TLE 1 Group_15_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:47:45 UTC 2021-11-16 12:31:09 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/fz1etbtno0s5hi7e/wish/1877982901 2021-11-09 11:47:45 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1877982901 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/fz1etbtno0s5hi7e/wish/1877982903 2021-11-09 11:47:45 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1877982903 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/fz1etbtno0s5hi7e/wish/1877982906 2021-11-09 11:47:45 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1877982906 Dr Lisa is assuming Middle Eastern culture practising patriarchy https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893913010 2021-11-16 12:00:47 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893913010 The father might be assuming since the doctor is a female, she might be incompetent and therefore not taking the doctor's suggestion https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893915727 2021-11-16 12:02:25 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893915727 The mother is not involved https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893916375 2021-11-16 12:02:51 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893916375 Involve other family members too (maybe the mother) https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893918633 2021-11-16 12:04:23 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893918633 ask the father about his suggestions https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893919242 2021-11-16 12:04:46 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893919242 discuss with the father the reason why he does not want to agree with the doctor https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893920195 2021-11-16 12:05:23 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893920195 the family considering some options https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893921182 2021-11-16 12:06:03 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893921182 make sure every family member understands what the doctor is saying https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893921218 2021-11-16 12:06:05 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893921218 The patient might not understand because of language barrier https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893926088 2021-11-16 12:08:54 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893926088 The patient might be ashamed to question the doctor https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893926962 2021-11-16 12:09:27 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893926962 Both the patient and doctor share the responsibilities to understand the information https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893928515 2021-11-16 12:10:24 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893928515 use interpreter if there is a language barrier between doctor and patient https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893930072 2021-11-16 12:11:19 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893930072 I would ask the patient to repeat back on the instructions and perhaps show a demonstration in front of him https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893931604 2021-11-16 12:11:58 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893931604 Get a follow-up plan for the patient and his family member to check up on him with his insulin technique https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893933480 2021-11-16 12:13:01 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893933480 Patient is compliant with insulin intake and diet. Have a comfortable relationship with the doctor so that he is not afraid or ashamed to disagree/question. https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893935511 2021-11-16 12:14:09 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893935511 Cultural belief on taking medications https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893942785 2021-11-16 12:18:17 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893942785 the previous doctor might not explain about the medication in detail https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893951937 2021-11-16 12:23:22 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893951937 Maybe the other medication is not explained? Patient's preference might be herbal remedies? https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893952834 2021-11-16 12:23:52 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893952834 It doesn't do any harm and it helps the doctor's way of prescribing the medication. Placebo effect https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893958953 2021-11-16 12:27:14 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893958953 to address any concerns they have https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893962131 2021-11-16 12:28:56 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893962131 Helps to communicate with the patient and understand their lifestyle, way of life etc https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893963046 2021-11-16 12:29:27 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893963046 For the first one -> Reduced quality of life. https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893965266 Second one -> Yes, because he did integrate the patient's approach of medication into the patient care

]]> 2021-11-16 12:30:42 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893965266 Patient would not trust the doctor and not take the medication/compliant with the management plan https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893966099 2021-11-16 12:31:09 UTC https://padlet.com/RCSI_MedProf/fz1etbtno0s5hi7e/wish/1893966099