Approach to multicultural and post traumatic patients Flashcards
How do we create a welcoming environment for a patient?
exhibit racially and ethnically diverse posters (dress from different cultures, same-sex couple stuff)
display media which is culturally relevant (magazines, etc.)
What do you visibly post in your clinic to create a welcoming environment
what about your intake forms?
post a non-discrimination statement (equal opportunity and nondiscrimination)
intake forms all are inclusive. “relationship, vs. marital” status, partnered as a status, transgender to male/female
How do we speak the language of other individuals?
1) what if you can’t speak their language?
2) what if you both speak English but don’t understand?
3) what can you do with your office staff?
arrange for translators
use language that patients understand
use the same language as the patient… different body part terminology.. use layman’s terms.. ask to clarify
train front office staff to use non-discriminatory verbal and body language.
How do we communicate with a patient?
what do you do for each patient?
what’s most important for the patient?
develop a specific plan for EACH patient
understand the patient’s goals of the visit
Patient’s goal is more important than the doctor’s goal.
How do you understand your own goals?
1) negotiation?
2) what about educating others?
be willing to negotiate non-important items or evaluate the unknown. –> example was John Keim and the Burn and Wound ointment.. sat down and explained it and they would try it
Be willing to educate –> amish used black cohosh for hot flashes but it actually is unopposed estrogen –> uterine bleeding and cancer.
How do we examine respectfully?
2 big things.
make sure to know their history ahead of time –> abuse, surgeries, procedures, piercings or tattoos
put on you doctor face –> show empathy, not shock, horror, or disgust.
Violence Screening:
1) when should it be done?
2) how should it be asked? examples?
3) what should you NOT do? why?
1) 1:1 setting
2) ask all patients in a gender neutral way
- ever been hurt by someone your are closely involved with or by a stranger
- currently being hurt?
- expereinced violence or abuse?
- sexually assaulted/raped?
**do NOT accept the answers as unalterable truth, patients lie to protect themselves or others
when making plans together, what do you need to make sure the patient does?
make sure the patient:
1) understands the need for the plan
2) is on board with the plan
3) needs a plan
Technology and patient comfort?
empathy is more direct when you are by yourself without using technology
LGBTQIA+?
1) how should you address yourself?
2) what about with questioning
3) what should you never do?
consider introducing yourself with your preferred pronouns
ask relevant questions, but not overly probing questions. –> open ended pretty much.
DON’T ASSUME
What are LGBTQIA+ more vulnerable to? examples
social stresses
50% more GBT men smoke than other men
200% LGT women smoke more than other women
explore drug/alcohol self treatment for social stress
Trauma calls what?
results from an event, series of events, or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening with LASTING ADVERSE EFFECTS on an individuals functioning and mental, physical, social, emotional, or spiritual well being
what int he TIC?
trauma-informed care
adoption of principles and practices that promote a culture of safety, empowerment, and healing.
of the 10 types of childhood trauma, what are 5 of them grouped in? the other five? examples of each?
Five are personal –> abuse, verbal, sexual, physical or emotional neglect
5 are related to other family members –> domestic violence, jail time, mental illness, disappearance of parent
survivors of childhood trauma are more likely to do what?
5000% more likely to attempt suicide, have eating disorders, or become IV drug users
