TLE 1 Group_12_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/unky7atu643exg4s THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:46:11 UTC 2021-11-16 12:33:02 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/unky7atu643exg4s/wish/1877980317 2021-11-09 11:46:11 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1877980317 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/unky7atu643exg4s/wish/1877980323 2021-11-09 11:46:11 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1877980323 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/unky7atu643exg4s/wish/1877980324 2021-11-09 11:46:11 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1877980324 Stereotyping and overgeneralisation https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893909574 Not every person will conform to expected cultural stereotypes, and therefore each patient should be treated as an individual. ]]> 2021-11-16 11:58:32 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893909574 Patient autonomy https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893911082 Everyone needs to be involved in the child's care, including the child and both parents. ]]> 2021-11-16 11:59:31 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893911082 Involve everyone https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893914135 Open the discussion to involve the mother or other family members present. ]]> 2021-11-16 12:01:33 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893914135 Self-awareness https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893916211 The doctor should understand her stereotypes and biases, and in the future make an effort to understand the unique situation of each family. ]]> 2021-11-16 12:02:46 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893916211 Open the discussion https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893917363 Ask the family how they want to handle care]]> 2021-11-16 12:03:30 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893917363 Open discussion and complete knowledge https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893919648 Encourage the family to come up with a plan that best suits their family. Ensure everyone is knowledge about the management of DMT1. ]]> 2021-11-16 12:05:03 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893919648 Hospital cultural competence training https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893920846 Mandatory training for doctors]]> 2021-11-16 12:05:50 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893920846 Saving face https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893925986 The man didn't want to embarrass the doctor or seem to disrespect the doctor. ]]> 2021-11-16 12:08:50 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893925986 Hierarchy https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893928030 The patient may view the doctor as an authority figure and did not want to disappoint him. Also he left in a hurry suggesting he did not want to take up the doctor's valuable time.]]> 2021-11-16 12:10:05 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893928030 Doctor's role https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893930342 It is the doctor's job to ensure the patient understands. Ask the patient to teach back the information. ]]> 2021-11-16 12:11:26 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893930342 Low vs high context cultures https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893932327 The patient may have interpreted the doctor's question as a conversation end as opposed to an true (low context) question.]]> 2021-11-16 12:12:26 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893932327 Follow-up https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893933466 Arrange follow-up sooner to prevent severe illness due to lack of understanding. Also give the patient opportunities to ask questions after the consultations as patients may need time to generate questions. Consider referral to support group. ]]> 2021-11-16 12:13:01 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893933466 Ask regular questions https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893936682 Ask questions throughout the consultation - do not wait until the end to ask about questions.]]> 2021-11-16 12:14:51 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893936682 Reflection on the part of the doctor https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893943608 Reflect on what went wrong and what could be improved.]]> 2021-11-16 12:18:45 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893943608 C https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893953978 The explanation provided differed from his cultural perspective on medicine. If the doctor had framed the medicine in this context, he might have been more open to taking.]]> 2021-11-16 12:24:30 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893953978 B https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893957627 Disagreement from the doctor may make the patient feel attacked and even less likely to comply. Herbal remedies can also have beneficial effects and should be incorporated. It is demeaning to dismiss the patient's views and beliefs. ]]> 2021-11-16 12:26:30 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893957627 B https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893961657 Herbal remedies are often beneficial and should be incorporated into the treatment plan. The doctor should be considerate to the patient's beliefs and cultural perspective. It would be demeaning to disregard their beliefs and opinions on their own health.]]> 2021-11-16 12:28:41 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893961657 Comfort to the patient https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893964566 Patient compliance is increased when they believe in their treatment. When there is collaboration between the doctor and patient, more positive outcomes can be achieved. ]]> 2021-11-16 12:30:17 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893964566 Holistic wellbeing https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893969416 The patient's mental and physical health will benefit from a collaborative rather than paternal approach. ]]> 2021-11-16 12:33:02 UTC https://padlet.com/RCSI_MedProf/unky7atu643exg4s/wish/1893969416