Multicultural/Post Traumatic

Question 1

How did the hospital get the Amish to come to the hospital?

Answer 1

1. Hired language speakers
2. Hired a pt. advocate
3. Got to know the pt (learned about their faith)
4. Made connections to the community
5. Became flexible
6. Didn’t assume

Question 2

How should we structure a patient visit?

Answer 2

Create a welcoming environment 
Speak the language
 Communicate
Understand your goals
Examine respectfully
Make plans together
Allow patient to teach about culture

Question 3

How can we create a welcoming environment?

Answer 3

• racially and ethnically diverse posters
• display media which is culturally relevant
• disseminate or visibly post a non-discrimination statement
• alter intake forms to be inclusive (ex. male/female/transgender)

Question 4

How should you handle a violence screening?

Answer 4

Attempt screening in a 1:1 setting
Ask all patients—men and women—violence screening
questions in a 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 by someone you are close to or involved with?
Have you ever experienced violence or abuse?
Have you ever been sexually assaulted/raped?
DO NOT accept the answer as unalterable truth
Patients may lie to protect themselves and others

Question 5

What is trauma?

Answer 5

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 6

What is TIC?

Answer 6

Trauma-Informed Care – adoption of principles and practices that promote a culture of safety, empowerment, and healing.

Question 7

What are the ten types of childhood trauma?

Answer 7

Five are personal — physical abuse, verbal abuse, sexual
abuse, physical neglect, and emotional neglect
Five are related to other family members – a parent who’s an alcoholic, a mother who’s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and the disappearance of a parent through divorce, death or abandonment