Exam 2: cultural comp

Question 1

What are different social groups that have an influence on health and illness? (8)

Answer 1

Question 2

What is health disparities? What is an example?

Answer 2

Difference between the health status of groups
* Differences among populations in the availability, accessibility, & quality of health care services
* Rural vs. Urban

Question 3

What are soical detminants of health?

Answer 3

The conditions in which people are born, grow, live, work and age…shaped by the distribution of money, power and resources at global, national, and local levels.

Question 4

What are the social deteminants of health? (8)

Answer 4

Question 5

What is culture?

Answer 5

Is associated with norms, values, & traditions passed down through generations

Question 6

What is intersectionality?

Answer 6

Simultaneous membership in multiple social groups with social & political contexts

Question 7

What is oppression?

Answer 7

Formal & informal system of advantages & disadvantages tied to membership in social groups

Question 8

What is transcultural healthcare?

Answer 8

• Culture that is Universal = similarities
• Differences among cultures – specific to particular groups

Question 9

What is the goal of culturally congruent care?

Answer 9

Culturally Congruent Care
* Fits life patterns, values, & system of meaning

Question 10

What is their a lack of among HCP?

Answer 10

Lack of cultural diversity

Question 11

Cultural Competence
* What does it help eliminate?
* What do HCP continuously strive to achieve?

Answer 11

• Helps eliminate healthcare disparities & ultimately health disparities
• Healthcare providers continuously strive to achieve the availability and ability to effectively work within the cultural context of the client

Question 12

T/F: Cultural competence evolves over time -> ongoing process

Answer 12

TRUE

Question 13

What is the goal of Culturally Linguistically Appropriate Services (CLAS)?

Answer 13

Advance health equity, improve quality & help eliminate health care disparities

Question 14

What are the cultral competence components? (5)

Answer 14

• Cultural Awareness
• Cultural Knowledge
• Cultural Skills
• Cultural Encounters
• Cultural Desire

Question 15

Cultural Competence:
* Enabling of health care providers to do what?

Answer 15

deliver services that are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patients.

Question 16

What is important about aloe vera?

Answer 16

Question 17

What are the aloe vera findings? (9)

Answer 17

• Skin Protection
• Digestive Diseases Protection
• Anti-Inflammatory Activity
• Antidiabetic Effect
• Antioxidant Properties
• Bone Protection
• Cardioprotective Effect
• Antimicrobial & Prebiotic Activity
• Anticancer Effects

Question 18

What is cultural competence?

Answer 18

Necessary set of skills for providers to attain in order to render effective patient-centered care

Question 19

What is patient centered care?

Answer 19

Provide individualized care & restore an emphasis on personal relationships

Question 20

Cross-Cultural Communication
* What are the goals of effective cross cultural communication or cultural competecy? (3)

Answer 20

• to understand illness from the perspective of thepatient;
• to assist patients in understanding diseases and treatments from the perspective ofbiomedicine
• to help patients and their families navigate, express themselves, and feel comfortable within large, complex, and often impersonal health care organizations.

Question 21

Teaching Medical Spanish to Improve Population Health: Evidence for Incorporating Language Education and Assessment in U.S. Medical Schools
* What are the two statements?

Answer 21

• Language concordance between patients and physicians is an important factor in providing safe and effective health care.
• Spanish is the predominant and fastest growing non-English language in the United Sates

Question 22

What is the review of literature of Teaching Medical Spanish to Improve Population Health: Evidence for Incorporating Language Education and Assessment in U.S. Medical Schools?

Answer 22

Review of Literature: Literature to date supports that for medical Spanish education to improve patient outcomes, it should be linked to assessment methodology that demonstrates improvement in language concordance with Spanish- speaking patients and should include safety measures to prevent inadvertent communication errors.

Question 23

Teaching Medical Spanish to Improve Population Health: Evidence for Incorporating Language Education and Assessment in U.S. Medical Schools
* What is the conclusion?

Answer 23

Question 24

The Latino Integrative Medical Group Visit as a Model for Pain Reduction in Underserved Spanish Speakers.
* Looked at what?
* What are mindfullness based stress reduction (MBSR)?
* What happened to the program?
* Conducted by what?

Answer 24

• Looked at nonpharmacological options for Spanish-speaking Latinos with chronic pain - Based on the authors’ premise of Latino preferences for nonprescription- based treatments
• Mindfulness-based stress reduction (MBSR) with Complementary and integrative medicine (CIM) such as acupressure, mindful yoga, self-massage, and nutrition counseling
• The program was translated into Spanish
• Conducted by Spanish-speaking providers & physicians in a group setting

Question 25

The Latino Integrative Medical Group Visit as a Model for Pain Reduction in Underserved Spanish Speakers.
* What is the result?

Answer 25

Participants recognized that they still had pain, but they were able to cope better with their chronic pain, had more control of it, and also mentioned reduced use of pain medications.

Question 26

Patient Navigators/Concierge
* Healthcare _
* Guide patients through what?
* Help patients and families with what?

Answer 26

• Healthcare Extenders
• Guide patients through and around barriers in the complex healthcare system
• Help patients & families overcome obstacles faced in accessing or receiving treatment.
• Coordinate appts and help with txt appt, dx, and finical support and paperwork, transportation, emotional support, childcare

Question 27

What act was passed for Patient navigators

Answer 27

The Patient Navigator Outreach and Chronic Disease Prevention Act of 2005-> grants and funding to patient navigators

Question 28

video

Spanish is closely related to what other lang

Answer 28

• Portuguese
• Italian
• French
• Romanian