Educating Specific Populations Flashcards
1
Q
Diversities
A
- Culture
- Religion
- Age
- Gender and sexual orientation
- Socioeconomic status
- Mental/physical disability
- Military
2
Q
Americans w/ Disabilities Act (ADA)
A
- Title II: no discrimination in state and local gov’t services
- Title III: public accommodations and commercial facilities
- Failure to comply
A. Arrest
B. Fines
C. Imprisonment
D. Practice restriction - Diverse pop
A. Visually impaired
B. Hearing impaired
C. Speech impaired - Technology
- Interpreters
- Undue burden: accommodations extraordinarily difficult or expensive (must offer alternative)
3
Q
Communication in altered mental status
A
- Chronic
- Acute
- Emergent
- Glasgow coma scale: used to quantitate altered capacity -> 3-8 = coma
4
Q
Memory loss issues
A
- Offer visual help
- Be helpful
- Walk them thru it
- Lots of reminders
5
Q
Communicating w/ others
A
- Stay organized
- Tell them what you’re doing
- Take time w/ decisions
- Attempt to get details
- Be patient
- Be persistent
- Be honest
- Be clear and specific
- Make sure caregiver understands
- Talk openly about concerns
- Make calls at good time
- Encourage keeping you in loop
- Don’t gossip
- Establish relationships
- Explain new meds
6
Q
Communicating w/ caregiver
A
- Caregiver represents pt
- HIPPA
- Advanced healthcare directives
- Caregiver rights:
A. Sensitive information varies by state
7
Q
Competency
A
Global assessment
8
Q
Capacity
A
Fxnal assessment 1. Components: A. Communication B. Understanding C. Appreciation D. Rationalization 2. Myths A. Decision-making capacity (DMC) = competency B. AMA = lack of DMC C. Only need to address capacity of AMA D. Capacity is all or nothing E. Cognitive impairment = no DMC F. Pts not informed lack DMC G. Institutionalized pts lack DMC H. Only psych can assess DMC
