Week 6 Flashcards
why are older migrants vulanrable in terms of socioeconomic conditions and health reasons?
- low ses
- poorer health
- stresss due to migration
what do aging migrants have more
- 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
what inequality in health exists?
- 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
obstacles in NPA
- language barries/ forgot new language
- cultural barrier: expactations and test wisenes
- education: illiteracy
hard for dementia experts to find it in ethinc minorities
- 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
sides to work onL
- proffersor aware: how will they discirbe it
- patient need to know how they describe the symptome
approvements in assesment
- intstructions in own language
- ‘cultural free/ fair’items: tested in different types of pilots
- non verbal respons
factors of cross cultural challeges
- 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
according to monsees 2022 where should be enhancement in?
- 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
additional challenges migrants
- revert to primary language
- lack of knowledge about disaese and helthcare services
- unsuitable tests
- lack of culturral sensitive and adaquate suited healthcare services
how better diagnoses for migrants?
- 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
how education
- 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
healthcare professionals should
- respect: open communication
- recognize individual factors
- collab
- be flexable
- family involvment
- bilingual staff/ access to interpreter
healthcare services should
- 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
according to duran- kirka 2023 relationship
- nurses show interest = better relationship
- consistant contact person
- shared responsibilty and collab with caregivers
according to duran- kirka 2023: shared cultural backround
- caregivers: nurses do not need to share backround: adapt but most needs are human centerd
- nurses: uncertain of thei ability: collective cultural values
according to duran- kirka 2023: cultural knowledge and skills
- understanding can omprove communication
- training on skills like open attidtude: not insecure
according to duran- kirka 2023: sterotypical thinking
- view as the other
according to duran- kirka 2023: collab
- informal caaregiver role = challenging lonely
- hard when differing beleives
- dementia case manager role
according to duran- kirka 2023: language barrier
- complicates relationship building
–> rely on others but prefer direct contact
barriers to vaccination
- preference for natural immunity
- concerns about side effects
- mistrust in government and conspiracy theories
- misinformation
- needle anxiety
how to encourage vaccination
- social influences: family and friends
- social norms
- precieved health benefits
barriers to vaccination in walk in facilities in deprived neighborhoods
- key factor: location nearby
- familiy influence is a big role
- fear of vaccination an side effects (needle anxiety)
solution
facilitate tailored and reliable information about vaccins, targets and invlove family
and adress fear barriers
