Week 2 Flashcards

1
Q

African women are more likely than European women to _____________________, despite having a lower incidence of the disease

A

Die from breast cancer

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2
Q

Infant mortality rates are 2.5x greater for ___________________ and 1.5x greater for _________________ than European Americans

A

African Americans

Native Americans

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3
Q

Influenza death rates are higher for _________________ and ______________________ than European Americans

A

African Americans

American indian/Alaska natives/native Alaskans

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4
Q

Mortality for __________ cancer is highest for African Americans followed by native ____________ and ____________________.

A

Colorectal cancer

Alaskans and Hawaiians

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5
Q

Infant mortality increases as mothers level of education __________

A

Decreases

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6
Q

Overal cancer death rate is 1.2 x higher among ______________________ than whites

A

African Americans

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7
Q

What racial/ethnic groups are more likely to have been diagnosed with diabetes than their white counterparts?

A

Native Hawaiians or Pacific Islanders
American Indians/ Alaskan natives
African Americans
Hispanics/Latinos

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8
Q

African Americans accounted for nearly half of the ___________ cases between 2001-2004, and were almost 9x more likely to die from it in 2004

A

HIV AIDS

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9
Q

_________ are 3 times more likely to be uninsured than whites

A

Hispanics

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10
Q

Residents of _________ areas are more likely to be uninsured or covered by medicaid and less likely to have private insurance than those that live elsewhere

A

Non metropolitan

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11
Q

Adults with high school degree are50% less likely to have _______________ in the past year

A

Visited a doctor

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12
Q

What populations were less likely to have visited a doctor in the past year in the past year

A

Asian American and Hispanic adults

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13
Q

What populations were more likely to visit an emergency room in the last year

A

African American and American Indian/ Alaskan native

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14
Q

What are 5 categories of social determinants of health

A
Economic stability
Education
Social& community context
Health and health care
Neighborhood and built environment
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15
Q

What is social vulnerability and what is it linked to

A

“The inability of people, organizations and societies to withstand adverse impacts to hazards due to characteristics inherent in social interactions, institutions and systems of cultural values”

• Linked to the level of well being of individuals, communities and society.

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16
Q

What are provider issues surrounding the impact of cultural competence on clinical outcomes

A

Missed opportunity for screenings
Failing to take into account different responses to medication
Lack of knowledge abound traditional remedies (DDI)
Diagnostic errors from miscommunication
Inappropriate amount of diagnostic tests ordered

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17
Q

Patient issues surrounding the impact of cultural competence on clinical outcomes

A

Fear of being misunderstood or disrespected
Lack of adherence to medical advice due to lack of understanding or trust
Feelings of vulnerability
Confusion around PT and healthcare delivery

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18
Q

What are possible implications of language barriers

A

Higher rates of diagnostic tests
Lower satisfaction among LEP
More likely to miss appointments or drop out of treatment

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19
Q

What is reflection

A

A process we use to refine understanding of an experience

20
Q

Reflection must be ________ and ____________

A

Active and intentional

Conscious reflection facilitates deeper learning beyond rate of memorization

21
Q

Reflecting on an experience and incorporating what you have memorized, leads to

A

Learning from your experience and gives it meaning

22
Q

Why is reflection important for PTs

A

Allows us to connect our experiences, preferences, and beliefs, to the experience of our patient

23
Q

Reflecting from our own perspective can help us recognize our __________ and their impacts while allowing us to continually assess our ________ and its gaps.

A

Assumptions

Knowledge

24
Q

Expert clinicians routinely use the reflective process when?

A

In the moment and after each patient interaction

25
Q

What are the steps of reflection

A

What
So what?
Now What?

26
Q

Describe reflection in action

A

Function at 2 levels simultaneously:

Attending to the task of interacting with a pt (subconsciously learned)
Continually questioning, observing, assessing, and adjusting our thoughts and actions throughout the treatment session (Active reflection)

27
Q

Describe reflection in action

A

What worked? What didn’t work and why?

28
Q

Describe reflection for action

A

What might you do if…?

29
Q

What is content reflection

A

Analysis of the problem/situation from perspectives of all those involved

30
Q

What is process reflection

A

Determining how we might approach the situation or what strategies we might choose in addressing the problem
Determine problem-solving strategies, determine efficacy of strategies chosen, and explore other available strategies

31
Q

Premise reflection requires us to

A

Analyze and question our own assumptions or assumptions underlying the problems we face

32
Q

Define assumptions

A

Taken-for-granted beliefs
Accepted without thinking
difficult to recognize

33
Q

What is the most difficult level of reflection

A

Premise reflection

34
Q

Premise reflection allows us to recognize ___________, and question them before we make___________ or ___________

A

Assumptions
Judgements
Decisions

35
Q

What is bias

A

Outlook in favor or against one thing, person, or group compared with another

36
Q

What are 5 types of bias

A
Cognitive bias
Prejudice
Contextual bias
Implicit bias
Statistical bias
37
Q

Describe cognitive bias

A

Creating unreasonable perceptions

38
Q

Prejudices=

A

Prejudgement

39
Q

What is contextual bias

A

Experts developing incorrect assumptions (vulnerable to error)

40
Q

What is conformational bias and what type of bias does it fall under

A

Only looking for information to confirm your hypothesis

Under contextual bias

41
Q

Implicit bias is

A

Subconscious

42
Q

What is statistical bias

A

Affects data collection that can affect results to misrepresent your intended population

43
Q

Implicit attitudes are

A

Thoughts and feelings that often exist outside of conscious awareness that affect judgements, decisions, and behaviors

44
Q

Essential elements to the process of reflection

A

Awareness of feelings or thoughts ( trigger event) > critical analysis of feelings thoughts and knowledge (association, validation, integration, appropriation) > new perspective

45
Q

Critical thinking allows us to

A

Recognize assumptions, beliefs, and values that underlie our decision making process

46
Q

What is the key to reflection

A

Self assessment