e-TBL1-THP_10_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg THP_2_Cross cultural communication and health disparities en-us 2021-11-08 09:46:31 UTC 2021-11-16 09:15:18 UTC hello@padlet.com https://padlet.net/icons/png/1f349.png An American doctor enquires about the type of medication a Latin American patient (P) took against his hypertension symptoms: D: In order to help you with your current complaint as well as possible, we would like to know what kind of medication you take on a regular basis or that you have taken recently.P: I do not take any medication on a regular basis but The doctor I went to a week ago suggested I take something. But I didn’t do it. I do not think it is good for me.D: Can you tell me more about this, what do you feel you should do or take ? P: Yes, look, the doctor I went to wanted to give me something. But I do not think this medicine is good for me. I am not sure this is the right one. We say that when one feels like I do one should take something which contrasts the symptoms.D: “one should take something which contrasts the symptoms’? What do you mean exactly? Do you mean that in your country patients are given other remedies against the symptoms?you should do? P: Yes, exactly, , they give some teas and I believe they are very good.D: We will see what we can do. If you would you like to continue to drink these teas adding to another form of medication which we would suggest & I will explain to you now, I think you will benefit from both.P : Oh that would be great doctor! Thank you very much. RCSI_MedProf https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1874623057 2021-11-08 09:46:31 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1874623057 Dr Jones is part of a healthcare team helping a newly diagnosed Chinese diabetic patient to understand & manage his diet and insulin levels. He has just explained to the patient how to take his medication. Dr: “Have you understood how & when to take your insulin Mr Chang? Do you have any questions ?”Patient: “I understand Doctor, thank you for your time” (Patient leaves in a hurry)Some weeks later Mr Chang returns & is very unwell, his insulin levels are elevated & when interviewed by the Medical team it is clear that he had not clearly understood how & when to take his Insulin RCSI_MedProf https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1874623060 2021-11-08 09:46:31 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1874623060 Amira Faroud was a three-year-old Middle Eastern patient, newly diagnosed with type 1 diabetes. Understanding the importance of involving the entire family in the patient’s care, Lisa tried to get the patient’s father, Mr. Faroud, to participate. She had seen other fathers being the “heads” of families and believed involving him was the best thing to do because Lisa the doctor in this case believes that all Middle-Eastern Culture people defer to male authority for ALL desicions. But in this case Mr. Faroud would not even consider her suggestions. RCSI_MedProf https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1874623061 2021-11-08 09:46:31 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1874623061 trust https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893607973 2021-11-16 08:59:44 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893607973 acceptance the treatment plan + trust the physician 18251731 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893608128 2021-11-16 08:59:48 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893608128 will try to talk to both parents and convince them 18251731 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893610289 2021-11-16 09:01:02 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893610289 cultural stereotyping https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893610310 2021-11-16 09:01:03 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893610310 communication https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893610758 2021-11-16 09:01:19 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893610758 individual: direct communication https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893611028 institutional: try to understand the cultural dynamic
macro: try to understand the hospital and community of diabetics

]]> 2021-11-16 09:01:28 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893611028 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893612189 Sterotyping
Making Assumptions about the family
Not involving the rest of the family
Communication]]> 2021-11-16 09:02:08 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893612189 doctor assumed he would understand english and direction https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893613485 2021-11-16 09:02:54 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893613485 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893613644 Talk to both of the parents from the beginning to identify who is the decision maker]]> 2021-11-16 09:03:00 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893613644 from a different culture, they do not admit to not understanding and do not ask questions usually https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893615021 2021-11-16 09:03:49 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893615021 have patient re-iterate the directions to doctor to make sure they understand https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893615980 2021-11-16 09:04:21 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893615980 Face concept https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893616400 2021-11-16 09:04:37 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893616400 doctor and patient talking to each other, asking/answering questions, developing more trust & communication https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893616931 2021-11-16 09:04:56 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893616931 Because it is not appropriate in asian culture https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893617150 2021-11-16 09:05:03 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893617150 Ask the patient who he/she feel https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893617773 2021-11-16 09:05:24 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893617773 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893617980 I would answer questions that typically arise with similar patients. And try to have a more open conversation

]]> 2021-11-16 09:05:32 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893617980 establishing a rapport https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893618680 2021-11-16 09:05:58 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893618680 Not making the patient feel bad https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893619526 2021-11-16 09:06:32 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893619526 to re-explain for the patient knows how to take insulin so this never happen again 18251731 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893619554 2021-11-16 09:06:32 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893619554 try to ask open ended questions so make sure that the patient really understood everything 18251731 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893620897 2021-11-16 09:07:24 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893620897 Cultural differences https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893622565 They might have a different idea of treatment.]]> 2021-11-16 09:08:25 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893622565 Communication errors https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893623478 The patient might not have understood the whole concept of the medication]]> 2021-11-16 09:09:00 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893623478 cultural context and maybe distrust of taking medications. in some cultures, the people do not trust doctors and do not follow their suggestions https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893623781 2021-11-16 09:09:11 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893623781 Doctor didn't consider how patients are treated for the same disease in the patient's culture https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893624373 2021-11-16 09:09:31 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893624373 +1 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893627969 2021-11-16 09:11:39 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893627969 c https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893628031 2021-11-16 09:11:41 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893628031 +1 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893628187 2021-11-16 09:11:47 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893628187 +1 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893628202 2021-11-16 09:11:47 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893628202 +1 https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893628523 2021-11-16 09:12:01 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893628523 don't stereotype and make assumptions https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893629175 2021-11-16 09:12:25 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893629175 People of different cultures might react and respond differently to questions https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893630439 2021-11-16 09:13:11 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893630439 doctor was very good at communicating with patient and their ICE https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893631631 2021-11-16 09:13:42 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893631631 Understand who disease are treated in the patient culture before prescribing medications https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893632223 2021-11-16 09:14:04 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893632223 a basis of understanding between doc and patient is very important https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893633095 2021-11-16 09:14:34 UTC https://padlet.com/RCSI_MedProf/37l30bfb1iutm6tg/wish/1893633095