Cultural Considerations and Cultural compentence

Question 1

AFRICAN AMERICAN: If symptoms subside what may they do with medications?

Answer 1

Discontinue meds - often doubting the need for further therapy

Question 2

AFRICAN AMERICAN: View on touch?

Answer 2

Touch is an essential part of healthcare

Personal space may be limited

Question 3

AFRICAN AMERICAN: View on religion and healthcare?

Answer 3

Heavily rely on religious rituals
and
Minister’s advice

Question 4

AFRICAN AMERICAN: View on health

Answer 4

Health is viewed as a gift from GOD

Illness and suffering may be God’s will or evil influences

Question 5

AFRICAN AMERICAN: What is COD LIVER OIL taken for?

Answer 5

To prevent colds

Question 6

AFRICAN AMERICAN: What is Copper or silver bracelets worn for?

Answer 6

To protect from harm

Question 7

AFRICAN AMERICAN: If Haitain or African, they believe in?

Answer 7

May believe in VOODOO

Question 8

HISPANICS: What do they believe with pharmacotherapy?

Answer 8

Often think its unnecessary to continue once symptoms are done.

Question 9

HISPANICS: Balance of disease and illness? (2)

Answer 9

Hot and Cold

Wet and Dry

Question 10

HISPANICS: PCN is “hot or cold”

Answer 10

“HOT”

Question 11

HISPANICS: Illness may be caused by “evil eye”

Answer 11

Mal de Ojo

Can be inadvertently given by healthcare workers

Question 12

HISPANICS: Religious beliefs of health

Answer 12

Health is a gift from GOD and a reward for good behavior

Question 13

HISPANICS: Use of holistic healer

Answer 13

Curanderas

Question 14

HISPANICS: Curanderas treat eith

Answer 14

Herbs
Teas
Shrine
Medals
Candles
Promises to God to change behavior

Question 15

HISPANICS: Illness prevention strategies

Answer 15

1. Eating proper foods
2. Working the proper amount of time
3. Wearing religious medals
4. Sleeping with relics

Question 16

HISPANICS: Injection versus oral

Answer 16

May expect injection versus PO medications. May be viewed as less effective.

Question 17

ASIANS: Eye contact

Answer 17

Eye contact may be a sign of disrespect

Question 18

ASIANS: Use of the word “yes”

Answer 18

Is common and polite. Does not mean they are understanding anything you say…

Question 19

ASIANS: Herbal remedies

Answer 19

Potential for drug-drug interactions.

Question 20

ASIANS: Insurance %

Answer 20

Well-insured

only 18% uninsured

Question 21

ASIANS: >65 frequency to physician

Answer 21

Only HALF of asians >65 make as many visits to healthcare providers as their caucasian counter parts

Question 22

Cultural competence -

standards aim to eliminate racial and ethnic health disparities and to improve the health of all americans

Answer 22

14 Culturally and Linguistically Appropriate Services

Question 23

Cultural competence

CLAS - Standard 5

Answer 23

Must offer language assistance services

Question 24

Patient comes in to ER who does not speak english. Are you responsible for finding an interpreter?

Answer 24

yes

Question 25

Cultural competence - Can the patient use friends or family for interpreting?

Answer 25

Only if patient wants that.

Cannot be assumed.

Question 26

Cultural competence

CLAS Standard 6

Answer 26

Must provide in preferred language both verbal and written notices informing them of their rights to receive language assistance services

Question 27

Cultural competence

CLAS Standard 7

Answer 27

Family and friends should not be used to provide interpretations services, except upon request by the patient