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

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

Answer 6

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 7

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

Answer 7

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

Question 8

CCE - additional aspects of general Mx (4)

Answer 8

1. Aboriginal liason for support
2. CTG for medications
3. Aboriginal health check for futher appt + allied health sessions
4. Consider AMS or Aboriginal controlled health organisation (ACCHOs)