the Balkan Peninsula

    in the 6th and 7th centuries and adopted Christianity in the 9th century. In 1166, Stefan

    Nemanja, a Serbian warrior and chief, founded the first Serbian state. By the 14th

    century, under the rule of Stefan Dusan, it became the most powerful state in the Balkans.

    After Serbia was defeated in the Battle of Kosovo in 1389, it was absorbed into the

    Ottoman Empire. Throughout the 19th century its struggle against Ottoman ruleintensified, and in 1878 Serbia gained independence after Russia defeated the Ottoman

    Turks in the Russo-Turkish war of 18771878. In the Balkan wars (19121913), Serbia

    and other Balkan states seized hold of more former Ottoman lands on the peninsula.

    World War I began when a Serbian nationalist assassinated Archduke Franz Ferdinand of

    Austria in 1914, which led to Austria's declaration of war against Serbia. Within months,

    much of Europe was at war. In the war's aftermath, Serbia became part of the Kingdom

    of the Serbs, Croats, and Slovenes (1918) which changed its name in 1929 to Yugoslavia.

    On April 6 1941 the Nazis occupied attacked the country, and the young king Petar

    Karadordevic and his government fled. Two guerrilla armiesthe Chetniks under Draza

    Mihajlovic supporting the monarchy and the Partisans under Tito (Josip Broz) leaning

    toward the USSRfought the Nazis for the duration of the war. In 1943, Tito established

    a provisional government, and in 1945 he won the federal election whilst the monarchists

    boycotted the vote. The monarchy was abolished and the Communist Federal People's

    Republic of Yugoslavia was born. Yugoslavia followed a middle road, combining

    Communist control of politics and general overall economic policy with a varying degree

    of freedom in the arts, travel, and individual enterprise.

    After Tito's death on May 4, 1980, a rotating presidency designed to avoid internal

    dissension was put into effect, and the feared clash of Yugoslavia's multiple nationalities

    and regions appeared to have been averted. In May 1991 Croatia declared independence,

    and by December so had Slovenia and Bosnia which led to brutal fighting. In November

    1995, Bosnia, Serbia, and Croatia signed the Dayton Peace Accords, ending the four-

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    year-long war in which 250,000 people died and another 2.7 million became refugees.

    In February 1998 the Yugoslav army and Serbian police began fighting against the

    separatist Kosovo Liberation Army. NATO was reluctant to intervene because Kosovo

    unlike Bosnia in 1992was legally a province of Yugoslavia. However, on March 24,

    1999, NATO began launching air strikes until June 3, 1999.

    In March 2002, the nation agreed to form a new state, replacing Yugoslavia with a loose

    federation called Serbia and Montenegro, which went into effect in February 2003. In

    May 2006, Montenegro held a referendum on independence, which narrowly passed. The

    EU and the United States recognized Montenegro as an independent state on June 12,

    2006.

    Kosovo declared independence from Serbia on February 17, 2008. Serbia, as predicted,

    denounced the move. International reaction was mixed, with the United States, France,

    Germany, and Britain indicating that they planned to recognize Kosovo as the world's

    195th country. Serbia and Russia, however, called the move a violation of international

    law.

    Given the long standing history, marked by wars and tension in the region of

    former Yugoslavia it is important to understand how this could affect residents

    you might be caring for. Please note prior to the 90s civil war in former

    Yugoslavia, the Serbo-Croatian language was an official language in the

    country. However after the separation and proclamation of independent

    countries (Bosnia, Croatia, Slovenia, Macedonia, Montenegro and Serbia)

    each country has proclaimed their own official language.

    Due to similarities amongst the languages this can sometimes result in engaging

    interpreters of the mentioned nationalities to assist Serbian resident. Given that many

    Serbian have migrated to Australia following wars between these nationalities someresidents might feel uncomfortable dealing with interpreters of these ethnic backgrounds.

    If a Serbian interpreter might not be available, in this instance, please discuss with the

    client their preference or comfort with dealing interpreters of other nationalities.

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    Serbian Migration to Australia

    During the 20th century, there were a large number of Serbian people coming from the

    region now known as the Socialist Federal Republic of Former Yugoslavia, comprising

    current regions of Serbia, Croatia, Bosnia and Herzegovina, Former Yugoslav Republic

    of Macedonia and Slovenia. The Serbian settlers arrived in four major waves of

    immigration. The eventful Serbian history, marked by wars and tensions, strongly

    influenced the migration and demographic of the Serbian settlers arriving to Australia

    (Jupp, 2001). Greater number of Serbian immigrants arrived in Australia following the

    First World War (Department of Immigration and Citizenship, 2008). Like other

    immigrants whose birthplace was Yugoslavia, they generally came from poorer and

    rural parts of Bosnia and Herzegovina, Lika and Montenegro (Jupp, 2001). Prior to the

    Second World War, economic and social conditions deteriorated in the Balkans, which

    has precipitated migration to Australia to escape the high unemployment rates and

    dissatisfaction (Krupinski, 1984).

    Be mindful that Serbian people come from many regions of former

    Yugoslavia. You might find people who were born in Bosnia and

    Herzegovina and Croatia who are of Serbian origin. Very often aged care

    providers have their residents identified only by their Country of Birth. In

    case of Serbian people this could lead to cultural misunderstanding or ethnic

    identity confusion. It is essential to discuss the ethnic background of the

    residents with either them or their family.

    First Major wave of immigration - Displaced Persons Camp (1948-1955)

    The major change in the Serbian immigration occurred following the Second World War.

    Large number of Serbian refugees arrived in Australia after 1948, and continued through

    subsequent years, and by 1961 there were over 10 000 persons of Serbian origin living in

    Australia (Jupp, 2001). A large proportion were ex-serviceman from war, who came from

    displaced persons camps in Germany, Austria and Poland, and were reluctant to return to

    Yugoslavia due to the communist regime. Therefore, majority of Serbian immigrants

    built their community life on an exclusively Serbian basis.

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    Second Major Wave- The assisted Passage Scheme (1960 - 1970)

    The worsening of the economic situation in Yugoslavia, including high unemployment in

    the 1960s and 1970s, resulted in many Serbian economic migrants to immigrate to

    Australia (Jupp, 2001). Many of these immigrants have been working temporarily in

    Western Europe before coming to Australia.

    Third wave - The skilled migration program 1980s

    During the 1980s the Serbia migration to Australia continued. This wave of migration

    included people arriving through the Skilled Migration Program. These people were

    professionals such as engineers with a good knowledge of the English knowledge (Jupp,2001).

    Refugees and Humanitarian entrants 1991-1995 Civil War of Former Yugoslavia

    During former Yugoslavias Civil War (1991-1995) over two million people were

    displaced and fled to many parts of the world. Refugees from the former Yugoslavia were

    the largest group of people accepted under the Australian Refugees and Humanitarian

    immigration program during the 1990s. Serbs arrived as refugee with permanent visas

    and went through a government funded resettlement program (Jupp, 2001). Majority of

    Serbs who settled in Victoria during the period of 1991 to 2001 were born in Bosnia and

    Herzegovina or Croatia, therefore, their place of birth and residency does not correspond

    with their ethnic identify and their customs or religion.

    Serbians migrating to Australia come from all walks of life. Many factors

    contributed to their successful settlement in Australia. In the early years of

    Serbian migration to Australia lack of settlement support services and

    opportunities contributed to their isolation and lack of proficiency in the

    English language. Therefore, the majority of these migrants have limited or

    inadequate English language skills despite living in Australia for many years.

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    Australian Statistics

    At the 2006 Census, there were 29,586 people of Serbian background in Victoria, 38.5

    percent of Australias total population (Department of Immigration and Citizenship,

    2008). The following is a snapshot of the Serbian community in Victoria. Whilst the

    statistics provided below are of Serbian-born population, it is important to note that many

    Serbian immigrants were born in other parts of former Yugoslavia; therefore, the

    following statistics have failed to include them.

    Distribution of Serbia - Born in Victoria

    Local Government Persons %

    Brimbank 879 12.3

    Greater Dandenong 847 12.7

    Casey 652 9.8

    Greater Gelong 345 5.2

    Hobson Bay 315 4.7

    Rest of Metropolitan Mel. 3,339 50.1

    Rest of regional Vic. 286 4.3

    Figure 1. The Serbian population has settled across Melbourne and the surrounding

    regions. Therefore, most nursing homes across Melbourne will most likely be having a

    resident of a Serbian background in near future.

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    As indicated in the above data, the Serbian community is highly

    heterogeneous in nature, therefore, a Serbian resident you could be caring

    for could be highly educated, or might have little educational attainment and

    limited English skills. A comprehensive evaluation of individuals past

    history is essential in order to understand their abilities and possible

    weaknesses.

    Proficiency in English %

    Speaks English only 8.3

    Speaks other languages

    and speaks English

    Very well 39.9

    Well 32.2

    Not well 16.3

    Not well at all 2

    Not Stated 1.3

    Migration Waves of Serbian-born

    ImmigrantsYear of arrival %

    Before 1986 54.6

    1986-1990 8.5

    1991-1995 9.2

    1996-2001 16

    2001-2006 8.6

    Not stated 3.1

    Total 100

    Highest Level of Education

    Highest Level of

    EducationMales % Females % Total Population %

    Postgraduate 1.5 1.3 1.4

    Grad Dip & Grad Cert 0.6 1 0.8

    Bachelor Degree 8.2 9 8.6

    Diplomas etc. 30.5 14.8 22.6

    School Education 44.1 55.6 49.9

    No EducationalAttainment

    1.8 3.6 2.7

    Not Stated 13.3 14.7 14

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    Serbian Culture

    Most Serbians traditions have strong ties with the Serbian Orthodox Church which is

    very important in the religious, social and cultural life of Serbian people. Connection to

    the Serbian Orthodox church is very strong for majority of Serbian people.

    The following are the elementary of Serbian traditions.

    Slava

    Paramount to most Serbian families is the concept of Slava a celebration of a patron.

    Unlike many other traditions, which are common to all of the people, each family

    celebrates their own patron who is considered its protector. An assigned saint is inherited

    from father to son, and each household may only have one celebration. To celebrate

    Slava there are few necessary items needed; the icon of a saint, a candle, Slavski Kolac

    (Holy Bread, wine and Zito (wheat). Celebrating their Slava to many Serbian families is

    as important as celebrating other important dates such as Christmas.

    Be mindful that not all of Serbian people are religious and therefore they maynot follow the religious practices. However, when caring for a Serbian resident

    ask them whether they celebrate their familys Slava, or any other religious

    festival and if they do perhaps this date could be commemorated annually such

    as providing the residents with the opportunity to go to church or pray. Most

    Serbian residents consider their Slava to be an integral part of their family

    tradition.

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    Orthodox Easter

    Easter is celebrated on a different day of the year according to the calendar. Good Friday

    is the most prominent day in the Serbian Calendar, marking the Crucifixion of Jesus

    Christ. It is the day the family dye their hard boiled eggs with red dye, symbolising

    happiness, joy, rebirth and blood of Christ, and the hard shell symbolising the sealed

    Tomb of Christ. On Sunday, families attend a church service and greet each other with

    Hristos Vaskrse (Christ has Resurrected). The 46 day fast preceding Easter is strict in

    the Serbian tradition. For the duration of the fast meat, dairy and eggs are forbidden.

    Easter is a celebration of the resurrection of Jesus Christ, as well as the opportunity to

    break the fast with great quantity of food.

    During the fasting period the following foods are generally avoided; meat,

    poultry and any other meat product such as lard and meat broth. Animal

    products including dairy and eggs are also avoided. However, the Church has

    exempt young children, the sick and the very old from strict fasting. Therefore,

    if a resident wishes to fast during these periods, but is unable to do so due to

    medical or physical conditions, a parish may need to be contacted to reassure

    the resident that they are exempt from fasting.

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    Orthodox Christmas

    Serbian Orthodox Church uses Julian calendar, therefore Christmas falls on January 7th

    of the Gregorian calendar. The traditions and customs of the Serbian Christmas are

    different to the traditions associated with the Westernised Christmas. Early in the

    morning of Christmas Eve the head of the family will go to a forest to cut a badnjak, a

    young oak, which would be brought to church to be blessed by the priest. The oak tree

    would than be stripped of its branches and combined with wheat and other grain products

    and burned in a fireplace. This ritual is considered a sacrifice to god so that the upcoming

    year may bring plenty of food, happiness, love, luck and riches.

    Christmas day is marked with a feast, with roasted piglet or lamb as the main meal. Asweet cake made of wheat koljivo is consumed as a ritual, with each individual crossing

    themselves before taking a spoonful and savouring it. The most important Christmas

    meal is cesnica a special Serbian bread. The bread contains a coin and during the lunch

    the family breaks up the bread and the finder of the coin is said to be assured a happy

    year.

    Most Serbians fast prior to their Easter and their Christmas. As the fasting

    periods change annually for Easter, contact your nearest Serbian parish to

    obtain the fasting periods for that year. Their contacts can be found on page

    28 of this manual. As many Serbians come from different region of former

    Yugoslavia their celebration and rituals might differ from the above example.

    It is always beneficial to take the time to get to know the individual and learnabout their rituals, beliefs and customs.

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    Everyday Customs

    Greetings:

    Serbian people often greet each other with a hand shake. The hand shake is important

    in the Serbian culture as it shows acknowledgement and respect for other people.

    Personal relationships such as friends and family as well as professional relationships

    such as a doctors visit are greeted with a handshake.

    In close relationships such as those with family and friends Serbs will often kiss three

    times on the cheek. Kissing three times symbolises the Holy Trinity; the Father, Son

    and Holy Spirit.

    Referring to others:

    Serbian people usually greet people they are not acquainted with by their first name,

    followed by Drago mi je (Nice to meet you). With people with whom they are

    acquainted with, they just shake hands and ask Kako Ste (How are you?).

    Generally, Serbian people are more formal with their doctors, or people of a greater

    status to them, and tend to remain formal despite having a well established

    working/professional relationship.Non-verbal communication:

    Eye contact is highly valued in the Serbian culture and avoiding eye contact is

    perceived as being rude and being uninterested in the person.

    Non-verbal communication including hand gestures and facial expressions are highly

    important in everyday conversations.

    Other Serbian Customs:

    Serbia is generally perceived as being a land of warm hearted people where

    hospitality and catering to the guests is of central importance. Upon arrival to a

    Serbian hosts house guests are welcomed with great quantity of food and drinks and

    everything is done to make the person feel at home.

    The use of phrase Molim vas (please) is preceded before asking for something

    politely, which is always followed up by Hvala or Thank You.

    As Serbian people are generally open, friendly and direct, showing interest in

    someones life, politics, interests and dislikes are often basis for conversation.

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    Serbian Cuisine

    Serbian food is highly influenced by the Mediterranean, Turkish and Hungarian cuisines.

    It forms an integral part of the Serbian culture and traditions, by bringing friends and

    family closer to each other, as food preparation is the strongest part of the family

    traditions. Contrary to the Western cuisine, Serbian people are not as concerned about

    their diets. Consequently, Serbian people are more concerned about foods texture,

    flavour, colour or aroma, than with the nutritional content. Therefore, their cuisines are

    generally very rich in spices and herbs including; salt, pepper, paprika, parsley, garlic and

    celery.

    Generally, senior Serbian people tend to eat food tailored to their abilities. Therefore, a

    meal plan tailored to accommodate for their deteriorating health conditions including

    food being easy to swallow, digest and consume is more preferable to the Serbian

    resident than food resembling their traditional cuisine.

    Breakfast Generally Serbian residents might enjoy a serving of bread dipped into a

    bowl of warm milk, or a bread rollserved with jam, sour cream or butter.Polenta is also very popular among the Serbians, which is often served with

    yoghurt. Fried and scrambled eggs can be found on the breakfast menu.

    Soups Homemade soups are usually served as a first course during lunch and dinner

    meals. This is also very popular among the elderly Serbian residents.Generally soups include beef, poultry, vegetables and noodles.

    Main

    Meals

    For main meals Serbian people generally like to consume home mademeals. Take-away or pre-packaged foods are not normally consumed. The

    main meals should be accompanied with steamed or roasted vegetables,steamed meat and poultry, along with mashed potatoes, peas or cauliflower.

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    Bread Soups Vegetables Meat Fruit Drinks* Other

    Meals/Food*

    Bread is an

    integral part

    of any meal

    in the

    Serbian

    culture.

    White breadis most

    commonly

    consumed.

    Ask the

    resident for

    theirpreference

    of brownbread.

    Common

    soups

    including

    chicken,

    vegetable

    and beef

    soup withnoodles is

    very

    common

    among the

    Serbian

    elderly.

    Potato

    Beans

    Sweet Peas

    Green

    Beans

    Carrot

    Spinach

    CucumberTomato

    Cabbage

    Capsicum

    Lettuce

    EggplantCauliflower

    Silver beet

    CornPeppers

    Chicken

    Beef

    Pork

    Smoked

    meats

    Sausages

    Ham

    Apple

    Pear

    Plum

    Banana

    Orange

    Mandarin

    Strawberry

    Berries

    Herbal tea

    including

    Chamomile

    and

    Rosehip.

    Various

    fruit juices

    including;Plum,

    Orange and

    Apple Juice

    Milk

    Polenta

    Semolina

    Pasta

    Various

    pastries

    filled with

    spinach and

    cheese.

    Variety of Serbian food including fruit juices, meat products, spreads andconfectionary can be found at local supermarket or specialised Serbian Grocery

    stores. The contact details can be found on next page of this manual

    The following is a list of food which could be incorporated into the residents

    eating plan. However, please check with the resident their food preferences.

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    The following is a list of Serbian grocery shops, cake shops and cafes which sell

    Serbian products and groceries. The following shops should be able to assist

    you when trying to organise or prepare a meal plan for the resident.

    Butcher and small goods

    Dunav Springvale

    209 Springvale Road

    Springvale 3171(03) 9546 8582

    Food Shops

    Eurodeli16/236 Lonsdale St.

    Dandenong 3175

    (03) 9769 2132

    Cake Shops

    Cakes Gallery9/50 Foster St.

    Dandenong 3175

    (03) 97940443

    Sweet Galore94-96 Hemming St

    Dandenong 3175

    (03) 9782 9902

    Dendy Cakes33B Langhorne St

    Dandneong 3175

    (03) 9792 5078

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    Family Dynamics

    Understanding the family structure and roles within the family is essential to effectively

    deal with the Serbian resident and their family. Family is integral part of the community

    life, and family honour is highly admired, and strived upon. Serbian family is quite

    supportive and protective of each other. The family structure is more defined than the

    contemporary Western society. It is not uncommon for children to remain with their

    parents until they marry, or to look after the elderly parents and grandparents, or other

    elderly relatives needing care and help.

    As family honour and community life is highly strived upon, there is still a large social

    stigma attached to placing elderly parents, or relatives, into aged care facilities. This

    would explain why many of the Serbian residents present at a later stage of dementia,

    with more severe conditions, when the family cannot care for them (LoGiudice, Hassett,

    Cook, Flicker & Ames, 2001). This period can be also emotionally challenging for both

    the residents, and also for the family, as many families might feel a sense of shame that

    they are abandoning their loved one by not being able to care for them at home.

    Attitudes towards people with disability can be quite negative. The negative attitude is

    stronger with people suffering with a mental illness or an intellectual disability, in

    comparison to people suffering from a physical or sensory disability.

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    The Ageing Serbian Community

    The Serbian community has an older age profile in comparison to their Australian

    counterparts, with a mean age of 57 years in comparison to the Australian mean of 37

    years. Furthermore, 18.8% of the Serbian population is over the age of 65 years, and

    39.1% are between the age of 45 and 64 years (Department of Immigration and

    Citizenship, 2008). Notably, the elderly Serbian population is becoming a substantial

    subgroup within the Serbian as well as the Australian population. This indicates that over

    the next years, there will be many more Serbian residents found residing within various

    nursing homes. Large proportion of the Serbian ageing population immigrated to

    Australia during 1950s, 1960s and 1970s. Most of these people have worked in unskilled

    and manual occupations, coming from rural areas in their homeland, with minimum

    literacy and educational skills (Jupp, 2001). This has resulted in the low English

    proficiency skills evident in this cohort.

    There are number of barriers that the Serbian community faces when accessing aged care

    residential services, and other aged care relevant support. This includes;

    Lack of English proficiency and literacy.

    Elderly reverting back to their own language, and forgetting the English language

    they learnt previously.

    Cultural issues relating to the Serbian community not accessing, or traditionally

    accessing aged care faculties.

    Stigma attached to accessing aged care services.

    Expectation of children to support the parents.

    Lack of knowledge amongst the aged care providers, relating to the Serbian

    community, about providing culturally appropriate care.

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    Attitude towards physical and mental health

    Mental Illness

    Mental illnesses are highly stigmatised within the Serbian community (Copelj, 2009;

    Serbian Welfare Association of Victoria, 2009). Professional help seeking is also less

    common due to the discrediting label assigned to the mental illness diagnosis. Therefore,

    most people conceal their psychological symptoms and do not seek appropriate help.

    Most often mental illness is kept hidden within the immediate family and not shared with

    extended family and friends. Others who seek mental health services usually present at a

    much later stage of their disorder when their symptoms have become more severe and

    recovery is in turn extremely difficult.

    Given their pre and post migration experiences many Serbian residents are

    likely to have experienced traumatic experiences and not have sought

    appropriate help. This might impact their everyday conversation including

    non verbal behaviour such as facial expressions and eye gaze.

    Physical Illness

    Serbian residents are more open to consulting medical health professionals for their

    physical symptoms and complaints in comparison to any psychological problems and

    discomfort experienced. The General Practitioner is perceived by many as being their

    primary consultant for their general health enquires. Due to the language barriers most

    Serbian born people prefer to consult Serbian speaking health practitioners. Due to

    General Practitioners holding a high professional status within the Serbian Community

    the advice received from them is generally accepted at face-value and is not questioned.

    This can sometimes be misinterpreted as understanding the advice and guidance being

    offered by the doctor, often resulting in mismanagement of medication.

    The non assertive and non questioning behavour demonstrated by some

    Serbian residents might be interpreted as a reflection of understanding the

    advice given by an authority figure such as anaged caretaker, doctor or nurse.

    However Serbian elderly are often embarrased to ask for further clarification

    or admit they do not understand something. A closer monitoring of the

    resident might need to be implemented to make sure that the resident has

    understood and is following the advice given.

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    Death and Dying (Palliative Care and Death)

    Palliative Care:

    Family plays the central role in caring for the sick individual and providing the initial

    coping mechanism and support. In the Serbian culture the diagnosis of a terminal illness

    is communicated to the family members rather than the patient concerned. This is often to

    relieve any further stress and still provides hope and encouragement to the patient. The

    family decides whether to pass the diagnosis to their ill family member. According to the

    family hierarchy, traditionally the eldest son or the husband is consulted regarding the

    diagnosis and is responsible for the decision making. Familys strong social support is

    crucial to the therapeutic process and the family and friends often come to visit the

    patient to support them and the family.

    During the initial consultation with the family and the resident ask about the

    culturally appropriate way of dealing with any changes in the residents

    health conditions. Not all Serbian families follow the traditional customs, or in

    Australia the family member with the better English knowledge might be

    informed of the diagnosis. Comprehensive communication between the family

    members and the aged care providers is essential.

    Death:

    Death and the bereavement processes are significant experiences in the Serbian culture

    and are largely dictated by religious and traditional practices. Given the importance of

    commemorating death and dying in the Serbian tradition, very often elderly Serbianpeople and their family would have discussed some of the arrangements regarding the

    funeral and the burial site. This is especially important in Australia given the preference

    of some Serbian people to be buried in their homeland. Also, cremation is not

    traditionally done in the Serbian culture therefore majority of the Serbian people choose

    to be buried. In the case of death it is very important to contact the residents family

    members. Very often the family members might decide to contact the Serbian priest.

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    Keep the following traditions in mind when dealing with a Serbian resident who

    has experienced a death of a loved one.

    Traditional customs following death:

    Mourning is a prescribed way of dealing with death in the Serbian community.

    Loud wailing is the most common way to express grief at the death of a loved one.

    Following the death the Serbian people visit the cemetery regularly including at 7

    days, 40 days and one year following death. The event is commemorated annually.

    During the mourning period, which usually lasts for one year, deceaseds partner

    and intermediate family members normally dont attend or participate in

    celebrations and listen to music as a sign of respect. However reduced time period

    may be acceptable in Australia.

    Black clothes are usually worn following death. The duration is largely determined

    by the proximity of the deceased, and close family members might wear black for

    one year to life.

    Men sometime may not shave for one year.

    A black arm band is a sign of mourning among men.

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    Basic Serbian Phrases

    Serbian is written in Cyrillic alphabet; however it is possible to translate the phrases

    using both Cyrillic and Latin script. The Serbian language is phonetic with the majority

    of letters being pronounced as they are written. In the table below we have to use proper

    Serbian alphabet.

    English Serbian English Pronunciation

    Hello Zdravo Zdravo

    Good Morning Dobrojutro Dobro yutro

    Good Afternoon Dobar dan Dobar dan

    Good evening Dobro vece Dobro veche

    Good Night Laku noc Laku noch

    Goodbye Dovidenja Dovidenja

    What is your name? Kako se zovete? Kako se zovete?

    My name is Moje ime je Moye ime ye

    Do you understand me? Da li me razumete? Da li me razumete?

    I understand Razumem Razumem

    I don't understand Ne razumem Ne razumem

    How are you? Kako ste? Kako ste?

    Good Dobro Dobro

    Bad Lose Loshe

    Are you experiencing anypain?

    Da li vas nesto boli? Da li vas neshto boli?

    No Ne Ne

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    Yes Da Da

    Are you hungry? Da li ste gladni? Da li ste gladni?

    Are you thirsty? Da li ste zedni? Da li ste zhedni?

    Do you want more? Da li zelite jos? Da li zelite josh?

    Eat Jesti Yedi

    Drink Piti Pii

    Bread Hleb Hleb

    Water Voda Voda

    Tea Caj Chai

    Plate Tanjir Tanyir

    Glass Casa Chasha

    Cup Solja Sholya

    Fork Viljuska Vilyushka

    Spoon Kasika Kashika

    Cup Solja Sholya

    Fork Viljuska Vilyushka

    Spoon Kasika Kashika

    Are you sleepy? Da li vam se spava? Da li vam se spava?

    Are you warm? Da li vam je toplo? Da li vam je toplo?

    Are you feeling comfortable? Da li vam je komotno? Da li vam je komotno?

    Are you cold? Da li vam je zima? Da li vam je zima?

    Do you need a blanket? Da li vam je potrebno

    cebe?

    Da li vam je potrebno chebe?

    Do you need medication for

    the pain?

    Da li vam trebaju lekovi

    protiv bolova?

    Da li vam trebayu lekovi

    protiv bolova?

    Please take your medicine? Molim vas da uzmete vaselekove

    Molim vas da uzmete vashelekove

    Please stand up Molim vas ustanite Molim vas ustanite

    Please sit down Molim vas sednite Molim vas sednite

    Do you need to use the toilet? Da li vam se ide u WC? Da li vam se ide u WC?

    Please Molim vas Molim vas

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    Thank you Hvala Hvala

    Recreation and Leisure

    Serbian Social Groups:

    There are several Serbian social groups currently active across Melbourne. Most of the

    Serbian Orthodox Churches have well established pensioner groups which meet on a

    regular basis. The Serbian Community Association of Australian (SCAA) has a Serbian

    Womens social group that meets every Wednesday from 12 to 2pm.

    Organizing a visit to some of the above social groups might be of a great benefit

    to the resident. The planned visit could also help increase the Serbian

    communitys involvement in assisting their residents in aged care, and might

    foster or encourage volunteerism for the less mobile aged care residents.

    Contact the local Serbian perishes or SCAA for further information.

    Television:

    The SBS television channel provides Serbian news and sometime Serbian movies.

    Currently, Serbian News is broadcasted Sundays from 9.30 until 10.00am. Channel 31

    broadcasts Serbian news on Sundays from 4 until 4.30pm.

    Check the TV programs guide for showing of any Serbian movies, or changes

    in the scheduling of the programs.

    Movies:

    Serbian movies and popular drama series can be purchased from Serbian local video

    shops including:

    Beograd Online7/236 Lonsdale St Dandenong Vic 3175 (03) 9793 9755

    157 Gertrude St Fitzroy Vic 3065 (03) 9419 2266

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    Radio:There are several Serbian radio shows that are broadcasted on radio including:

    SBS Radio 1224 AM Melbourne Community Radio 3ZZZ(92.3 FM)

    Monday 8-9 am Thursday 7-8 am

    Tuesday 3-4 pm Saturday 8-9 amWednesday 9-10 pm

    Thursday 3-4 pm

    Friday 8-9 am

    Further information regarding any of the SBS program guides for both SBS

    television and radio programs can be obtained from the website

    http://www.sbs.com.au/schedule/

    Newspapers and books:

    Melbourne City Council Libraries have a variety of Serbian books, DVDs and CDs.

    There are two Serbian newspapers Vesti (daily newspaper) and Serbian Voice

    (published every Friday) which are distributed Australia wide. They can be purchased

    from the local newsagency.

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    Serbian Orthodox Churches

    St. Sava MonasteryMt. Mercer Road, Elaine, 3334

    Tel. (03) 5141 5568

    Holy Trinity

    Cnr Nicholson & Glenlyon Rd. Brunswick 3056Fr. Miroslav Popovic

    Tel. (03) 9380 2996

    St. Archdeacon StefanCnr. Church St and Perry Rd Keysborough

    Fr. Cedomir Videkanic

    Tel. (03) 9679 0059

    St. George

    6 Kate St. St. Albans 3021

    Fr. Borislav PetrovicTel. (03) 9367 3677

    St. Sava

    212 Diamond Creek Rd. Greensborough 3088

    Fr. VladoSipovac

    Tel. (03) 9432 3048

    St. Petka1188-1210 Leakes Rd. Rockbank 3337

    Fr. Dusan Rakic

    Tel. (03) 9747 1152

    St. Nikolas

    112 Ballarat Rd. North Geelong 3215

    Fr. Momcilo VuksaTel. (03) 5278 8760

    Please contact the parish priests listed above for further information.

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    References

    Department of Immigration and Citizenship. (2008). The people of Australia: Statistics

    from the 2006 Census.Canberra: Commonwealth of Australia. Retrieved from

    Department of Immigration and Citizenship website:

    http://www.immi.gov.au/media/publications/research/_pdf/poa-2008.pdf

    Fejzic, J.B., & Tett, S.E. (2004). Medication management reviews for people from the

    former Yugoslavia now resident in Australia. Pharmacy World and Science,

    26(5), 271-276.

    Jupp, J. (Ed.). (2001). The Australian People. Melbourne: Cambridge University Press.

    Krupinski, J. (1984). Changing pattern of migration to Australia and their influence on

    the health of migrants. Social Science and Medicine, 18, 927-937.

    LoGiudice, D., Hassett, A., Cook, R., Flicker, L., & Ames, D. (2001). Equity of access

    to a memory clinic in Melbourne? Non English speaking background attendees

    are more severely demented and have increased rates of psychiatric disorders.

    International Journal of Geriatric Psychiatry, 16(3), 327-334.

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    Serbian Community Association of Australia Inc.186 Foster Street East, Dandenong 3175

    Phone (03) 9701 7308 (03) 9706 9912Email: [email protected]


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