TLE 1 Group_8_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:44:31 UTC 2021-11-16 12:36:11 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/9s3ibtvyisxu5y7r/wish/1877977319 2021-11-09 11:44:31 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1877977319 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/9s3ibtvyisxu5y7r/wish/1877977322 2021-11-09 11:44:31 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1877977322 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/9s3ibtvyisxu5y7r/wish/1877977323 2021-11-09 11:44:31 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1877977323 Stereotyping https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893911198 2021-11-16 11:59:36 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893911198 Lack of communication https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893912226 Dr lisa could have established a better picture of how the family actually worked if she had communicated with them instead of assuming how it worked

]]> 2021-11-16 12:00:16 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893912226 Question the father about what he feels is appropriate when approaching the problem https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893915941 2021-11-16 12:02:34 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893915941 Explain better what is happening to Amira for a better understanding of the situation https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893917452 2021-11-16 12:03:33 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893917452 Educate the family about type 1 diabetes https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893919187 2021-11-16 12:04:44 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893919187 For someone to take responsibility for Amira's care https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893919412 2021-11-16 12:04:53 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893919412 Working in partnership with the family to provide adequate care https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893920224 2021-11-16 12:05:24 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893920224 The patient wants to save face https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893927414 Didn't want the doctor to have a certain impression of him (by asking more & showing he did not understand) ]]> 2021-11-16 12:09:43 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893927414 The patient was embarrassed to ask for clarification from the doctor, as he may have felt like it would hurt his pride and prestige https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893929038 2021-11-16 12:10:42 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893929038 Patient gets good care, understands his condition & how to manage it https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893933662 2021-11-16 12:13:09 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893933662 Summarizing and signposting https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893935365 While talking to the patient stop frequently and summarize the main points. Make sure the patient is aware of the points you are making by signposting  what you will be talking about next ]]> 2021-11-16 12:14:03 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893935365 ASK-TELL-ASK https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893935760 2021-11-16 12:14:20 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893935760 Understand the cultural differences, how it can contribute to miscommunication & how to overcome that https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893938461 2021-11-16 12:15:52 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893938461 It's the doctor's job to make sure the patient understands the course of the treatment https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893940237 2021-11-16 12:16:51 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893940237 The patient may have felt embarrassed to show that he did not fully understand what the doctor was saying, hence why he refused to ask more questions https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893943135 2021-11-16 12:18:29 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893943135 High/Low medical context https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893943235 2021-11-16 12:18:32 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893943235 B https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893958803 By doing this the doctor is able to establish a foundation  to build a strong doctor patient relationship ]]> 2021-11-16 12:27:09 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893958803 the hidden aspects of culture (c) https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893962375 the patient wants medications that contradict the actual effect so while the medication is meant tor eat the actual symptoms, his culture wants him to take meds that contrast the symptoms of his disease]]> 2021-11-16 12:29:05 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893962375 B) He does not like taking modern medication, and is more comfortable taking traditional medicine (i.e. tea) https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893962736 2021-11-16 12:29:17 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893962736 Can get patient to cooperate, gives patient a sense of control over their own health https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893965403 2021-11-16 12:30:46 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893965403 Placebo effect https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893966036 The patient is taking medications that they believe will make them feel better, rather than something they are told will make them feel better]]> 2021-11-16 12:31:07 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893966036 Patient mistrust, they leave & refuse treatment https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893968126 2021-11-16 12:32:19 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893968126 they may not comply with the administration of the medication https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893974913 2021-11-16 12:36:11 UTC https://padlet.com/RCSI_MedProf/9s3ibtvyisxu5y7r/wish/1893974913