e-TBL1-THP_14_Bahrain (NC) by Eric Clarke https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1 THP_2_Cross cultural communication and health disparities en-us 2021-11-08 09:48:07 UTC 2021-11-16 09:18:02 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/r294j9yj1ju9orj1/wish/1874625795 2021-11-08 09:48:07 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1874625795 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/r294j9yj1ju9orj1/wish/1874625797 2021-11-08 09:48:07 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1874625797 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/r294j9yj1ju9orj1/wish/1874625799 2021-11-08 09:48:07 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1874625799 failed to check her own bias https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893594232 2021-11-16 08:52:22 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893594232 https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893596365 made an unsafe assumption based on her generalizing of a culture

]]> 2021-11-16 08:53:33 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893596365 making assumptions https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893596993 2021-11-16 08:53:54 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893596993 assumption was made without talking to the patient https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893597000 2021-11-16 08:53:54 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893597000 stereotyped patient https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893597151 2021-11-16 08:53:59 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893597151 https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893601721 1. The Dr stereotyped the patient.
2. stereotyping is not professional under the code of conduct
3. Can never assume as a doctor.
4. the dr didnt ask for the patient's pov.
5. the patient generalized the patient as a culture than treating her as an individual



]]> 2021-11-16 08:56:18 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893601721 Needs to reassess her bias https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893605880 2021-11-16 08:58:37 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893605880 step back and assess the situation again https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606086 2021-11-16 08:58:43 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606086 i'd need to discharge myself https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606323 2021-11-16 08:58:51 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606323 report myself https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606530 2021-11-16 08:58:58 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606530 treat family as individuals not on assuptions https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606799 2021-11-16 08:59:07 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606799 From patient's pov https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606907 inform the dr that I prefer to be perceived as an individual.]]> 2021-11-16 08:59:10 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606907 As the patient https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606913 Report the doctor or have another doctor take over

]]> 2021-11-16 08:59:10 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893606913 apologize https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893607530 2021-11-16 08:59:29 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893607530 reconcile between doctor and patient https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893608663 2021-11-16 09:00:07 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893608663 apologize https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893608968 2021-11-16 09:00:17 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893608968 Desired outcome is to ensure the patient and doctor maintain a good relationship and resolve the misunderstanding https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609041 2021-11-16 09:00:19 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609041 dr to apologize https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609217 2021-11-16 09:00:27 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609217 dr to understand https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609464 2021-11-16 09:00:35 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609464 establish a good rapport https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609554 2021-11-16 09:00:38 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609554 To avoid any conflict between both parties https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609684 2021-11-16 09:00:43 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609684 clear the air not to mess up the treatment https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609803 2021-11-16 09:00:47 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893609803 good respectful care/treatment of Amira https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893610071 2021-11-16 09:00:55 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893610071 Desired outcome is to ensure the patient and doctor maintain a good relationship and resolve the misunderstanding https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893610311 2021-11-16 09:01:03 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893610311 Individual - check the bias not generalise and treat individual sperate case https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893611136 2021-11-16 09:01:32 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893611136 initiate trauma informed care courses https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893611970 2021-11-16 09:02:00 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893611970 to send out a reminder notice 18212760 https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893612604 2021-11-16 09:02:22 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893612604 Educate doctors more about culture https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893612650 2021-11-16 09:02:24 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893612650 Institutional: Should host cultural awareness sessions to reduce chances of stereotyping https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893612720 2021-11-16 09:02:27 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893612720 no stereotyping https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893614294 2021-11-16 09:03:24 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893614294 https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893614630 Avoid assumptions]]> 2021-11-16 09:03:36 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893614630 take into account the cultural aspects where your working https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893614867 2021-11-16 09:03:44 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893614867 https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893615326 educate yourself]]> 2021-11-16 09:03:58 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893615326 https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893617899 communication barrier]]> 2021-11-16 09:05:28 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893617899 "saving face" https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893617948 2021-11-16 09:05:30 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893617948 Don't think there are any cultural issues, just a misunderstanding that can occur with any cultural background https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893618275 2021-11-16 09:05:43 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893618275 language barrier if doctor used medical terms https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893618392 2021-11-16 09:05:47 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893618392 Some patients, especially those from Asian countries, may not want to show that they have not understood a question or that they disagree with the medical staff. https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893619094 2021-11-16 09:06:15 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893619094 power difference https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893619222 2021-11-16 09:06:19 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893619222 unknown SES, education, access to medication https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893619894 2021-11-16 09:06:45 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893619894 didn't want to show that he didn't understand https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893620089 2021-11-16 09:06:53 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893620089 the patient might have felt overwhlemed https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893620213 2021-11-16 09:06:57 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893620213 DR job to make sure clear https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893620494 2021-11-16 09:07:09 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893620494 Doctor should have asked the patient to repeat what he understood to ensure he got the information https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893620496 2021-11-16 09:07:09 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893620496 he probably felt ashamed to ask questions or to put the dr in a situation where he/she feels unsuccessful explaining the instructions https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893621166 2021-11-16 09:07:34 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893621166 might have been overwhelmed by information https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893621224 2021-11-16 09:07:36 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893621224 the doctor should have made sure that the patient can fully explain back to the doctor what the steps are https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893621409 2021-11-16 09:07:42 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893621409 it is vital that the physician makes sure the patient understood his/her disease, medications etc. https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893621898 2021-11-16 09:08:00 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893621898 make sure the patient understood https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893622379 2021-11-16 09:08:18 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893622379 write/draw clear info https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893622569 2021-11-16 09:08:25 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893622569 Patient https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893622926 try and find someone who can translate (family, friends)]]> 2021-11-16 09:08:38 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893622926 ask doctor to repeat or clarify https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893622948 2021-11-16 09:08:39 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893622948 patient pov- try to ask more questions or say you didnt understand and ask doctor to repeat https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623038 2021-11-16 09:08:42 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623038 ask more question (dr) https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623039 2021-11-16 09:08:42 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623039 doctor pov- ask the patient to repeat to you what they understood https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623441 2021-11-16 09:08:59 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623441 ask patient to explain what he understood https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623594 2021-11-16 09:09:03 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623594 dr create safe space https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623659 2021-11-16 09:09:06 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623659 Doctor https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623839 ask patient to regurgitate info back so assure understanding]]> 2021-11-16 09:09:13 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893623839 involve nursing, social workers, who have more time to spend https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893625659 2021-11-16 09:10:14 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893625659 ensure clear instructions were given https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626002 2021-11-16 09:10:26 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626002 Have Mr. chang understand his condition and medication so that he lives https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626439 2021-11-16 09:10:43 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626439 Mr Chang health https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626495 2021-11-16 09:10:45 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626495 to have the patient take his medication properly whether by explaining to him again or providing him with a step by step guide https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626532 2021-11-16 09:10:46 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626532 safe space https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626966 2021-11-16 09:11:01 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893626966 Ensuring the patients understanding is vital https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893628490 2021-11-16 09:12:00 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893628490 On the doctor to make sure the patient can speak their mind https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893630597 2021-11-16 09:13:16 UTC https://padlet.com/RCSI_MedProf/r294j9yj1ju9orj1/wish/1893630597