Cultural Considerations and Cultural compentence Flashcards
AFRICAN AMERICAN: If symptoms subside what may they do with medications?
Discontinue meds - often doubting the need for further therapy
AFRICAN AMERICAN: View on touch?
Touch is an essential part of healthcare
Personal space may be limited
AFRICAN AMERICAN: View on religion and healthcare?
Heavily rely on religious rituals
and
Minister’s advice
AFRICAN AMERICAN: View on health
Health is viewed as a gift from GOD
Illness and suffering may be God’s will or evil influences
AFRICAN AMERICAN: What is COD LIVER OIL taken for?
To prevent colds
AFRICAN AMERICAN: What is Copper or silver bracelets worn for?
To protect from harm
AFRICAN AMERICAN: If Haitain or African, they believe in?
May believe in VOODOO
HISPANICS: What do they believe with pharmacotherapy?
Often think its unnecessary to continue once symptoms are done.
HISPANICS: Balance of disease and illness? (2)
Hot and Cold
Wet and Dry
HISPANICS: PCN is “hot or cold”
“HOT”
HISPANICS: Illness may be caused by “evil eye”
Mal de Ojo
Can be inadvertently given by healthcare workers
HISPANICS: Religious beliefs of health
Health is a gift from GOD and a reward for good behavior
HISPANICS: Use of holistic healer
Curanderas
HISPANICS: Curanderas treat eith
Herbs Teas Shrine Medals Candles Promises to God to change behavior
HISPANICS: Illness prevention strategies
- Eating proper foods
- Working the proper amount of time
- Wearing religious medals
- Sleeping with relics
HISPANICS: Injection versus oral
May expect injection versus PO medications. May be viewed as less effective.
ASIANS: Eye contact
Eye contact may be a sign of disrespect
ASIANS: Use of the word “yes”
Is common and polite. Does not mean they are understanding anything you say…
ASIANS: Herbal remedies
Potential for drug-drug interactions.
ASIANS: Insurance %
Well-insured
only 18% uninsured
ASIANS: >65 frequency to physician
Only HALF of asians >65 make as many visits to healthcare providers as their caucasian counter parts
Cultural competence -
standards aim to eliminate racial and ethnic health disparities and to improve the health of all americans
14 Culturally and Linguistically Appropriate Services
Cultural competence
CLAS - Standard 5
Must offer language assistance services
Patient comes in to ER who does not speak english. Are you responsible for finding an interpreter?
yes
Cultural competence - Can the patient use friends or family for interpreting?
Only if patient wants that.
Cannot be assumed.
Cultural competence
CLAS Standard 6
Must provide in preferred language both verbal and written notices informing them of their rights to receive language assistance services
Cultural competence
CLAS Standard 7
Family and friends should not be used to provide interpretations services, except upon request by the patient
