Ch 7 (ethics) Flashcards
What do many cultures experience in healthcare?
Racism + discrimination
Which people are underrepresented in Canada’s healthcare delivery?
The Metis + Indigenous peoples - historically have had barriers to access these services
What types of policies still exist today in many aspects of healthcare delivery?
Colonial policies
Some u/s exams limit the # of guests allowed in the room, however how could this policy be am issue with some cultures?
Although it can promote a distraction free environment, this policy fails to recognize the importance of family in the indigenous + metis culture
What policy binder should we ask our preceptor to see?
The “companion support policy” for our clinical site
Does every culture align with the “companion support policy”?
No, some Muslim communities will have certain cultural practices that are different than the policy
What do some Muslim women wear when in the presence of males outside of their immediate family?
A hijab (hair, face, or body covering)
What are some considerations to keep in mind when working with females from different cultures?
-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)
What should we do if pt’s have different cultural beliefs/traditions than us?
Remain neutral + respect their culture
(remember they are likely feeling uncomfortable as well)
What are some strategies for cultural safety in u/s?
-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
Every person considering transitioning gender will have what kind of journey?
A unique + individualized journey, a lifelong experience
(can take months to years)
What is the social transition?
When a person changes:
-name + pronouns
-appearance or expression (clothing, hair, etc)
-washroom they use
What is the medical/surgical transition?
When a person undergoes:
-hormone therapy
-hair removal
-speech therapy
-fertility preservation (sperm/egg storage)
-surgery (mastectomy, hysterectomy, vaginoplasty, etc)
How would a transitioning pt’s gender be written on a req?
-May be “other” or “X”
-May still be their assigned gender from birth
How would a transitioning pt’s name be written on a req?
Name may have a preferred name in parentheses such as: Smith, Patricia (Patrick)
What do we do if we are unsure of a pt’s pronouns?
Ask!
Do some pt’s never choose to have gender affirming surgery?
Yes! Pt’s who don’t have surgery will present for tests to evaluate conditions associated with their reproductive organs
What can hormonal influence impact?
Sex organs + secondary sexual characteristics
What are some strategies for imaging a transitioning pt?
-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)
What are some tips to remember when working with transitioning pt’s?
-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
Does hormone therapy cause the uterus + ovaries to appear bigger or smaller?
Smaller
How many males/females experience intimate partner violence?
Males: 3 in 10 affected in their lifetime
Females: >4 in 10 affected in their lifetime
Can intimate partner violence occur in same sex relationships?
Yes
What are signs that your pt may be experiencing intimate partner violence?
-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
