WK6 - Cultural Awareness Flashcards
Where did carbs come from?
Nature!
* roots
* seeds
* fruits
* honey
Define ‘Before Time’.
Balance
Before the settlers, people, animals, plants, the skies, waters and spiritual/physical environment were in balance.
Where did fats come from?
- emu eggs
- murrary cod
- goanna
- reef fish
Where did proteins come from?
- turtle
- kangaroo
- crayfish
- birds (e.g. magpie geese)
What was the main source of PA for Aboriginal and Indigenous people?
Hunting, gathering and farming
Cultural and ceremonial practices
Visiting extended families/neighbours and engaging in trade
How was social and emotional health and wellbeing maintained?
- country
- connection
- community
- language
- Lore
- spirituality
What were the effects on PA when the changes began to occur?
- 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
What happened to the health of Aboriginal and Indigenous people?
- health became unbalanced
- after thousands of yrs of healthy living, diabetes is a common condition now.
- diabetes first recorded in 1923
What are some key socila determinants of health for Aboriginal and Torres Strait Islander people?
- 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.
Define cultural responsiveness.
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
Define cultural safety
A policy of ensuring respect for cultural and social differences in the provision of health and education services.
Define cultural competency
Ability to participate ethically and effectively in personal and professional intercultural settings.
Why is culture important?
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
What is the health professional’s role?
- 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?)
What is the difference between clinical yarning and social yarning?
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.
How to show interest in a person (holistic)?
- listen
- provide context
- be interested in story/who they are
- understand identity/cultural background
How to develop a therapeutic relationship?
- congruence, authenticity, empathy, +ve regard, +ve alliance/working relationship
- work as a team, then modify problems
- optimal therapy = dynamic and flexible
Topics to find common ground or connection?
- sports
- family
- weather
- seasonal factors (e.g. relate to bushtukka)
- how Aboriginal people relate to country
- age and gender
What are the keys to clinical yarning?
- 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
What is important to remember about yarning?
- 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
What are some time constraints?
- time
- requires self-reflection, feedback processes
- takes less time once therapeutic relationship is developed
- confidence to stay on track
- confirmation of info - privacy
What are the 6 reasons why words matter?
- create context
- words create and shape relationships
- persons expectations and preferences
- lost in translation
- sense makers
- belief makers
What are the models of care?
- social cognitive learning theory
- holistic model
- biomedical model
- biopsychosocial model
- conception of practice
Define social cognitive learning theory.
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
