Mens health Flashcards
What considerations need to be taken when approach Aboriginal mens health?
With current society, aboriginal men do not have a role play in the wider community.
So their sense of identity is lost.
This leads to loss of practical skills and responsibility for their own health.
Since colonosation, alot of issues were internalised, including violence and health. So this is expressed in advanced health problems and violence as anger towards others.
What was the old cultural practice with aboriginal men living with women prior to marriage?
When the culture was strong, aboriginal men did not live with women until they went through the law.
Why might some aboriginal communities suffer from more psycho-social problems than others?
Some communities have been affected by the colonisation process more than others.
Leading to loss of culture, traditional values.
communities with greater culture loss tend to have higher psychosocial problems.
Describe a traditional aboriginal healer?
Healer who haves a understanding of cultural and community influence on mental health. Consult the cultural reference group.
What is meant by self determination, and how does it affect aboriginal health?
Internalised oppression is affecting the reconciliation process. As there is less self determination. So there are disagreements between blacks and blacks and blacks and whites.
What is meant by the aboriginal map?
Prior to colonisation, the aboriginals and torre straight islanders lived in different communities. They were custodians of the lands they lived on. Each community had their own cultural practices, language. They may travel to different communities for food and water, but were not traditionally nomadic.
Source RACGP Aboriginal guidelines.
Outline what is meant by colonisation, protectionism, assimiliation in relation to aboriginal health?
Colonisation from the time europeans arrived, displacement of aboriginals from traditional lands and apply european ownership laws.
Protectionism
Colonial government applying protection. Forced removal and cultural assimilation.
Assimilation policy
1930’s, aboriginals not of full blood, were to be assimilated into communities, so that there loss of cultural identity was complete. Abandoned in 1972 election.
What is the policy of self determination?
Replaced assimiliation in 1972. Allowed aboriginals to freely determine their economic, social, cultural and political development.
Briefly describe the native title decision in 1992?
Mabo 1992 High court judgement that overuled the terra nullius (latin for uninhabited) judgement that australia was uninhabited prior to european arrival.
Aboriginals had land rights in eyes of Australia’s common law.
Outline the culturally appropriate behaviour when consulting with indigenous clients?
- Describe them based on their position in the community or occupation.
- Not naming deceased persons with grieving families, may need to consult a aboriginal health service or the land council.
- Don’t depict persons who have died.
- Be aware of smoking ceremonies.
- Avoidance behaviour where some persons in aboriginal community may not be able to speak to certain members of the community.
Outline 3 non verbal communications techniques a GP can apply when consulting with indigenous patients?
Listen as well as speaking
Be aware of own feelings before seeing patient
Listen with eyes and ears.
Silence is not a bad thing, as the patient may be thinking or consulting elders.
Outline 3 verbal communication strategies when speaking to an aboriginal patient?
Culturally sensitive
Careful with medical terms and literacy rates
Avoid verbal confrontation, as may create disharmony.
Treat the patient as if dealing with a family or community, as aboriginal culture tend to be collectivist in nature.
Try to avoid direct questions as can create confrontation.
