WK6 - Cultural Awareness Flashcards

1
Q

Where did carbs come from?

A

Nature!
* roots
* seeds
* fruits
* honey

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1
Q

Define ‘Before Time’.

A

Balance

Before the settlers, people, animals, plants, the skies, waters and spiritual/physical environment were in balance.

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2
Q

Where did fats come from?

A
  • emu eggs
  • murrary cod
  • goanna
  • reef fish
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3
Q

Where did proteins come from?

A
  • turtle
  • kangaroo
  • crayfish
  • birds (e.g. magpie geese)
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4
Q

What was the main source of PA for Aboriginal and Indigenous people?

A

Hunting, gathering and farming

Cultural and ceremonial practices

Visiting extended families/neighbours and engaging in trade

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5
Q

How was social and emotional health and wellbeing maintained?

A
  • country
  • connection
  • community
  • language
  • Lore
  • spirituality
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6
Q

What were the effects on PA when the changes began to occur?

A
  • people forced off lands and onto reserves/missions
  • no water/land access = no PA through hunting, gathering and farming
  • diet change - incorporated processed foods from settlers (flour and sugar)
  • rations replaced foods
  • children removed from parents/families = separated from social/emotional/spiritual health
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7
Q

What happened to the health of Aboriginal and Indigenous people?

A
  • health became unbalanced
  • after thousands of yrs of healthy living, diabetes is a common condition now.
  • diabetes first recorded in 1923
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8
Q

What are some key socila determinants of health for Aboriginal and Torres Strait Islander people?

A
  • cultural identity
  • family and kinship
  • country & caring for country
  • knowledge and beliefs
  • language
  • participation in cultural activities.

Health relates to an individuals environment and circumstances such as where they live, education level, income and living conditions, access to heatlh services.

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9
Q

Define cultural responsiveness.

A

Awareness of one’s own cultural identity and views about difference, and the ability to learn and build on the varying cultural and community norms

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10
Q

Define cultural safety

A

A policy of ensuring respect for cultural and social differences in the provision of health and education services.

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11
Q

Define cultural competency

A

Ability to participate ethically and effectively in personal and professional intercultural settings.

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12
Q

Why is culture important?

A

Aboriginal and Torres Strait Islander people who still follow cultural practices including hunting, bush tucker and community events (dance), lowered diabetes risk = real power of cultural practices for health and wellbeing

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13
Q

What is the health professional’s role?

A
  • understanding importance of cultural practice/connection throughout person’s journey through healthcare….
  • clinical yarning
  • connection with health workers
  • understanding Hx/culture
  • social determinants of health
  • discussion on social/emotional wellbeing (ask why?)
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14
Q

What is the difference between clinical yarning and social yarning?

A

Clinical:
a patient-centred approach that finds common ground and creates a relationship for effective communication

Social:
* find out more about local Aboriginal culture from patient - demonstrates interest in person.

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15
Q

How to show interest in a person (holistic)?

A
  • listen
  • provide context
  • be interested in story/who they are
  • understand identity/cultural background
16
Q

How to develop a therapeutic relationship?

A
  • congruence, authenticity, empathy, +ve regard, +ve alliance/working relationship
  • work as a team, then modify problems
  • optimal therapy = dynamic and flexible
17
Q

Topics to find common ground or connection?

A
  • sports
  • family
  • weather
  • seasonal factors (e.g. relate to bushtukka)
  • how Aboriginal people relate to country
  • age and gender
18
Q

What are the keys to clinical yarning?

A
  • cultural security
  • active listening
  • build trusting relationship
  • patient-centred

SOCIAL YARN
* show interest, build relstionship, find common ground, two-way exchange

DIAGNOSTIC YARN
* Listen to pts ‘health story’
* open-ended q’s
* allow silences
* interpret story through health lens

MANAGEMENT YARN
* provide direct health info
* use stories/metaphors to explain conditions/build motivation
* cocreate care plan

19
Q

What is important to remember about yarning?

A
  • each area will not present in order
  • yarn is always moving - responsibility of health professional to make it relevant
  • listen first - then talk
  • understand importance to person
  • think about factors
  • walk along side person through health journey
20
Q

What are some time constraints?

A
  • time
  • requires self-reflection, feedback processes
  • takes less time once therapeutic relationship is developed
  • confidence to stay on track
  • confirmation of info - privacy
21
Q

What are the 6 reasons why words matter?

A
  1. create context
  2. words create and shape relationships
  3. persons expectations and preferences
  4. lost in translation
  5. sense makers
  6. belief makers
22
Q

What are the models of care?

A
  • social cognitive learning theory
  • holistic model
  • biomedical model
  • biopsychosocial model
  • conception of practice
23
Q

Define social cognitive learning theory.

A

Self efficacy = belief individual has control and able to execute a behaviour

Behavioural capability = understanding/having skill to perform behaviour

Expectations = determining outcomes of behaviour change

Self-control = regulating/monitoring individual behaviour

Observational learning = watching/observing outcomes of others performing desired behaviour

Reinforcements = promoting incentives/rewards that encourage behaviour change

24
Q

What are the stages of change?

A

It is a cycle.
* relapse can occur at any point

  1. maintenance
  2. pre-contemplation
  3. comteplation
  4. preparation
  5. action
  6. maintenance –> termination
25
Q

What is the biomedical model?

A
  • cause and effect
  • treating and disease
  • can miss valuable indicators
  • commonly lead to incorrect initial diagnosis

Disease is the centre of a venn diagram with intervention, diagnosis and identify etiology around it.

26
Q

What is the biopsychosocial model?

A
  • takes multiple factors into account
  • complicates diagnosis process
  • takes time to learn and yarn
  • indicates clear therapeutic guidelines
  • understands Rx is non-linear
27
Q

What is the conception of practice?

A

It is a spectrum between biomedical and biopsychosocial view

L side is technical rationality (biomed) and R side is professional artistry (BPS)

28
Q

How to support behaviour change?

A
  1. cognitive influences
  2. social influences
  3. emotional influences
  4. environment
29
Q

What are some cognitive influences?

A
  • personal goals/priorities
  • coping skills/strategies
  • illness/risk understanding
  • benefits/costs of health behaviours
  • perceived control over health outcomes
  • confidence/self-efficacy
  • perceived Tx efficacy (will it work?)
  • past-expereince and behaviour (habits)
30
Q

What are some social influences?

A
  • peer pressure
  • social support
  • cultural influences
  • social context (work vs home)
  • opportunities for social contact
  • social comparisons
  • social norms
  • relationships
  • prioritising needs of others over one’s self
31
Q

What are some emotional influences?

A
  • stress/other life priorities
  • body image
  • personal impact of Sx
  • perceived risk
  • acute/chronic mood states (anxiety/depression)
  • denial/minimisation of illness and risk
  • discomfort
  • +ve emotions (enjoyments, pleasure, happiness)
32
Q

What are some environment influences?

A
  • environmental cues
  • access to healthy options/activities
  • perceived comfort and safety