e-TBL1-THP_6_Bahrain by Eric Clarke https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh THP_2_Cross cultural communication and health disparities en-us 2021-11-08 09:44:04 UTC 2026-01-11 22:01:26 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/8hyujg75ezqtp0kh/wish/1874618686 2021-11-08 09:44:04 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1874618686 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/8hyujg75ezqtp0kh/wish/1874618688 2021-11-08 09:44:04 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1874618688 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/8hyujg75ezqtp0kh/wish/1874618690 2021-11-08 09:44:04 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1874618690 Patient Autonomy and Confidentiality isn't being upheld. Additionally, the doctor is making assumptions about the patient's culture and whether or not she agrees with it [Stereotyping] https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893600021 2021-11-16 08:55:22 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893600021 I would possibly try talking to the mother or the nearest guardian, sibling https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893602011 2021-11-16 08:56:28 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893602011 patient autonomy and confidentiality, in addition to stereotyping https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893604202 2021-11-16 08:57:39 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893604202 Hard to convince any information further due to the nature of the father. Also, high context culture is a significant aspect of consideration where information is given indirectly. So effort should be made from the side of the HCP in dealing with such a situation https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893604625 2021-11-16 08:57:54 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893604625 i will talk to the mother instead https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893606617 2021-11-16 08:59:01 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893606617 At micro-level, I would try to convince the patient and maybe enable more understanding so that the attitude of the father can be changed. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893610416 2021-11-16 09:01:07 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893610416 understand were the father's behaviour are coming from (hidden culture?) and convey my understanding to him. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893612383 2021-11-16 09:02:15 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893612383 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893613238 the doctor was trying to be professional in her own way but she could have described more of the importance of her medical care to the entire family rather than asking the dad to make the desicion.

]]> 2021-11-16 09:02:45 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893613238 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893614227 probably talk to the mother since she is the caregiver and mostly with the child.]]> 2021-11-16 09:03:21 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893614227 Communicating with the patient about their wishes and how they would like to proceed when it comes to the their personal medical information is important. In addition to not making assumption about a patient based on their ethnicity/culture. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893615008 2021-11-16 09:03:49 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893615008 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893615776 a group decision would be the best outcome in the patients best interest.]]> 2021-11-16 09:04:14 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893615776 talk to other relatives https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893615877 2021-11-16 09:04:18 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893615877 the patient did not understand how to take the medication, and the doctor failed to ensure that the patient has the adequate knowledge https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893617061 2021-11-16 09:05:00 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893617061 either convincing the the father take the suggestion or make her mother responsible for her management https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893617396 2021-11-16 09:05:11 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893617396 The patient likely thought he understood how to take the medication, or had something in mind already on how to take it https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893618149 2021-11-16 09:05:38 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893618149 It is the doctor's job to ensure that the information is clearly understood https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893618764 2021-11-16 09:06:01 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893618764 The patient does not want to be let down by telling the doctor that he does not understand the information. On the other hand, the doctor as well does not want to show that the patient did'nt understand the information even though he might vaguely know that the patient did not understand. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893618881 2021-11-16 09:06:06 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893618881 asking the patient to repeat everything they understood, and making sure it is correct https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893619950 2021-11-16 09:06:47 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893619950 communication is a key aspect in the management of patient https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893620289 2021-11-16 09:07:00 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893620289 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893620662 at micro level i would try to reach the patient so the patient can maybe convince the father. 
at meso level, probably get the whole family in an informed consent.
at macro level, it would be an cultural training for doctors in the sense where to draw the line between professionalism and cultural sensitivity.]]> 2021-11-16 09:07:16 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893620662 Patient has a fast lifestyle most likely, and probably had other important matter on his mind at the time. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893620858 2021-11-16 09:07:23 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893620858 It is the doctor's responsibility to make sure that the patient understands all instructions they are given https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893620991 2021-11-16 09:07:27 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893620991 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893621768 communication is the key to managing a patient and their care should be in their best interest.]]> 2021-11-16 09:07:55 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893621768 micro: try to understand why her father didn't take the suggestion and try to change his view. meso: make sure to contact other family members (mom), macro: make sure that doctors are culturally sensitive https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893622195 2021-11-16 09:08:11 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893622195 I would ask the patient to rehearse the information i provided during the consultation. I would bring in to light the primacy-recency effect so that the patient has not missed anything and retained the significant aspects in memory. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893623041 2021-11-16 09:08:43 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893623041 Sit the patient down and double check that he understood. Make him repeat back what I said and maybe even provide some online resources to learn more. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893623326 2021-11-16 09:08:53 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893623326 i would use the Teach-back method, i will explain the concept again and ask the patient to explain it back and correct any error if present https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893623929 2021-11-16 09:09:16 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893623929 Probably because the information wasn't delivered to the patient in an effective manner https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893624693 2021-11-16 09:09:43 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893624693 the patient wants to handle the situation well without making sure that he knows the information 100% https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893624733 2021-11-16 09:09:44 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893624733 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893624794 the patient felt forced to say he understood what the doctor had said, in some cultures its rude to question authority figures. and the doctor also didnt wanna come out as rude to keep repeating if the patient could grasp everyghing.]]> 2021-11-16 09:09:46 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893624794 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893627503 maybe the patient thought it was rude to question authority. it was the doctors job to make sure the patient understood.]]> 2021-11-16 09:11:21 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893627503 He thinks that the teas that are widely used in his culture are the medications he needs, and which will fix his issues. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893627741 2021-11-16 09:11:30 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893627741 the patient is preoccupied, and maybe thought he can know it more later, on his own, maybe he did not want to bother the doctor, it is both the doctor and the patient, since he is an adult, to make sure that everything is understandable https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893628111 2021-11-16 09:11:44 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893628111 high vs low context cultures https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893628888 2021-11-16 09:12:14 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893628888 This might be because of the wrong information he is being surrounded with, he wants to stick to it and does not want to follow the doctor's advise. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893629922 2021-11-16 09:12:53 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893629922 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893630221 start with apologising at start and then ask them to explain to you what you had grasped and probably ask them to demonstrate on how to inject insulin.]]> 2021-11-16 09:13:03 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893630221 this is probably the reason why this patient thinks the medication he received from another doctor would not good for him https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893630322 2021-11-16 09:13:07 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893630322 Probably because of his culture that he has been exposed to since childhood https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893630648 2021-11-16 09:13:18 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893630648 one should account for the cultural influence on how patient's behaviour. https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893631769 2021-11-16 09:13:47 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893631769 he doesn't have enough knowledge about how medications works https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893632799 2021-11-16 09:14:23 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893632799 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893633229 probably ask the patient to repeat and give him a translator so it can be properly understood]]> 2021-11-16 09:14:40 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893633229 showing the patient a simple drawings, illustration, video, sending him a link to see the steps, giving him a cd or tape for reference, asking him to do it in front of you https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893633384 2021-11-16 09:14:46 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893633384 maybe hes on a harry and as a Asian cultures are high context they don't care about the little details generally speaking. it was the doctor responsibility https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893633681 2021-11-16 09:14:58 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893633681 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893634228 cultural sensitivity is a big part in patient care.]]> 2021-11-16 09:15:15 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893634228 ill tell the patient to explain what he understood https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893635383 2021-11-16 09:15:55 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893635383 maybe because he believes that the "teas" his culture or community takes are better, so he expects the other medications to have a negative affect https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893635678 2021-11-16 09:16:06 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893635678 good communication and make sure the patient understood what the doctor said https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893636575 2021-11-16 09:16:37 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893636575 doctors must make sure that patients understood what was told and doctor must explain in a clear manner and can differentiate between high and low context community https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893639297 2021-11-16 09:18:21 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893639297 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893639622 probably because in his culture they believe natural remedy is better than western medicine]]> 2021-11-16 09:18:33 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893639622 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893641873 his culture influences him to think any other medication than his natural remedy would have a negative influence on his condition.]]> 2021-11-16 09:19:50 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893641873 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893643788 he does not have enough access to information on what these medications can do and how it can alleviate the symptoms.]]> 2021-11-16 09:20:57 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893643788 maybe he didn't use his medications correctly in the past (explains why had negative experiences) https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893647078 2021-11-16 09:22:56 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893647078 cultural beliefs and maybe the previous doctor didn't explain very well the benefits of the drug https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893647683 2021-11-16 09:23:20 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893647683 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893648507 his culture has influenced him to make that decision about how a medication should work on the body and his lack of knowledge of the concept aids his ideology.]]> 2021-11-16 09:23:51 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893648507 maybe his cultural beliefs influence him https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893653272 2021-11-16 09:26:31 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893653272 not enough knowledge about how medication work https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893654805 2021-11-16 09:27:26 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893654805 19206584 https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893655002 in patient centered care the doctor should be aware of both medical and culture aspects when prescribing medications and further management. ]]> 2021-11-16 09:27:32 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893655002 most likely due to cultural influence from childhood https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893657956 2021-11-16 09:29:10 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893657956 doctors must be culturally sensitive https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893659207 2021-11-16 09:29:54 UTC https://padlet.com/RCSI_MedProf/8hyujg75ezqtp0kh/wish/1893659207