Aboriginal + Torres Strait Islander Care

Question 1

5 general principles of trauma informed care

Answer 1

1. Safety
2. Physiological arousal
3. Validate
4. Collaborate
5. Ongoing Connection

Question 2

6 potential barriers for ATSI pts to recieve care

Answer 2

1. Lack of trust in medical system
2. Lack of access to appropriate tertiary level service
3. Financial barriers
4. Poor health literacy
5. Language/communication barrier
6. Lack of access to appropriate aboriginal support worker

Question 3

Ask patient if they indentify as ATSI -> they ask why you want to know. List 4 explanations why you routinely ask all patients

Answer 3

1. Access to medications through CTG co-payments
2. Preventative care + vaccination recommendations are different to non-indigenous patients
3. Access to additional MBS items that improve holistic care
4. Increase in certain medical conditions

Question 4

What 5 steps can you/your clinic take to provide more appropriate care to Aboriginal + TOrres Strait Islander patients?

Answer 4

1. Staff to receive cultural safety training
2. Create welcoming environment
3. Routinely use relevant ATSI clinical guidelines
4. Register for PIP-IHI (practice incentive program-indigenous health incentive)
5. Learn appropriate local referral services

Question 5

List 5 ways to improve effectiveness of communication style when working with FIrst Nations patients in any setting?

Answer 5

1. Tailor history to explore relevant socio-cultural aspects of the consult
2. Allow additional time for consults
3. Use appropriate terminology in reference to Aboriginal and Torres Strait Isalnder peoples - including local community preference
4. Know the name of the Traditional Owner Group/s of the land you live and work
5. Use health promotion materials that are appropriate + tailored to local community

Question 6

Why is bronchiectasis more prevalent in the Aboriginal community (4)?

Answer 6

1. Overcrowding causing to more frequent respiratory tract infections
2. Delayed diagnosis due to SEC disadvantage
3. Lack of access to timely antimicrobial treatment for infections
4. Poor compliance with antibiotic treatment

Question 7

Management of bronchiectasis/to optimise lung function long term? (6)

Answer 7

1. Early recognition + treatment of infective exacerbations
2. Minimising exposure to respiratory infections
3. Airway clearance techniwues with physio
4. Pulmonary rehab
5. Immunisations for flu/pneumococcal/covid
6. Regular exercise to maintain appropiate weight, muscle strength and muscle mass

Question 8

Major manifestations of Acute rheumatic fever in high risk (5)

Answer 8

CASSE:
C - Carditis
A - Arthritis: polyarthritis, aseptic monoarthiritis or polyarthralgia
S - sydenham chorea
S - Subcut nodules
E - Erythema marginatum