Term
| What are the three principles of CULTURE SENSITIVE care? |
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Definition
- KNOWLEDGE of culture, your practice and yourself
- MUTUAL RESPECT, the challenge is to induce pts to RESPECT YOU
- Negotiation: based on knowledge and respect |
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Term
| What are the barriers to listening for cultural perspectives? What are the three world views? |
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Definition
- Our WORLD VIEW influences how we perceive reality.
Three World Views:
- Scientific, rational-legal
- Naturalistic, Holistic
- Magical, Spiritual
--Medical Ethnocentrism
--System Features (payment mode, pt flow, hierarchy)
--Societal Values (the appropriate care givers are orthodox clinicians) |
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Term
| What are the three spheres of the Health Care System? |
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Definition
1. Popular Sector--MOMS
2. Professional Sector--DOCS
3. Folk Sector--SHAMANS |
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Term
| What is DISEASE in the Illness-disease distinction? |
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Definition
| Disease is a professional view of sickness. Sickness as a pathology of mind or body that can be verified with scientific techniques. |
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Term
| What is ILLNESS in the Illness-Disease distinction? |
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Definition
| ILLNESS is the patient/family view of sickness. The experience, description, explanation of sickness. |
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Term
| What are the steps of NEGOTIATION r/t culture sensitive care? |
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Definition
1. LISTEN use cultural relativism, value pt responses
2. TEACH discuss your POV using language appropriate for the pt
3. COMPARE explain similarities and dissimilarities
4. COMPROMISE retain positive and neutral treatments, create alternatives for harmful tx |
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Term
| What are the seven elements of the Explanatory model? |
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Definition
| A description of the illness from the pt's POV -- Onset, cause, process, course, tx, main problems, WHAT DO YOU FEAR? |
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Term
| What are some of the questions you can ask in an Explanatory Interview? |
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Definition
- What do you call your problem? When did it start? Why then?
- What do you think caused your problem?
- How does it work in your body?
- How long do you think it will last?
- What have you been doing for it so far?
--WHO recommended that?
- What do you FEAR about this illness?
- What would you like me to do today? |
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