Cultural competency Flashcards
What is cultural competency?
the concept has a positive effect on patient care delivery by enabling providers to deliver services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients
What influences our beliefs and knowledge of health, disease and injury?
cultures, religions, genders, education etc…
What is the difference between mental health and mental illness?
mental health: positive, reflection of our well being. able to feel, think and act in ways to help cope, be productive, contribute to society
Mental illness: persistent changes in behaviours 2+weeks ==> tolerance to stress is different
What is the DEPRESSION acronym?
D= depressed mood
E= energy Lost
P: pleasure lost
R: retardation or excitation
E: eating changed
S: sleep changed
S: suicidal thoughts
I: I’m a failure
O: only me to blame
N: no concentration
What are the 5 A’s of equity to access?
Availability
Affordability
Accessibility
Accommodation
Acceptability
What are some guidelines to follow when assessing a visually impaired person?
Ask permission to guide/touch
Communicate where you are
Don’t take hands off
Does it affect the vestibular or somatosensory system?
Clear and concise communication
What are some guidelines when assessing hearing impaired/ deaf patients?
Clear masks, if masks needed
Clear and concise communication
Affect balance?
Have they had any surgeries
What is validity?
a test measure what it is supposed to measure
What is reliability?
ability to reproduce the results
Can a measure be valid without being reliable?
No, a measure can be reliable and not valid but it cannot be valid without being reliable
What is sensitivity?
refers to the ability of the test to correctly identify those patients with the disease.
If a test has high sensitivity, we can be confident it will detect the injury so if it is negative we can be near certain they don’t have it
What does SnNout stand for?
High sensitivity with negative test effectively rules out
What is specificity?
refers to the ability of the test to correctly identify those patients without the disease
If test has a high specificity and result is positive you can be near certain they do have the injury you are screening for
What does SpPin stand for?
High specificity, a positive finding, convincingly rule in the condition
What are some yellow flags?
Abnormal signs and symptoms
Bilateral symptoms
Symptoms peripheralizing
Neurological symptoms
Multiple nerve root involvement
Abnormal sensation pattern
Saddle anesthesia
Upper motor neuron symptoms signs
Fainting
Drop attacks
Vertigo
Autonomic nervous system symptoms
Progressive weakness
Progressive gait disturbances
Multiple inflamed joints
Psychosocial stresses
Circulatory or skin changes
What are the cancer red flags?
persistent pain at night
Constant pain anywhere in body
unexplained weight loss
Loss of appetite
Unusual lumps or growths
unwarranted fatigue
change in bowel or bladder habits
sores that will not heal
unusual bleeding or discharge
obvious change in wart or mole
nagging cough or hoarseness
What are the cardiovascular red flags?
Shortness of breath
Dizziness
Pain or a feeling of heaviness in the chest
Pulsating pain anywhere in the body
Constant and severe pain in lower leg or arm
Discolored or painful feet
Swelling
What are GI red flags?
Frequent or severe abdominal pain
Frequent heart burn or indigestion
Frequent nausea or vomiting
Change in or problems with bowel and or bladder function, incontinence,
Unusual menstrual irregularities
What are some miscellaneous red flags?
Fever or night sweats
Recent or severe emotional disturbances
Swelling or redness in any joint with no history of injury
Pregnancy
What are the neurological red flags?
Changes in hearing
Frequent or severe headaches with no history of injury
Problems with swallowing or changes in speech
Changes in vision
Problems with balance, coordination, or falling
Fainting spells
sudden weakness
Bilateral pins and needles
