Lecture 6 (20/7/21) Flashcards

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1
Q

What are the components of the Fonofale Model of care?

A
  • foundation/floor
  • roof
  • 4 pou
  • cacoon / circle that encapsulates fale
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2
Q

Explain the foundation of the Fonofale Model

A
  • represents family which is the foundation for all PI cultures
  • can be nuclear as well as extended or constituted family (bound by kinship, titles, marriage, partnership or convenant agreement)
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3
Q

Explain the roof of the Fonofale Model

A
  • represents cultural values and beliefs that shelters the family for life
  • culture is dynamic and therefore constantly evolving / adapting
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4
Q

Explain the Pou of the Fonofale Model represent

A
  • found between the foundation and roof; connect the family and the culture (continuous and interactive with each other)
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5
Q

What are the 4 pou of the Fonofale Model?

A
  1. Spiritual
  2. Physical
  3. Mental
  4. Other
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6
Q

Explain the ‘Spiritual’ pou of the Fonofale Model

A

relates to the sense of well-being which stems from a belief system (i.e. Christianity, traditional spirituality, etc.)

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7
Q

Explain the ‘Physical’ pou of the Fonofale Model

A

relates to biological or physical well-being

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8
Q

Explain the ‘Mental’ pou of the Fonofale Model

A

relates to the well-being/health of the mind which involves thinking, emotions, behaviours expressed, etc.

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9
Q

Explain the ‘Other’ pou of the Fonofale Model

A

relates to various variables that can directly/indirectly affect health (i.e. gender, sexuality/sexual orientation, age, socio-economic status)

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10
Q

What are the dimensions of the cacoon/circle in the Fonofale Model?

Hint: ETC

A
  • dimensions have a direct/indirect influence on one another

E: environment
T: time
C: context

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11
Q

Explain the ‘Environment’ dimension of the cacoon of the Fonofale Model

A

addresses the relationships and uniqueness of Pacific people to their physical environment (rural/urban setting)

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12
Q

Explain the ‘Time’ dimension of the cacoon of the Fonofale Model

A

relates to the actual or specific time in history that impacts on Pacific people

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13
Q

Explain the ‘Context’ dimension of the cacoon of the Fonofale Model

A
  • relates to the where/what/how and the meaning it has for that particular person/people
  • can include country of residence, legal, politics and socioeconomics
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14
Q

Define Beliefs

A

assumptions or convictions you hold as true about something

  • based on values & attitudes
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15
Q

What are a person’s beliefs based on?

A
  • values

- attitudes

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16
Q

Define Values

A
  • qualities, characteristics or ideas we feel strongly about
  • defines what is of worth, beneficial or harmful
  • give direction and consistency to behaviour
  • sets priorities
  • set direction
17
Q

What are some types of values?

A
  • moral
  • material
  • aesthetic
  • intrinsic
  • extrinsic
  • group
  • specific values
  • age & relationships
18
Q

Define Religion

A

organised and public belief system of worship and practices that have a focus on a god or supernatural power

19
Q

Define Spirituality

A
  • belief in a higher power, an awareness of life and its meaning, the centering of a person with a purpose in life
  • involves relationships with a higher being, with self, and with the individual
  • active presence of God in human life
20
Q

What are some needs that spirituality fulfils?

A
  • healing strength and support
  • meaning to life, illness, crises, and death
  • guides daily habits
  • sense of security for present and future
21
Q

Define Spiritual Care

A

recognising and responding to the various expressions of spirituality we encounter in our patients/families

22
Q

Purpose of Spiritual Care

A

determine the nature of a person’s relationship to God and other people, and to give the person the opportunity to accept spiritual support

23
Q

How can you incorporate spiritual care?

A
  • involve chaplains as members of interdisciplinary healthcare team
  • listening to patients’ fears, hopes, pains, dreams
  • practice of compassionate presence
24
Q

Define Culture

A

set of shared attitudes, values, goals and practices that characterises a particular society- language, behaviours, beliefs, values, etc.

25
Q

Define Cultural Values

A

the commonly held standards of what is accepted or not accepted, important or not important, workable or not workable
: it is what is good, just and fair- a set of principles, standards, concepts, beliefs

26
Q

Define Cultural Competency

A

behaviours, attitudes and policies that enable systems, organisations, professions and individuals to work effectively in cross-cultural situations

27
Q

What is the goal of cultural competence?

A
  • improve ability of health
  • effective communication (from care providers and the health care system)
  • (care providers & the health care system) caring for patients from diverse social and cultural backgrounds
28
Q

Why cultural competency?

A
  • everyone has a right to health care that meets their needs
  • cultural diversity is increasing
  • health system is not always responsive
  • health services, managers and practitioners are accountable for meeting needs of all consumers
  • world-wide pressure to improve
29
Q

A cultural competent system is one that…

A
  • acknowledges benefits of diversity
  • achieves best, most appropriate care for each consumer
  • ensures self-determination for consumers and communities
  • holds governments/health organisations/managers accountable for meeting needs of the communities they serve
30
Q

How do you make health care culturally competent?

A
  • consider/respect patients’ values & beliefs
  • incorporate cultural preferences where possible
  • reflect these in national guidelines & protocols
31
Q

List 3 social values

A
  • equality
  • education
  • income
32
Q

List 3 moral values

A
  • respect
  • honest
  • responsibility
33
Q

List 3 intellectual values

A
  • focus
  • reflection
  • open-mindedness
34
Q

List 3 family values

A
  • respect
  • acceptance
  • servanthood
35
Q

List 3 career values

A
  • reliability
  • camaraderie (teamwork)
  • perseverance