Health Disparities & Cultural Competency Flashcards
(44 cards)
What did Alicia Mercado have a difficult time complying with diabetes treatment?
Depression, cultural home remedies, home taken away. When she gained her hope back, by the return of her home, she began complying again.
What is cultural competency?
“…the knowledge and interpersonal skills that allow providers to understand, appreciate, and work with individuals from cultures other than their own. It involves an awareness and acceptance of cultural differences, self-awareness, knowledge of the patient’s culture, and adaptation of skills.”
What region of foreign born citizens is most common?
Latin American followed by asia
What is ethnicity?
Quality or affiliation of a sizable group of people sharing a common and distinctive racial, national, religious, linguistic, or cultural heritage
What is race?
A local geographic or global human population distinguished as a more or less distinct group by genetically transmitted physical characteristics
What is culture?
The totality of socially transmitted behavior patterns, arts, beliefs, institutions, and all other products of human work and thought.
What is social location?
One’s position in society relative to others, based on: Race and Ethnicity Gender Age Immigration Status Language Neighborhood of Residence Number of Generations in US Education Income Occupation Religion Sexual Orientation Prior experiences with racism
What sociological and psychological affects do recent immigrants to the US face?
- Alterations in social status
- Changes in occupation
- Changes in daily routines
- Isolation/lack of social support
- Change of family hierarchy (younger adapt quicker)
- Sense of purposelessness
- Lack of feeling of belonging
What percentage of VA population are immigrants?
12%
Where is poverty the highest in VA: rural or urban settings?
Rural 17.8%
Ability to interview and assess patients based on a psychological, social, biological, cultural, political, and spiritual model. Is an trait of a ______ ________ _________.
Culturally competent provider
Ability to communicate effectively and use interpreters, is a tactic used by what type of providers?
Culturally competent
Ability to diagnose with an understanding of cultural differences in pathology, avoiding under-diagnosis and over-diagnosis. Is an trait of a ______ ________ _________.
Culturally competent provider
Ability to formulate treatment plans that are culturally sensitive to the patient and the family’s concept of health and illnesses. is a tactic used by what type of providers?
Culturally competent
What are the four characteristics that culturally competent providers share?
Conduct holistic nterview
Communicate effectively and use interpreters
Diagnose with an understanding of cultural differences in pathology, avoiding under-diagnosis and over-diagnosis.
Culturally sensitive treatment plans
What are the 8 cultural forces of the cultural assessment guide?
- communication style
- education/language
- time orientation
- nutrition
- family & community relationships
- health beliefs
- religion
- ethnicity - population disease prevalence
What are areas of communication style that should be considered during cultural assessment guide?
- oral vs. written
- eye contact
- facial expressiveness
- direct vs. indirect
- questioning vs. accepting
- touch practices
What are areas of education/language that should be considered during cultural assessment guide?
- formal
- informal
- literacy level
- language(s) spoken
What are areas of time orientation that should be considered during cultural assessment guide?
- present focused
- future focused
- perception of time
What are areas of nutrition that should be considered during cultural assessment guide?
- role of food in health and illness
- perception of body size and health
- availability of traditional foods
- food practices and intolerances
What are areas of family & community relationships that should be considered during cultural assessment guide?
- traditional family units
- marks of childhood, adolescence, adulthood, and old age
- gender differences/role, dominance patterns
- child rearing processes
- values
What are areas of health beliefs that should be considered during cultural assessment guide?
- causation of wellness and illness
- level of self-determination
- Western medicine
- complementary and alternative medicine
- priority of health care
- acute vs. chronic disease practices
- pain reactions
What are areas of religion that should be considered during cultural assessment guide?
- interface between religion and health
- role of religious community in health provision
- Fatalism vs. personal control/power
What are areas of ethnicity, population disease prevalence, that should be considered during cultural assessment guide?
- considerations for diagnosis/treatment
