Week 6 Flashcards
1
Q
why are older migrants vulanrable in terms of socioeconomic conditions and health reasons?
A
- low ses
- poorer health
- stresss due to migration
2
Q
what do aging migrants have more
A
- physical health problems
- lower walking speed
- chronic diseases
- judge health more poorly
- unhealthy lifestyle
- low self management of diseases
- earliers staring age of dementia
- lower life expectancy
3
Q
what inequality in health exists?
A
- differences in health betweens socioeconomic groups
- major public health challenges
–> what kind of groups are we focussing on and what are reasons for them to get it
4
Q
obstacles in NPA
A
- language barries/ forgot new language
- cultural barrier: expactations and test wisenes
- education: illiteracy
5
Q
hard for dementia experts to find it in ethinc minorities
A
- langues proficiency
- presentation of symptoms
- ed level
- lacking assesment tools: questions on dutch knowledge/ not their interest, line drwaing hard for illiterate
- laclk of cultural knowledge
6
Q
sides to work onL
A
- proffersor aware: how will they discirbe it
- patient need to know how they describe the symptome
7
Q
approvements in assesment
A
- intstructions in own language
- ‘cultural free/ fair’items: tested in different types of pilots
- non verbal respons
8
Q
factors of cross cultural challeges
A
- low health literacy: level of understanding
- cultural barriers: not understanding dementia = sickness and a stigma on it
- negative experiences in healthcare
- limited acces in care facilities
- beliefs care giving: family responsible
- limited applicability of standard cognitive tests
9
Q
according to monsees 2022 where should be enhancement in?
A
- diagnostics
- education and information
- healthcare services and profs
need for: - thorough eductation for them, family and healthcare profs
- collab among everyone involved
- embracing idfferent culture in HC services
- care navigator as contact who connects everyone
- testing suitable to targetgrup
10
Q
additional challenges migrants
A
- revert to primary language
- lack of knowledge about disaese and helthcare services
- unsuitable tests
- lack of culturral sensitive and adaquate suited healthcare services
11
Q
how better diagnoses for migrants?
A
- increased dementia screening and early referaals to acue care facilities
–> timely diagnoses and treatment - early diagnostics effective when culturally sensisitve and language tools
- presence of interpreter/ intercultural mediater enhances assesment
- bilingual in both languages: more accurate
- involve family memebers discreetly: cognitive change
12
Q
how education
A
- cultural sensitive, multi langual and accesible education targeted to everyone
- caregivingers: culturly relevant: confident, no misconceptions and promote selfcare
- healthcare professinalse: use diagnostical tool, know about community resources and not relying on interpreter
- outreach to community centers
13
Q
healthcare professionals should
A
- respect: open communication
- recognize individual factors
- collab
- be flexable
- family involvment
- bilingual staff/ access to interpreter
14
Q
healthcare services should
A
- reduce patient anxiety by language familiatry and culutral
- multilangual resourcesand localized facilities for trust and accesibilty
- regular care givers
- cultural coordinators
- trust building strategied: home visit and consistent care
15
Q
according to duran- kirka 2023 relationship
A
- nurses show interest = better relationship
- consistant contact person
- shared responsibilty and collab with caregivers
