TLE 1 Group_7_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy THP_2_Cross cultural communication and health disparities en-us 2021-11-09 11:43:57 UTC 2025-11-02 02:54:33 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/ynygv5gpm0v1fjdy/wish/1877976406 2021-11-09 11:43:57 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1877976406 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/ynygv5gpm0v1fjdy/wish/1877976409 2021-11-09 11:43:57 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1877976409 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/ynygv5gpm0v1fjdy/wish/1877976412 2021-11-09 11:43:57 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1877976412 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893907556 Shouldn’t have made assumptions ]]> 2021-11-16 11:57:15 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893907556 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893910471 Could have asked both parents instead of assumed one ]]> 2021-11-16 11:59:07 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893910471 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893916371 Rcsi:
Partnership - should have involved both parents 
Performance
Practice ]]> 2021-11-16 12:02:51 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893916371 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893917390 Immediately apologise to father and ask who we can involve ]]> 2021-11-16 12:03:31 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893917390 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893919389 Parents understand you are sorry 
Learn from the situation so that it doesn’t happen again ]]> 2021-11-16 12:04:52 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893919389 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893920884 Micro: reflect
Meso: share your experience ]]> 2021-11-16 12:05:52 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893920884 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893926584 Patient didn’t understand and didn’t want to bother the doctor to ask again - if it’s saving face 
This is assuming it’s always saving face- maybe he was in a rush or forgot when he got home ]]> 2021-11-16 12:09:13 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893926584 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893927599 Learn from the experience and discuss it with colleagues so the same assumptions aren’t made again ]]> 2021-11-16 12:09:50 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893927599 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893929021 Some cultures: afraid to ask the doctor, hold the doctor in high authority.

Possibility of language barrier ]]> 2021-11-16 12:10:42 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893929021 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893930179 Make the patient repeat it back to you 
Summarise main points again a second time 
Write it down for them ]]> 2021-11-16 12:11:23 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893930179 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893931092 Both patient and the doctor ]]> 2021-11-16 12:11:41 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893931092 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893931436 Demonstrate it to the patient ]]> 2021-11-16 12:11:52 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893931436 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893933346 Possibly pharmacist but that depends on country and if you received the medication in the hospital ]]> 2021-11-16 12:12:56 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893933346 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893935170 Avoid stereotyping]]> 2021-11-16 12:13:55 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893935170 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893935358 Patient repeats back everything you told them e.g when to take medications and what diagnosis is 

Possibly involve a family member too

]]> 2021-11-16 12:14:03 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893935358 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893937274 Don’t assume the patient has understood 

]]> 2021-11-16 12:15:07 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893937274 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893939295 Asking pharmacy to provide blister packs ]]> 2021-11-16 12:16:20 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893939295 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893943867 Possibly include interpreter if language barrier]]> 2021-11-16 12:18:54 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893943867 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893949599 C]]> 2021-11-16 12:22:02 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893949599 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893950625 B

Important not to dismiss it 
Important to integrate herbal medicines 


]]> 2021-11-16 12:22:35 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893950625 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893956473 Don’t write it off 
Best of both ]]> 2021-11-16 12:25:52 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893956473 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893958253 May increase compliance 
Builds trust 
Patient feels listened to ]]> 2021-11-16 12:26:53 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893958253 Question 4 from the slide: 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/ynygv5gpm0v1fjdy/wish/1893961153 2021-11-16 12:28:28 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893961153 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893963056 Lack of trust 
Lack of compliance ]]> 2021-11-16 12:29:27 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893963056 https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893964692 Listen to the patient 
Knowing what’s in the best interest of the patient ]]> 2021-11-16 12:30:22 UTC https://padlet.com/RCSI_MedProf/ynygv5gpm0v1fjdy/wish/1893964692