Ch 7 (ethics) Flashcards

1
Q

What do many cultures experience in healthcare?

A

Racism + discrimination

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2
Q

Which people are underrepresented in Canada’s healthcare delivery?

A

The Metis + Indigenous peoples - historically have had barriers to access these services

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3
Q

What types of policies still exist today in many aspects of healthcare delivery?

A

Colonial policies

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4
Q

Some u/s exams limit the # of guests allowed in the room, however how could this policy be am issue with some cultures?

A

Although it can promote a distraction free environment, this policy fails to recognize the importance of family in the indigenous + metis culture

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5
Q

What policy binder should we ask our preceptor to see?

A

The “companion support policy” for our clinical site

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6
Q

Does every culture align with the “companion support policy”?

A

No, some Muslim communities will have certain cultural practices that are different than the policy

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7
Q

What do some Muslim women wear when in the presence of males outside of their immediate family?

A

A hijab (hair, face, or body covering)

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8
Q

What are some considerations to keep in mind when working with females from different cultures?

A

-Pt may want female tech
-Pt may want their male partner in the room
-Pt will want their modesty preserved (especially when uncovering their abdomen or pelvis)

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9
Q

What should we do if pt’s have different cultural beliefs/traditions than us?

A

Remain neutral + respect their culture

(remember they are likely feeling uncomfortable as well)

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10
Q

What are some strategies for cultural safety in u/s?

A

-Ask workplace if they have considered the roll different cultures play in the formation of their policies (each place can have diff policies)

-Ask tech how they handle diff scenarios + analyze their responses

-Take learning management courses to broaden knowledge about cultural safety

-Examine own biases + analyze them (self reflection)

-Ask pt how we can best support them or their family

-Be kind

-Respect cultural traditions regardless if they are different from ours

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11
Q

Every person considering transitioning gender will have what kind of journey?

A

A unique + individualized journey, a lifelong experience

(can take months to years)

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12
Q

What is the social transition?

A

When a person changes:
-name + pronouns
-appearance or expression (clothing, hair, etc)
-washroom they use

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13
Q

What is the medical/surgical transition?

A

When a person undergoes:
-hormone therapy
-hair removal
-speech therapy
-fertility preservation (sperm/egg storage)
-surgery (mastectomy, hysterectomy, vaginoplasty, etc)

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14
Q

How would a transitioning pt’s gender be written on a req?

A

-May be “other” or “X”
-May still be their assigned gender from birth

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15
Q

How would a transitioning pt’s name be written on a req?

A

Name may have a preferred name in parentheses such as: Smith, Patricia (Patrick)

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16
Q

What do we do if we are unsure of a pt’s pronouns?

A

Ask!

17
Q

Do some pt’s never choose to have gender affirming surgery?

A

Yes! Pt’s who don’t have surgery will present for tests to evaluate conditions associated with their reproductive organs

18
Q

What can hormonal influence impact?

A

Sex organs + secondary sexual characteristics

19
Q

What are some strategies for imaging a transitioning pt?

A

-Confirm we are doing the correct exam
-Respect their pronouns
-Afford same level of modesty as you would for any non-transitioned pt
-Use terms like “top” or “bottom” when asking about surgeries (avoid medical terms unless they are using them)

20
Q

What are some tips to remember when working with transitioning pt’s?

A

-A pt that appears male, can still have a uterus + ovaries
-A pt that appears female, can still have testes
-Hormone therapy can suppress the growth of the uterus + ovaries making them appear smaller

21
Q

Does hormone therapy cause the uterus + ovaries to appear bigger or smaller?

A

Smaller

22
Q

How many males/females experience intimate partner violence?

A

Males: 3 in 10 affected in their lifetime
Females: >4 in 10 affected in their lifetime

23
Q

Can intimate partner violence occur in same sex relationships?

A

Yes

24
Q

What are signs that your pt may be experiencing intimate partner violence?

A

-Partner insists on being present during exam
-Partner becomes violent or threatens violence
-Partner has clenched fists, aggressive postures (standing close, legs ready to move) + clenched teeth

25
Q

Which code would we call for violence?

A

Code white!

26
Q

Pt’s who have experienced sexual violence may:

A

-Be emotional
-Not want a male/female tech
-Be tense or look away/down
-Reply with yes/no but doesn’t elaborate
-Not want an EV or scrotal scan

27
Q

What are some strategies for assisting pt’s who have experienced sexual violence?

A

-Let them choose gender of their tech
-Do not act offended if they decline consent to do the exam
-Offer them to invite a person they trust into the room for intimate exams (EV, scrotum, breast)
-Ensure we get consent for ANY procedure

28
Q

Who needs a chaperone at all times when performing sensitive exams?

A

Students!

29
Q

Who can be a chaperone?

A

MUST be a medical professional of the same gender as the pt

(not a family member)

30
Q

Do requirements regarding chaperones at each site vary for working techs?

A

Yes

31
Q

What are the 6 steps in the chaperone procedure?

A

-You or the pt requests a chaperone
-While the pt is changing for the exam, you will go select someone from qualified staff
-Must be medical professional who is available for about 20 min
-Explain to chaperone where they should stand + what they should/should not do before they enter the exam room
-When exam is done, you and the chaperone exit the room together

32
Q

Where should the chaperone stand during an exam?

A

At the head of the bed facing the pt + you

(avoid having them see monitor or pt’s exposed body parts)

33
Q

Can the chaperone talk during the exam?

A

Yes, allow them to chat with the pt

34
Q

Can the chaperone leave the room before you?

A

No, you must leave together

35
Q

Should we record the chaperone’s name afterwards?

A

Yes, include name on tech sheet + RIS system

Write: “Chaperone Present” on tech sheet + pt chart if they are an inpatient