TLE 1 Group_13_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:46:41 UTC 2021-11-16 12:49:58 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/usa68dj2ebl0xqre/wish/1877981221 2021-11-09 11:46:41 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1877981221 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/usa68dj2ebl0xqre/wish/1877981226 2021-11-09 11:46:41 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1877981226 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/usa68dj2ebl0xqre/wish/1877981228 2021-11-09 11:46:41 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1877981228 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893917110 - patient autonomy: 
Everyone needs to be part of the decision making of the treatment plan for the child - including both the parents and the child ]]> 2021-11-16 12:03:20 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893917110 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893918276 - cultural sensitivity: the doctor acted based on preconceived stereotypes and didn't actually examine the situation at hand]]> 2021-11-16 12:04:08 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893918276 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893919855 Have a discussion with the entire family]]> 2021-11-16 12:05:11 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893919855 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893920116 To have opened a channel of communication with the whole family to develop the best treatment plan possible]]> 2021-11-16 12:05:20 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893920116 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893920785 Include both parents in discussion for management of the child]]> 2021-11-16 12:05:48 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893920785 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893924099 Ensure everyone - caregivers, parents and patient understand what T1DM is and what entails in the management to better facilitate treatment of the child]]> 2021-11-16 12:07:57 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893924099 Saving face sitisarahaisyahjm https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893929135  ]]> 2021-11-16 12:10:44 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893929135 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893929692 There could also be a language barrier which made the patient more hesitant to ask more]]> 2021-11-16 12:11:05 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893929692 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893933113 The Face: the concept of saving face
- based on Asian/Eastern culture 
- 'saving face’ can be important to maintain, especially in front of people i.e., healthcare professionals
- transgression of social norms and behaviour can lead to loss of face like in the case
- he might not want people/professionals to think less of him

]]> 2021-11-16 12:12:49 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893933113 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893934739 It's both the patient's and healthcare professional's responsibilities ]]> 2021-11-16 12:13:39 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893934739 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893939085 The patient may have had difficulties understanding the doctors instructions and may not have felt comfortable voicing these. The doctor is obligated to ensure the patient understands and is comfortable talking through their issue]]> 2021-11-16 12:16:13 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893939085 Build patient doctor relationship, have patient clearly understand the explanation sitisarahaisyahjm https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893940207 2021-11-16 12:16:50 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893940207 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893943218 - facilitate the discussion in a way that he's more comfortable and build rapport with the patient so he might not prioritise maintaining in "keeping face"
- rephrasing questions and statements when needed
- allow the patient to repeat back what was discussed during the consultation/discussion to ensure the patient understands the treatment regime
- easy access to translator 

]]> 2021-11-16 12:18:32 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893943218 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893944069 - That the patient would feel comfortable voicing any concerns they have openly
- That the doctor would have the necessary the necessary aids in this situation - a translator would be crucial in ensuring the patient accurately understood the complexities of diabetic medications and dosing]]> 2021-11-16 12:19:01 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893944069 C https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893951282 2021-11-16 12:22:58 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893951282 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893952089 C) He has another understanding of how medication should work on the body.


]]> 2021-11-16 12:23:27 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893952089 B https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893952220 2021-11-16 12:23:32 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893952220 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893954865 - Placebo effect:
Improvement of symptoms may be observed despite the non-active  "treatment"; so as long there is not harmful interactions or implications of said treatment
- Respect: 
Respecting one's beliefs may aid in building rapport and trust between patient and the doctor
- Increases patient compliance:
Patients will adhere to the management plan more if something they believe that works is integrated ]]> 2021-11-16 12:25:03 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893954865 B https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893957628 He knows that the patient will be most happy if these remedies are incorporated into their treatment plan. The doctor also knows that patient mindset plays an important tole in their response to treatment]]> 2021-11-16 12:26:31 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893957628 Yes, The doctor respect the patient and the patient is willing to try both medication sitisarahaisyahjm https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893958916 2021-11-16 12:27:13 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893958916 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893960621 Yes, the doctor was amenable to the patients suggestions and formulated a plan that would incorporate both the patient's wishes and the doctor's recommendations ]]> 2021-11-16 12:28:11 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893960621 idk https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893962621 2021-11-16 12:29:13 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1893962621 https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1894001052 if ignored - feel degraded, neglected, distrust ]]> 2021-11-16 12:49:50 UTC https://padlet.com/RCSI_MedProf/usa68dj2ebl0xqre/wish/1894001052