continued

Question 1

Healing by heart model, last 5 -based on how individuals can improve healthcare

Answer 1

1. Increase self-awareness about your cross-cultural health care ethics
2. Learn skills to identify, evaluate, and respond to cross-cultural ethical conflicts, with special attention to challenges to professional integrity
3. Develop an attitude culturally responsive to the groups that you serve
4. Learn communication skills culturally responsive to the groups you serve
5. Develop skill in applying culturally responsive skills and attitudes to particular clinical relationships,

Question 2

Last 6 of Cultural factors that affect healthcare

Answer 2

Family involvement and inclusion
Orientation to prevention
Pain expression and management
Diets and dietary practices
Concepts of death and dying
Expectations of health professionals

Question 3

eliciting patient information is two fold.. This helps gains an understanding of what? It negotiates what?

Answer 3

1. Develop an understanding of how the patient sees his or her health needs in such as way that it shows respect for the patient
2. Negotiate a basis of trust in the therapeutic alliance between patient and healthcare provider even when patient and provider perspectives differ

Question 4

What are the first 4 of the 8 questions?

Answer 4

1. What do you think caused your sickness or problem?
2. Why do you think it started when it did?
3. What do you think the sickness does to you? How does it work?
4. How severe is your sickness? Do you think it will last a short time or a long time

Question 5

What are the last 4 of the 8 questions

Answer 5

5. What are the chief problems the sickness has caused you?
6. What do you fear most about this sickness?
7. What kind of treatment do you think you need?
8. What are the most important results you hope from the treatment?

Question 6

What is the purpose of 8 questions (4 reasons)

Answer 6

Yield insight into patient’s explanatory model

Provide an understanding of the patient’s subjective experience of the condition

Provide an opportunity to acknowledge differences between the patient’s and provider’s models for the illness

Negotiate agreement about treatment
Build trust and therapeutic alliance

Question 7

Who are the support staff and servie workers in healthcare?

Answer 7

Support staff = service workers (security, food service, environmental service), non-clinical (clerks, transporters, receptionist)

Question 8

Why should we train support staff in cultural competence?

Answer 8

Often left out of training, but are often the first and last point of contact for patients

Question 9

What does the mnemonic LEARN stand for?

Answer 9

L = listen with empathy and understanding to the patient’s problem
E = explain your perception of problem
A = acknowledge and discuss differences and similarities
R = recommend treatment
N = negotiate treatment when necessary

Question 10

L=

Answer 10

listen with empathy and understanding to the patient’s problem

Question 11

E =

Answer 11

explain your perception of problem

Question 12

A=

Answer 12

acknowledge and discuss differences and similarities

Question 13

R =

Answer 13

recommend treatment

Question 14

N =

Answer 14

negotiate treatment when necessary