Caring for Patients from different Cultures

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created 9 years ago by DebbieRCC
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College: Second year
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1

Cultural Competence: Cultural Sensitivity

PATIENT CENTERED CARE
Understanding our own culture and biases, becoming sensitive to the cultures of others and appreciating the differences

2

The four C's of culture

1) Call...What do you call your problem/what do you think is wrong?
2) Cause...What do you think caused your problem?
3) Cope ... How do you cope with your problem?
4) Concerns... What concerns do you have regarding your condition?

3

Culture

Culture encompasses beliefs and behaviors that are learned and shared by members of a group.

4

Subcultures

Smaller groups of people sharing certain characteristic that are not shared by the culture at large. e.g. ethnicity, occupation, gangs. sexual orientation (Even nursing and medicine)

5

Stereotyping

AN ENDING POINT
Placing assumptions on a group of people rather than on the individual themselves
e.g., assuming all Mexicans have large families

6

Generalization

A BEGINNING POINT
Taking a common thread of a group of people and finding out if it works on an individual level. e.g., taking the time to find out about the size of the family.

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Values

The things that we hold important ... values in the United States~ independence, autonomy,privacy, health and fitness,physical appearance

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Emic & Etic

Emic~ the insiders perspectives, the natives view of his own behavior
Etic~ the perspectives of those from outsiders

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Ethnocentrism

The view that one's own culture's way is dong things the correct way or right way
MOST PEOPLE THINK THIS WAY

10

Cultural relativism

The view that other ways of doing things are different but equally valid.

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Time Orientation

One's focus regarding time:
Present time orientation is what is happening now. not concerned about their future.
Future orientated is thinking long term by preventive actions
Past orientation would have more of an interest in traditional medicine, doing what has always been done.
Can also have to do with time; as in watching the clock schedule as opposed to activity schedule

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Hierachical Cultures

USED MORE IN THE MEDICAL CULTURE: People are not of equal status and respect

13

Egalitarian

People are seen on an equal level

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Family of Orientation

Family that one is born in to: parents, brothers, sisters, grandparents

15

Family of Procreation

One formed through marriage or procreation; wife, husband, children

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Models of disease

Magico-religious model ~ Where God's or supernatural forces dominate or influence others. Biomedical model~seen as being controlled by a series of physical or biomedical processes
Holistic Model~forces of nature must be kept in balance and harmony.

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yin/yang

yang ~ hot
yin ~ cold

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Two important points regarding etiology

1)The treatment must be appropriate to the cause
2)We must not let our enthnocentrism blind us to the merits in the beliefs of other cultures.