TLE 1 Group_4_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2 THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:42:06 UTC 2021-11-16 14:00:49 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/kfi7j2rfph07fbn2/wish/1877972996 2021-11-09 11:42:06 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1877972996 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/kfi7j2rfph07fbn2/wish/1877972998 2021-11-09 11:42:06 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1877972998 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/kfi7j2rfph07fbn2/wish/1877972999 2021-11-09 11:42:06 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1877972999 Steryotyping https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893908709 She assumes that the father is the head of the family.]]> 2021-11-16 11:57:59 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893908709 "He would not consider her suggestions" https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893910497 Is this related to misogyny? How the doctor responds to this conflict is very important]]> 2021-11-16 11:59:08 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893910497 Suggest Mr Faroud a male doctor if he prefers https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893912619 2021-11-16 12:00:30 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893912619 Consideration of involving the mother https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893914867 2021-11-16 12:01:51 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893914867 Mr Faroud's willingness to cooperate with Lisa https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893917909 2021-11-16 12:03:53 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893917909 https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893918406 Try to have an open discussion with Mr. Faroud and ask why he will not consider any of her suggestions]]> 2021-11-16 12:04:14 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893918406 https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893920531 To try and find a solution, so that the patient could be treated

]]> 2021-11-16 12:05:37 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893920531 Individual level: Lisa shouldnt assume about one's culture https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893921341 2021-11-16 12:06:10 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893921341 Ultimately come up with a solution https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893921506 Come up with a method of communicating effectively with the family as a whole to come up with a treatment plan for the child.]]> 2021-11-16 12:06:13 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893921506 Possible communication barrier https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893921635 Not as effective communication going on because Mr. Faroud is not considering Lisa suggestions and might not be able to actively listen to important information Lisa is giving to him to make informed decisions in the daughter's care plan.]]> 2021-11-16 12:06:19 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893921635 Institutional https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893923513 The institution should educate all of it's healthcare professionals on how to deal with/communicate with different cultures and how to treat them effectively.]]> 2021-11-16 12:07:35 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893923513 Face https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893924961 The patient was not comfortable enough to admit his lack of understanding.
In chinese culture the doctor is the authority and asking questions could be perceived as undermining his authority.

]]> 2021-11-16 12:08:28 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893924961 Medical professional should have cultural competence https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893925264 2021-11-16 12:08:40 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893925264 Time is of essence https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893926567 He might be rushing somewhere & Not want to take away the doctor's time???]]> 2021-11-16 12:09:12 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893926567 Both are responsible for making sure that the information and instructions are understood https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893927850 2021-11-16 12:09:58 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893927850 Upbringing https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893928230 Parenting style growing up. Not used to asking questions and just accepts what they have been told  ]]> 2021-11-16 12:10:12 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893928230 Patient understanding how to take his medications https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893930310 2021-11-16 12:11:25 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893930310 Explain thoroughly even if the patient claims to understand fully https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893931401 Ask the patient to explain back to you what they have to do/understand so that you can see where the gaps in their knowledge are.]]> 2021-11-16 12:11:50 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893931401 Provide extra info e.g brochures so patient can read at their own time https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893931515 2021-11-16 12:11:55 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893931515 What to do? https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893931867 During consultation - ask the patient to repeat back to ensure understanding + additional resource]]> 2021-11-16 12:12:08 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893931867 Effective treatment plan https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893934584 2021-11-16 12:13:32 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893934584 Patient feels comfortable to ask questions https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893934615 Although the concept of face is so important in some cultures, understanding and being able to implement their treatment plan is much more important.]]> 2021-11-16 12:13:33 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893934615 https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893935654 For the patient to feel more comfortable speaking up in the future, if he has not understood something/has concerns]]> 2021-11-16 12:14:15 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893935654 Important to take cultural background into consideration... https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893938866 2021-11-16 12:16:05 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893938866 C https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893949296 2021-11-16 12:21:54 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893949296 B https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893949585 2021-11-16 12:22:02 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893949585 Patient will be more receptive if his thoughts and beliefs are incorporated https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893951466 Feeling that his beliefs are respected by the doctor will make him trust the doctor more ]]> 2021-11-16 12:23:05 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893951466 Q4: What do you think the effects of ignoring or not integrating a patient’s approaches or beliefs would make them feel? Do you feel the desired outcome was reached in this case and why ? https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893953571 2021-11-16 12:24:16 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893953571 Medical professional should be willing to compromise (in some situation) in order to achieve desired outcome https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893961088 2021-11-16 12:28:26 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893961088 https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893961770 The desired outcome was reached because the doctor took into consideration the patient's culture, feelings and beliefs]]> 2021-11-16 12:28:45 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893961770 Patient-centered care should be applied regardless of the cultural background. https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893990806 2021-11-16 12:44:40 UTC https://padlet.com/RCSI_MedProf/kfi7j2rfph07fbn2/wish/1893990806