LECT - Osteopathic Approach to Multicultural and Post-Traumatic Pts

Question 1

What are the 7 steps to structuring a patient visit?

Answer 1

1. Create a welcoming environment
2. Speak the language
3. Communicate
4. Understand your goals
5. Examine respectfully
6. Make plans together
7. Allow pt to teach about culture

Question 2

What are 2 ways to create a welcoming environment for patients?

Answer 2

Disseminate or visibly post a non-discrimination statement

Alter intake forms to be inclusive

Question 3

What are two ways of improving communication with patients (other than speaking the language)?

Answer 3

Develop a specific paln for each patient

Understand pt’s goals of the visit

Question 4

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?

Answer 4

Understanding your own goals

Question 5

How can you examine patients respectfully?

Answer 5

Make yourself aware of pt’s history (abuse, surgeries/procedures, piercings/tattoos)

Put on doctor face (show eMpAtHy)

Question 6

How do you perform a violence screening on a patient?

Answer 6

Screen in 1:1 setting

Ask questions in gender neutral way

1. Have you ever been hurt (physically or sexually) by someone you are close to or involved with, or by a stranger
2. Are you currently being hurt…?
3. Have you ever experienced violence or abuse?
4. Have you ever been sexually assaulted/raped?

Do not accept answer as unalterable truth

Question 7

How do you approach history-taking with LGBTQIA+ patients?

Answer 7

Introduce w/ preferred pronouns

Ask relevant questions

Consider previous negative experience with healthcare providers

Question 8

What conditions do you consider when assessing a LGBTQIA+ patient?

Answer 8

Assess risk of STIs

Vulnerability to social stress: increased risk of smoking/drugs/ETOH

Question 9

____ 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.

Answer 9

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.

Question 10

What is Trauma-Informed Care (TIC)?

Answer 10

Adoption of principles and practices that promote a culture of safety, empowerment, and healing

Question 11

What is the percentage of men and women in the US who report exposure to at least 1 lifetime traumatic event?

Answer 11

61% men

51% women

Question 12

The Adverse Childhood Experience Study (ACES) found that there were 5 types of personal childhood trauma, what were they?

Answer 12

Physical abuse

Verbal abuse

Sexual abuse

Physical neglect

Emotional neglect

Question 13

The Adverse Childhood Experience Study (ACES) found that there were 5 types of childhood trauma related to family members, what were they?

Answer 13

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

Question 14

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?

Answer 14

Up to 5000%

Question 15

What are the 6 steps to approaching a post-traumatic patient?

Answer 15

1. Establish safety
2. Establish trustworthiness and transparency
3. Peer support
4. Collaboration and Mutuality
5. Empowerment, voice, and choice
6. Cultural, Historical, and Gender issues

Question 16

It is important to give a post-traumatic patient control over what aspects of history and exam?

Answer 16

Permission to touch

Control over the siutation

The right to set limits

The right to tell the story

The right to hear the story