BC-ADM Topics Flashcards
What is “recognition of one’s own cultural influences upon values, beliefs, and judgments, as well as the influences derived from the professional’s work culture?”
Cultural self-awareness
What is process in which the healthcare professional seeks and obtains a sound educational base about culturally diverse groups?
Cultural Knowledge
What is the process of conducting a self-examination of one’s own biases towards other cultures and the in-depth exploration of one’s cultural and professional background. It also involves being aware of the existence of documented racism and other “isms” in healthcare delivery?
Cultural awareness
What is ability to conduct a cultural assessment to collect relevant cultural data regarding the client’s presenting problem as well as accurately conducting a culturally-based physical assessment?
Cultural skill
What is process which encourages the healthcare professional to directly engage in face-to-face cultural interactions and other types of encounters with clients from culturally diverse backgrounds in order to modify existing beliefs about a cultural group and to prevent possible stereotyping?
Cultural encounters
What is motivation of the healthcare professional to “want to” engage in the process of becoming culturally aware, culturally knowledgeable, culturally skillful and seeking cultural encounters; not the “have to?” It is also the pivotal construct of cultural competence that provides the energy source and foundation for one’s journey towards cultural competence.
Cultural desire
What are the goals for people without diabetes (fasting, after meals, and A1C)?
<110 mg/dL, and 6%
What are the ADA goals for diabetics (fasting, after meals, and A1C)?
70-130 mg/dL, <7%
What are the ACE goals for diabetics (fasting, after meals, and A1C)?
<6.5%
Exceptions to the parent being required to be present for minor’s healthcare provision:
- Consent by someone other than a biologic parent - such as a foster parent, a juvenile court, a social worker, or probation officer
- Emergency situations where care may be provided without prior consent to safeguard the life and health of the minor.
- Specific legal provisions in particular states that allow minors to consent for specific areas of care. Some of these include
- Contraceptive care
- Pregnancy related care
- Diagnosis and treatment for sexually transmitted diseases (STDs)
- Diagnosis and treatment of either human immunodeficiency virus (HIV), or acquired immunodeficiency syndrome (AIDS).
- Diagnosis and treatment of reportable or contagious diseases
- Examination and treatment related to sexual assault
- Counseling and treatment for drug or alcohol problems
- Counseling and treatment for mental health issues.
Warning signs for Diabulemia include:
Consistent high A1c (glycosylated hemoglobin) or eAG (estimated average glucose) Regaining lost weight Body image concerns Continuing to struggle with overweight Irregular eating patterns Discomfort eating around other people Eating in private Hoarding food Craving food Irregular or nonexistent menses Experiencing female problems Unwilling to follow through with appointments Crying out for help Cancelling appointments Doubtful blood glucose monitoring Getting perfect numbers
What are the complications of diabulemia?
Mortality increases (3 fold in one study) Microvascular complications: proliferative retinopathy, neuropathy)
Treatment plan for diabulemia:
Inpatient treatment Multidisciplinary team approach Healthy eating habits Body weight Appropriate exercise Motivators Persistent education Small goals
Multidisciplinary team approach for diabulemia
- An endocrinologist who is sensitive to the psychosocial component of individuals
- A psychotherapist who is experienced with both chronic illness and eating disorders
- A registered dietitian who is passionate about eating disorders and, more importantly, skillful in mastering the management of blood glucose patterns and insulin regimen
