Lec 10- Cultural Competence Flashcards

1
Q

Culture

A

The sum of total ways of living built by a group of human beings and transmitted from one generation to another

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2
Q

Culture is bound by 5 things

A
  1. Media
  2. Health
  3. Political structure
  4. Economy and production
  5. Social structure
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3
Q

What does culture include?

A
  1. Religion
  2. Age
  3. Gender
  4. Ethnicity
  5. Physical mental or other impairments
  6. Socio economic status
  7. Race
  8. Sexual orientation
  9. Organisational culture
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4
Q

Cultural competence

A

Ability to interact respectfully and effectively with persons from a background which is different from your own

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5
Q

Benefits of practising pharmacy in a culturally competent manner

A
  1. Enhances the pharmacist- patient relationship
  2. Encourages collaborative management of the patients illness
  3. Potential to improve patient health outcomes
  4. Potential to save the health system money
  5. Potential to reduce disparities in health
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6
Q

Steps in the journey towards cultural competence

A
  1. Valuing differences
  2. Engaging in self evaluation
  3. Understanding the dynamics of relationships and communication
  4. Building cultural knowledge
  5. Adapting practices
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7
Q

A culturally competent pharmacist:

A
  1. is skilled in selecting and using culturally sensitive intervention strategies
  2. has the ability to use, send, and interpret a variety of communication skills (verbal and non verbal)
    - -> to help have good interaction with client
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8
Q

Communication strategies

A
  1. Listen to what is actually being said, not what you want or expect to hear. Use reflective techniques and ask questions to check own understanding
  2. Be flexible, alter method or manner if necessary
  3. Avoid culturally insensitive language and behaviours- reflect back on conversations to monitor this
  4. Be open-minded enough to understand and consider different beliefs and views on the same situation
  5. Avoid stereotyping but use generalisations as a starting point to inform questions
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9
Q

Professional interpretation services

A
  1. Language line

2. Primary health care interpreting service

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10
Q

Universal precautions re-cap

A
  1. Use plain language
  2. Be specific and concrete
  3. Repeat/ summarise
  4. Encourage questions
  5. Use teach-back to confirm understanding
  6. Be positive and empowering
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11
Q

Connection the dots to treatment

A
  1. Illness (symptoms)
  2. Cause
  3. Healers
  4. Treatment
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12
Q

8 Kleinman’s Questions

A
  1. Why do you think it happened when it did?
  2. What do you think caused the problem?
  3. What do you think your illness does to you? how does it work?
  4. How severe is your sickness? will it have a short course?
  5. What kind of treatment do you think you should receive?
  6. What are the most important results you hope to receive from this treatment?
  7. What are the chief problems your sickness has caused you?
  8. What do you fear most about your sickness?
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13
Q

ETHNIC model

A
  1. Explanation
  2. Treatment
  3. Healers
  4. Negotiate
  5. Intervention (agree on)
  6. Collaboration with patient, family, healers
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14
Q

LEARN model

A
  1. Listen to patient’s perspective
  2. Explain and share one’s own perspective
  3. Acknowledge differences and similarities between these 2 perspectives
  4. Recommend a treatment plan
  5. Negotiate a mutually agreed-on treatment plan
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