TLE 1 Group_6_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:43:25 UTC 2021-11-16 12:30:05 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/e7lgnvazkp5fdveo/wish/1877975443 2021-11-09 11:43:25 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1877975443 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/e7lgnvazkp5fdveo/wish/1877975445 2021-11-09 11:43:25 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1877975445 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/e7lgnvazkp5fdveo/wish/1877975446 2021-11-09 11:43:25 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1877975446 the problem is in lack of cultural sensitivity. it was wrong for the doctor to assume that the father was the figure of authority based on a stereotype. perhaps she should have communicated with the parents to get a better understanding of who delivers most of the care for the patient. https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893915120 2021-11-16 12:02:00 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893915120 we should involve both parents and ask them how they want to approach the care of the patient. asking who would be available to take care of the patient. https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893918024 2021-11-16 12:03:58 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893918024 the parents understanding and collaborate with us https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893918412 2021-11-16 12:04:14 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893918412 we shouldn't stereotype and make assumption in general when treating patients https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893919723 2021-11-16 12:05:06 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893919723 perhaps they thought asking questions would be a display of ignorance which would "lose them face" https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893924100 2021-11-16 12:07:57 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893924100 lack of cultural awareness, the fact that the patients might be shy to admit ignorance, and perhaps language barriers that impeded proper communication https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893927500 2021-11-16 12:09:46 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893927500 it's the doctor's job. https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893929897 2021-11-16 12:11:13 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893929897 i would ask the patient to explain it back to me to make sure they fully understand. also an interpreter might be used to ensure good understanding of the doctors direction. https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893931875 2021-11-16 12:12:08 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893931875 ask if there is support at home to make sure they help him take his medicine https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893932659 2021-11-16 12:12:38 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893932659 it would be better communication respecting cultural differences and that the docotr make sure that the patient understands fully https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893934491 2021-11-16 12:13:29 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893934491 on individual: improving the doctor-patient communication making sure it is culturally sensitive and void of stereotyping. / on institutional level: train the physician of this matter and set systems to address these challenges / campaigns to decrease to decrease stereotyping and to raise awareness regarding cultural differences https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893940291 2021-11-16 12:16:53 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893940291 c https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893949987 2021-11-16 12:22:14 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893949987 C: based on how patient thought the medication worked by contrasting his symptoms https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893951015 2021-11-16 12:22:49 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893951015 C: based on what the patients said about how the medication contrasts his symptoms https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893952285 2021-11-16 12:23:34 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893952285 c https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893952745 2021-11-16 12:23:49 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893952745 https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893953094 c

]]> 2021-11-16 12:24:01 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893953094 it is about getting to the patients and showing them that you respect their culture and understand them. ultimately making them have trust in your management plan https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893956539 2021-11-16 12:25:55 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893956539 they would feel disrespected judged, but more importantly they would lose trust in the doctor and healthcare in general as they disagree with their core beliefs. the desired outcome was reached as the patients seems satisfied and willing to adhere to the instruction given. https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893960439 2021-11-16 12:28:04 UTC https://padlet.com/RCSI_MedProf/e7lgnvazkp5fdveo/wish/1893960439