TLE 1 Group_16_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:48:02 UTC 2021-11-16 12:35:53 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/co0dja2eelk9r85d/wish/1877983372 2021-11-09 11:48:02 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1877983372 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/co0dja2eelk9r85d/wish/1877983376 2021-11-09 11:48:02 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1877983376 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/co0dja2eelk9r85d/wish/1877983380 2021-11-09 11:48:02 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1877983380 Lack of cultural awareness by not being mindful of their biases and their assumptions. They lack compassion, altruism, and self-awareness. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893909166 2021-11-16 11:58:16 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893909166 As a clinician, I would like my patient to be honest with me about where I fall in short in my treatment. As a patient, I should feel that my needs are met and that I am satisfied with my treatment by a doctor; and stereotyping is not it. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893915835 2021-11-16 12:02:30 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893915835 The desired outcome would be to reach a conclusion in which the patient feels they are not stereotypes when it comes to their management, as it should be an inclusive partnership between the patient and doctor. - Abdulla https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893917301 2021-11-16 12:03:28 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893917301 https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893918579 From the patient's perspective, I would kindly speaks to the doctor how the situations make me feel offended by the clinician's assumptions.]]> 2021-11-16 12:04:20 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893918579 https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893925017 Do not stereotype]]> 2021-11-16 12:08:30 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893925017 Communication, misunderstanding, language barriers. The patient was not able to interpret what the doctor was trying to say. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893926363 2021-11-16 12:09:04 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893926363 The patient possibly felt intimidated and shy-ed out from the doctor. It is the doctor's job to ensure that the information is delivered in a coherent manner. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893928507 2021-11-16 12:10:24 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893928507 Having a patient with language barrier, as a doctor we would need to either ask the patient to repeat back what we say or have an interpreter to ensure meaning is not lost through translation. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893929975 2021-11-16 12:11:15 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893929975 For the patient and the doctor to reach a conclusion on how to move forward with the patient's management without intimidation. The patient will need to feel like they have a safe-space to discuss what is bothering him with the doctor, either directly or through an interpreter. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893932219 2021-11-16 12:12:22 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893932219 From the patient's perspective, instead of running away, we need to be honest so that doctor can find out alternative to find another way to convey the info. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893938317 2021-11-16 12:15:46 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893938317 To be aware that language barriers are possible, and would need to be addressed before the patient misunderstands what is being cased. The cross-cultural barrier causes the patient to be shy, and therefore, this will cause an inability to build a rapport. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893941067 2021-11-16 12:17:18 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893941067 C https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893953122 2021-11-16 12:24:03 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893953122 Option B https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893954170 2021-11-16 12:24:37 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893954170 Different things work for different individuals, and the beauty of medicine is to be able to integrate different methods of treatment to see what works at the individual-level. Trying to understand and implement varied cross-cultural remedies is a method of cross-cultural awareness in of itself. By understanding how others perceive their own culture, the more able one will be able to approach them respectfully and build a successful rapport. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893957510 2021-11-16 12:26:26 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893957510 The patient would feel neglected and feel as though their opinions are not taken into consideration. This will result in the patient feeling unheard and un-empathized, and therefore, they will either result to a different physician or will be unadherent with their medications. The doctor was able to understand the patient, and was able to connect with the patient's perspectives - allowing the patient to be more adherent with their treatment. https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893963075 2021-11-16 12:29:28 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893963075 https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893971347 Learned that having the ability to appropriately respond to the attitudes, feelings or circumstances of different  people is really important in healthcare. This is because it could provide a better understanding on people's culture and ability to connect with patient well.]]> 2021-11-16 12:34:10 UTC https://padlet.com/RCSI_MedProf/co0dja2eelk9r85d/wish/1893971347