TLE 1 Group_14_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284 THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:47:01 UTC 2021-11-16 12:50:04 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/9ufavg2rq1zsk284/wish/1877981727 2021-11-09 11:47:01 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1877981727 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/9ufavg2rq1zsk284/wish/1877981731 2021-11-09 11:47:01 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1877981731 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/9ufavg2rq1zsk284/wish/1877981732 2021-11-09 11:47:01 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1877981732 https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893913545 Stereotyping of middle eastern culture

]]> 2021-11-16 12:01:09 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893913545 ask the family, who is the decision-maker? https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893916027 2021-11-16 12:02:37 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893916027 ask respectfully https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893917990 2021-11-16 12:03:57 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893917990 consider cultural background, do not make assumptions and treat patients as individuals https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893920374 2021-11-16 12:05:30 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893920374 avoid confusion https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893920911 2021-11-16 12:05:53 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893920911 concept of face: do not want to lose face and other people's face https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893926564 2021-11-16 12:09:12 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893926564 do not want to ask even if he did not understand https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893927250 2021-11-16 12:09:37 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893927250 doctor needs to show that they understand patient's feelings (doctor is supposed to address issue, should build good patient-doctor relationship) https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893931520 makes patient feel comfortable
emphasize that patient understands the situation to avoid miscommunication]]> 2021-11-16 12:11:55 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893931520 ask patient to repeat what I (the doctor) said https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893932270 2021-11-16 12:12:24 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893932270 make sure patient is comfortable https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893932555 2021-11-16 12:12:34 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893932555 patient is more open to doctor --> comfortable https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893933521 2021-11-16 12:13:03 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893933521 patient understood how and when and why to take the medication https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893934534 2021-11-16 12:13:30 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893934534 learned about the concept of face and how to deal with it https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893939570 2021-11-16 12:16:29 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893939570 individual: one should not make assumptions https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893943324 2021-11-16 12:18:36 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893943324 institutional level: need to educate healthcare professionals on how to deal with different cultures https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893944510 2021-11-16 12:19:17 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893944510 C https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893953546 2021-11-16 12:24:15 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893953546 B https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893954711 2021-11-16 12:24:58 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893954711 to earn patient's trust https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893956174 so they can take the medication suggested by doctors]]> 2021-11-16 12:25:41 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893956174 Patient would think that the doctor does not understand where the patient is coming from https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893957416 2021-11-16 12:26:24 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893957416 yes because of great communication skills. He integrated both folk medication and modern/western medication https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893960247 2021-11-16 12:27:58 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893960247 listen to the patient https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893965785 respect culture
make sure patient is involved in the management
read more about the effect of the 'herbal medication']]> 2021-11-16 12:30:59 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893965785 council: apply rules & regulation https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893977861 do surveys on patients and doctors]]> 2021-11-16 12:37:49 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893977861 patient centred care https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893986988 2021-11-16 12:42:39 UTC https://padlet.com/RCSI_MedProf/9ufavg2rq1zsk284/wish/1893986988