module 4 Flashcards
what are the characteristics of culture?
- learned: how we dress, eat, and talk
- integrated: each part is interrelated and interdependent
- shared: standard bheavior is leaerned from the community
- tacit: unconscious learning of culture
- dynamic: changes over time
what is culture bound syndrome
mental health syndromes associated with specific cultures. can arise from going against ones culture and/or striving for perfection within the culture
what are the office of minorit healths programmatic priorities?
theres 3 of em
- covid response and recovery
- cultural and linguistic competency
- policies, programs, and practices
what is the CDC’s social vulnerability index?
combines 15 social factors included in the original CDC SVI with additional factors known to be associated with covid-19 outcomes
what are the components of the CDC’s social vulenrability index
socioeconomic status
- below poverty
- unemployed
- income
- no high school diploma
houshold composition and disability
- aged 65 or older
- 17 or younger
- civilian on disability
- single parent households
minority status and language
- minorty
- speaks english “less than well”
housing type and transportation
- multi-unit structures
- mobile homes
- crowding
- no vehicle
- group quarters
what are some components of solutions based nursing
- the person, not the problem, is the focus
- strengths, not just problems, can be found and further developed. begin with emphasis on strengths, as this can build hope and self-confidence
- resilience is equally as important as vulnerability
- move beyond an individual focus to examine unjust societal and cultural forces, and actively work toward to alter these
- nurses are not only concerned with illness care, but with helping clients adapt/grow
- a proactive, not reactive, apprach is needed
whats the first step in the path towards cultural competency
- begins with overcoming ethnocentrism
- know what it looks like and how to see it in yourself and colleagues
what is ethnocentrism
judging behavior of other cultures rather than seeking to understand
cultural safety vs cultural competency
cultural safety: focus is on the providers culture
cultural competency: focus is on the patient’s culture
community focused strategies
- interventions that take place in the community with the stakeholders including community partnerships, participation, spaces, and networks and media
- examples include breast cancer screening education delivered through local churches with help from volunteers
culturally focused strategies
- inclusion of some aspect of the target groups cultural values
- integration of aspects of the community’s religiona and spirituality
- inclusion of culturally relevant activities congruent with unique lifestyle of the target culture
- example: smudge ceremonies led by spiritual leaders prior to and following health clinic events. this is common in northern canada and making its way throughout indigenous health centers in the united states. we often refer to this age saging
language focused strategies
- limit medical jargon
- fullly or partially delivered intervention in the populations native language
- use of trabslators
- example: translation services and handouts in multiple languages
what is relative risk in relationship to resources and health
relative risk factors may be behavioral (lifestyle choices, exposure to violence and abuse), or biological (physiological predisposition)
more exposure to risk factors = higher rates of morbidity and mortality
what are some characteristics of vulnerable populations
- Resource availability (decreased societal and environmental resources)
- relative risk (increased risk factors)
- health status (morbidity and morality)
how can we help vulnerable populations
- Increase access to healthcare including home health and telehealth services
-Encourage completion of high school for better overall literacy
-Travel and “pop up” clinics for health promotion and preventive services
-Focus on hope and direction on how to get healthy - Advocate for inclusive legislation and safer work environments
- Diversify the health office environment
- Ensure the immigrant understands privacy rights and reduce fear of deportation
- Know your area resources and where workers can receive primary and preventive care
- Understand that housing is healthcare for this population
- Provide better access to mental health services including addiction care
- Reach out to them wherever you can find them
- For prevention - focus on early childhood development
- Again - advocate! Rehabilitation versus incarceration
- Also advocate for better healthcare services and less outsourcing to companies with poor track records - Click HERELinks to an external site. to view the case file of an inmate who died after less than 3 months of incarceration (you’ll need this for the discussion board)
- Work in healthcare in a prison
- Treat with respect no matter the crime
