Cultural Awareness

Question 1

3 Elements to Medication Adherence

Answer 1

1. Patient must know how to take the medication
2. Patient must be able to take the medication
3. Patient must want to take the medication

All require proper communication and assesment of the patient.

Question 2

What is culture?

Answer 2

“the accumulated store of shared values, ideas, understandings, symbols, material products, and practices of a group of people.”

Note: This definition does NOT include language

Question 3

What is cultural competency?

Answer 3

• An ability to interact effectively with people of different cultures
• It means paying attention to all factors that might influence the behavior of another person
  
  • religion, food, beliefs, greetings, etc.

Cultural competence means treating other as they want to be treated

Question 4

How to Increase Cultural Awareness

Answer 4

• Ask questions about another person’s preferences
  
  • Kleinman Questions
  • Prime Questions

Question 5

A Culturally Competent Provider is…

Answer 5

• Knowledgable about cultural differences and their impact on attitudes and behaviors
• Sensitive, understanding and respectful is dealings with peoples whose culture is different from one’s own
• Flexible and skillful in responding and adapting to different cultural contexts and circumstances

Question 6

Interpreter vs. Translator

Answer 6

• Both transmit meaning for meaning
  
  • An interpreter is used for spoken communication
  • A translator is used for written communications

Question 7

Reasons for patients not “knowing how”

Answer 7

• poor communication
• information overload
  
  • confusing or overwhelming
• ​​didn’t know how the medication workds

Question 8

Reasons for patients not being able to

Answer 8

• because the medication is forbidden
  
  • ex: gelatin (pork product)
• fasting practices

Question 9

Reasons for patients not wanting to

Answer 9

• doesn’t want to be stigmatized by having mental illness
• afraid of medication dependence
• doesn’t understand or trust Western medication
• believes Western medicine is too strong or wants to try traditional remedies first
• thinks future is predetermined and should not change her fate
• more pressing priorities

Question 10

Torture

Answer 10

• Really common in refugees
• Things that might retrigger memories
  
  • waiting in line
  • asking them to diet
  • MRI, EKG
• Torture is pseudo-medical by nature
  
  • administration of drugs
  • procedures
  • forced IUD placement
• Symptoms of torture might be similar to those for depression or other mental illnesses.
  
  • did the physician get the correct diagnosis?
  • pain may be related to torture and medication may not help

Question 11

Assess Adherence Barriers

Answer 11

• Ask open ended questions to assess patient’s understanding

Question 12

L.E.A.R.N to become culturally competent

Answer 12

• L: listen
• E: explain/educate
• A: acknowledge
• R: recommend
• N: negotiate

Question 13

Summary

Answer 13

1. Be aware of cultural differences
2. Ask open ended questions
3. Assess barries in the know how, want to , and be able to take medications
4. be flexible
5. treat everyone with respect and listen
6. you will learn cultural competency with practice