LECT - Osteopathic Approach to Multicultural and Post-Traumatic Pts Flashcards
What are the 7 steps to structuring a patient visit?
- Create a welcoming environment
- Speak the language
- Communicate
- Understand your goals
- Examine respectfully
- Make plans together
- Allow pt to teach about culture
What are 2 ways to create a welcoming environment for patients?
Disseminate or visibly post a non-discrimination statement
Alter intake forms to be inclusive
What are two ways of improving communication with patients (other than speaking the language)?
Develop a specific paln for each patient
Understand pt’s goals of the visit
Being willing to negotiate non-important items or evaluate the unknown and being willing to educate fall under what step of structuring a patient visit?
Understanding your own goals
How can you examine patients respectfully?
Make yourself aware of pt’s history (abuse, surgeries/procedures, piercings/tattoos)
Put on doctor face (show eMpAtHy)
How do you perform a violence screening on a patient?
Screen in 1:1 setting
Ask questions in gender neutral way
- Have you ever been hurt (physically or sexually) by someone you are close to or involved with, or by a stranger
- Are you currently being hurt…?
- Have you ever experienced violence or abuse?
- Have you ever been sexually assaulted/raped?
Do not accept answer as unalterable truth
How do you approach history-taking with LGBTQIA+ patients?
Introduce w/ preferred pronouns
Ask relevant questions
Consider previous negative experience with healthcare providers
What conditions do you consider when assessing a LGBTQIA+ patient?
Assess risk of STIs
Vulnerability to social stress: increased risk of smoking/drugs/ETOH
____ results from an event, series of events, or set of circumstances experienced by an individual as physically or emotionally harmful or life-threatening with ____ effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being.
Individual trauma results from an event, series of events, or set of circumstances experienced by an individual as physically or emotionally harmful or life-threatening with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-
being.
What is Trauma-Informed Care (TIC)?
Adoption of principles and practices that promote a culture of safety, empowerment, and healing
What is the percentage of men and women in the US who report exposure to at least 1 lifetime traumatic event?
61% men
51% women
The Adverse Childhood Experience Study (ACES) found that there were 5 types of personal childhood trauma, what were they?
Physical abuse
Verbal abuse
Sexual abuse
Physical neglect
Emotional neglect
The Adverse Childhood Experience Study (ACES) found that there were 5 types of childhood trauma related to family members, what were they?
Alcoholic parent
Mother is a victim of domestic violence
Family member in jail
Family member diagnosed w/ mental illness
Disappearance of a parent through divorce, death, or abandonment
What is the risk likelihood of a pt who survived childhood trauma to attempt suicide, have an eating disorder, or become an IV drug user?
Up to 5000%
What are the 6 steps to approaching a post-traumatic patient?
- Establish safety
- Establish trustworthiness and transparency
- Peer support
- Collaboration and Mutuality
- Empowerment, voice, and choice
- Cultural, Historical, and Gender issues
It is important to give a post-traumatic patient control over what aspects of history and exam?
Permission to touch
Control over the siutation
The right to set limits
The right to tell the story
The right to hear the story
