culture and mental health Flashcards
1
Q
culturally sensitive care
A
- elements of providing culturally sensitive care
- – self reflection
- – acquiring cultural knowledge
- – facilitating client choice
- – communication
- developing an approach to care
- – assessment
- – establishing mutual goals
- —- culture care preservation
- —- culture care accommodation culture care
2
Q
ojibwe medicine wheel
A
middle is balance
north - white, winter, elder, sweet grass, mental
south - red, summer, youth, cedar, emotional
east - yellow, spring, child, tobacco, spiritual
west - black, autumn, adult, sage, physical
3
Q
historic trauma
A
historic trauma (transmission) - post traumatic stress disorder of a nation of people; a 'cumulative emotional and psychological wounding across generations resulting from massive tragedies'
4
Q
residential school
A
- from the 1870s until the 1950s, the residential school system was in full scale operation; some schools remained open until 1990s
- aboriginal children, ranging in age from 5 to 15 yrs, who were removed from their families and placed in schools that were often great distances from their communities
- denied the opportunity to participate in cultural practices or speak their language and they were separated from their parental and community systems of care
- the residential school experience has been described as a “failure where aboriginal children were frequently inflicted with physical, mental, sexual and spiritual abuse, and many died from disease or malnutrition”
5
Q
sixties scoop: context
A
- late 1940s; advocacy groups, composed largely of social workers, lobbied the federal government arguing that aboriginal communities were being unfairly deprived of the social services available to other Canadians
- argued that social services, including child protection, should be extended to aboriginal communities through the expansion of provincial jurisdiction to reserves
- 1951, the Indian act was revised. section 88 allowed for the application of provincial law over items not specifically covered in the act, including child welfare, health, and education services. this gave provincial and territorial child welfare authorities the jurisdiction and legal authority to administer child welfare services in first nations communities
6
Q
in the sixties
A
- 1960 to mid 1980s; aboriginal children taken from their homes without knowledge or consent from families or communities
- over 11,000 status Indian children, plus many other aboriginal children, were placed for adoption by non aboriginal families
- a generation of aboriginal children raised without cultural knowledge and with confused identities
7
Q
stigma
A
- a mark of disgrace associated with a particular circumstance, quality or person
- epidemiological paradox
7
Q
stigma
A
- a mark of disgrace associated with a particular circumstance, quality or person
- epidemiological paradox
- – aboriginal people need to raise profile of their suffering so that they can get help
- – raising profile of suffering perpetuates racist stereotypes of aboriginal peoples
- stigma must be addresses
- – being mentally ill is synonymous with being shattered, being in pain
8
Q
Brian Sinclair
A
Indigenous man sent to winnipeg ER to get his catheter changed was ignored for 34 hours and found dead is in wheelchair in the ER waiting room
- his death was due to racism; they assumed he was drunk or homeless and sleeping in the ER so never went to offer him help
9
Q
treating intergenerational trauma
A
- link past, present and context to provide context and a narrative (use story telling or narrative methods to instill trust)
- uncover contextual ways of explaining the world
- uncover contextual ways of explaining how and why good and bad things happen
10
Q
nurse client relationship
A
basics of all psychiatric nursing treatment approaches
to establish the nurse is:
- safe
- confidential
- reliable
- consistent
establishes relationship with clear boundaries
11
Q
goal of nurse client relationship
A
- facilitate communication of distressing thoughts and feelings
- assist patient with problem solving
- help patient examine self defeating behaviours and test alternatives
- promote self care and independence
12
Q
Peplau’s model - interpersonal relations in nursing (3 overlapping phases)
A
- the orientation phases: where the nurse and the patient get to know each other. during this phase, which can last from a few minutes to several months, the patient develops trust with the nurse
- the working phase: this is when the pt, through the relationship, examines their difficulties and learns new ways of approaching them
- the termination phase: represents the termination stage of the relationship. This extends from the moment the problem/issue is resolved to the end of the relationship (ex. discharge)
13
Q
4 elements of the nurse client relationship
A
- trust: critical to the nurse client relationship because the client is in a vulnerable position. initially, trust is fragile so its extremely important to keep promises. once trust is broken it is difficult to reestablish
- professional intimacy: inherent in the type of care and services that the nurse provides. may relate to physical activities that nurses perform for, and with, the client to create closeness. professional intimacy can also involve psychological, spiritual, and social elements that are identified in the plan of care.
- power: relationship is one of unequal power (nurse has more power). the appropriate use of power, in a caring manner, enables the nurse to partner with the client to meet the client’s needs. Misuse of power is abuse
- respect: recognition of the inherent dignity, worth, and uniqueness of every individual.
14
Q
boundaries
A
- cannot enter a personal relationship w/ a client when a therapeutic one exists
