WG Ch. 7 / 21 Flashcards
Alcohol intake
o Ability to acquire and prepare food
o Social interactions
o General functional assessment
Because abuse or violence have
become more common, all patients
should be asked
these questions:
Have you been physically injured by
someone in your home over the
last year?
o Are you fearful of anyone you have
had a relationship with?
o Do you feel safe?
In the past 2 months has your drinking cause any problems?
o Risk of harm.
o Relationship trouble.
o Role failure.
o Run-ins with the law.
Commonly abused drugs include
o Marijuana.
o Cocaine.
o Opiates.
o Barbiturates.
o Amphetamines.
o Hallucinogenic agents.
Screening Questions
o Have you been physically injured
(hit, kicked, punched) by someone
in your home in the last year? If
so, describe.
o Many women are victims of
domestic violence. Do you feel safe
in your current relationship with
your husband or
significant other?
o Are you afraid of an individual with
whom you have previously had a
relationship?
Passive mistreatment:
Food.
Medications.
Medical treatment.
Personal care.
Active mistreatment:
o Held deliberately for malicious reasons.
o Considered abuse.
Cultural patterns
Socially transmitted customs, beliefs, values, etc.
Acculturation
How immigrants learn and choose to adapt to the behavior and norms of a new culture.
Assimilation
Gradual process of adopting behaviors, customs, and values of a mainstream culture.
Cultural diversity
Social variations between cultural groups.
Cultural Variation
Each cultural group develops shared stories, values, and beliefs, and practices which are shaped by their history and geography.
immigrants acquire a cultural identity through
Two-step interpersonal process; person transitions from adhering to traditional cultural beliefs and values in a country of origin toward full adoption of the values and beliefs of culture.
Culture related terms
Worldview and health disparities.
Cultural determinants of health
- Poverty, racism and mistrust.
Ethnicity and Related concepts
Ethnicity
Ethnocentrism
Cultural relativism
Intercultural communication
Language
High-context versus low-context communication style
Health Disparities
Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities are a major health issue globally, and nationally.
Cultural Competence
set of cultural behaviors and attitudes integrated into the practice methods of a system, agency, or professionals that enables them to work effectively in cross cultural situations
Cultural Competence points
Cultural humility
Cultural sensitivity
Need for cultural competence
Patient safety
Health disparities
Cultural humility
defined process of openness, self awareness, being egoless, and incorporating self reflection and critique after willingly interacting diverse individuals.
Working with language barriers
Validation
Use of interpreters
Time orientation
Communication principles
The LEARN acronym helps patient teaching and coaching
Listen carefully
Explain
Acknowlegde cultural differences
Recommend
Negotiate to agree
Purnell’s Model
Macro-level view
Domains used as a framework for understanding individual differences allows for a comprehensive cultural assessment leading to a culturally congruent, individualized, patient-centered approach to patient care
Szalay’s Process Model of Intercultural Communication
Interactive process
Factors that influence meaning and interpretation
Bridging intercultural communication differences
