Cross-Cultural Clinical Skills Flashcards
What are the external manifestation of culture?
VISIBLE: clothing, art, buildings, food, festivals, observable mannerisms
What are the internal manifestation of culture?
(less visible) - values, norms, worldviews, expectations, beliefs
What is the cultural iceberg?
90% of their culture are internal things that we might not see
What is the continuum of cultural competency and the 6 categories?
Cultural destructiveness
Actively berating a person or community based on cultural background
Cultural incapacity
Willing to support culturally oriented practices
Unable to actually provide support (because the facility does not offer it for instance)
Cultural blindness
Attempting to treat everyone the same regardless of culture
Can miss key elements attributable to culture
Cultural precompetency
Recognizes culture is influential
Attempts to make some improvements and adaptations
No continuous improvement plan
Cultural proficiency
Values diversity (believe we should embrace culture)
Continuously implements and evaluates new ideas to improve culturally related care
Actively educating on or researching cultural care
Cultural competency
True, 100% cultural competency can never be fully achieved!
There is always room for improvement and change
What is the difference between disease and illness in the lens of cultural competency?
Disease: malfunctioning of physiologic and/or psychological processes in a patient
Illness: psychosocial experience and meaning of perceived disease for patient, family and friends
Want to take into account illness(the way the disease impacts you)
What is the Western Biomedical Model?
Default - diagnosis and treatment
Explain model
8 questions geared towards evaluating patient beliefs about illness, its etiology, the treatment they want and where they want to go next with their care.
What do you think caused your problem?
Why do you think it started when it did?
What do you think your sickness does to you?
How severe is your sickness? Will it have a short or long course?
What are the chief problems your sickness has caused for you?
What do you fear most about your sickness?
What kind of treatment do you think you should receive?
What are the most important results you hope to get from treatment?
What is the BATHE model?
It focuses on the social impact of the disease and uses reflection
looks for depression/anxiety
need a bath for depression
What is the Ethnic model?
Geared towards the cultural beliefs
; invites discussion of alternative treatments and healers
What is the LEARN model?
Listen to what the patient says and explain your approach
Geared towards comprimise and culture competence
What is the 4 C’s model
It is a pared-down approach of explanatory model.
Call, Cause, Cope, and concerns
What is important to take into mind with spirituality and medicine?
Lots of patients want this!
Not everyone is religious, but a lot of people have spirituality
What is the HOPE model?
Geared towards spirituality
Hope
Organized religion
Person spirtuality
Effects on medical care
What is the FICA model?
Geared towards spirituality
Faith and spirtuality
Importance
Community
Address in care
What is the spirit model
Spitrual belif system
Personal spirtuality
Integreation within spirtual community
Ritualized practices
Implications
Terminal illness
What is LEP and what is common in this population?
Patients with Limited English Proficiency
Often worse outcome - less likely to get screenings, come in, and more likely to have incomplete ER visits
