Lesson 11: Culture of Biomedicine Flashcards

(21 cards)

1
Q

what are the 5 different cultures that influence the healthcare setting

A
  1. culture of biomedicine
  2. provider’s culture
  3. culture of the healthcare institution
  4. patient’s culture
  5. interpreter’s culture
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2
Q

why is there a difference in the way the provider finds a solution to a problem

A

because of the influence of the culture of biomedicine and culture of provider

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3
Q

what are the 4 main steps in regular problem solving

A
  1. collect information
  2. decide what is wrong
  3. make a plan to solve the problem
  4. follow through with the plan and evaluate the outcome
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4
Q

how does a provider collect information

A

uses lab tests, physical examination, medical history

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5
Q

why is collecting tests and medical history important

A

helps a provider make a decision about what is wrong with the patient

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6
Q

what is a medical interview

A

a series of questions that a provider asks to understand a patient’s medical history

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7
Q

what is a diagnosis

A

the identification of the nature of an illness or other medical problem

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8
Q

what are the 2 broad categories of diagnostic questions

A
  1. questions about the body and body systems
  2. questions about life history and other events
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9
Q

do step 1 and step 2 occur simultaneously?

A

yes, a provider collects information and attempt to make a medical diagnosis at the same time

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10
Q

what is a symptom

A

a physical, mental, or emotional feature that indicates the presence of disease

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11
Q

what are symptoms descriptors

A

words used to describe what the patient is experiencing

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12
Q

what are some examples of symptom descriptors

A

onset, duration, location, precipitant, radiation, quality, etc

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13
Q

what are diagnostic questions

A

questions a provider asks to gain information about a patient’s condition

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14
Q

what are 4 things doctors think about when making a plan

A
  1. the end goal
  2. collection of more data (more tests)
  3. treatment
  4. patient education
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15
Q

what is informed consent

A

the process of making sure a patient knowns what is going to be done and ensuring the patient gives the provider permission to perform a procedure or treatment

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16
Q

what can an MI do if a patient seems concerned or confused about the concept of informed consent

A

they can explain why a patient may be confused and let the provider decide what to do

17
Q

why is it important to take a patient’s views into consideration

A

because their special knowledge about the cause, or having specific families and community problems that are important in a patient being able to understand about the illness and how they choose to seek treatment/therapy

18
Q

why is it important to preserve the language that a patient uses to describe a symptom

A

because different descriptors can lead to a different diagnostic direction

19
Q

what is the provider’s approach to problems influenced and based on (5 things)?

A
  • influenced by biomedical culture and provider’s culture
  • based on facts, data, science
  • influenced by what is learned in med school
  • informed by developments in field of medicine
  • influenced by having the most power to make decisions
20
Q

what is the patient’s approach to problems influenced and based on (5 things)?

A
  • influenced by active culture
  • based on cultural beliefs
  • influenced by life experiences
  • informed by ideas about ‘sickness’ and what happened to “me”
  • may be influenced by thinking they have little/no power
21
Q

what are the 5 guidelines to follow when interpreting within the context of biomedicine culture?

A
  1. interpret everything said, as faithfully and as accurately to the meaning as possible
  2. interpret the “small talk”
  3. communicate all patient ideas about why they think they are ill
  4. communicate clearly with the provider and the patient
  5. interpret with an awareness of your own biases