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Flashcards in OS Multicultural/Post Trauma Deck (27)
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1
Q

AMISH example

A
hired language speakers
hired a patient advocate
got to know the patients 
made connections to the community
became flexible (provide standard w/ traditional care)
did not make assumptions
2
Q

How to structure a pt visit

A
create a welcoming environment
speak the language
communicate
understand your goals
examine respectfully
make plans together
allow pt to teach about culture
3
Q

how to create a welcoming environment

A

exhibit racially & ethnically diverse posters
display media that is culturally relevant
non-discrimination statement
intake forms should be inclusive

4
Q

how to speak the language

A

arrange for translators
use language that pts understand
use same language as pt (clarify terms & willing to be educated)

train office staff (non discrim verbal & body language)

5
Q

how to communicate

A

develop specific plan for each pt
understand pt goals of visit
be willing to negotiate non-important items or evaluate the un-known
be willing to educate

6
Q

how to examine respectfully

A

be aware of pt history (abuse, surgeries, piercings)

put on doctor face (empathy, no judgement)

7
Q

Violence Screening Questions

A

Have you ever been hurt (physically or sexually) by someone you are close to or involved with, or by a stranger?

Are you currently being hurt by someone you are close to or involved with?

Have you ever experienced violence or abuse?

Have you ever been sexually assaulted/raped?

8
Q

Outcome of violence screen

A

do NOT accept answer as unalterable truth

pt may lie to protect themselves & others

9
Q

how to make plans together

A

make sure that the pt:

understands need for plan
is on board w/ plan
needs a plan

10
Q

Somali culture

A

family & faith are very important
clans are important in social & political structures
majority of population are Sunni Muslims
specific group w/ different health care concern (mistrust, influence of anti-vax groups)

11
Q

Somali Example

A

involved local faith leaders & Somali-MN physicians to spread info w/ in community

12
Q

Outcome of Somali Example

A

changed emergency response plan to include cultural response team to help w/ public health emergencies

13
Q

LGBTQIA exam

A

assess for STIs
do NOT assume
vulnerability to social stresses

14
Q

Individual Trauma

A

results from an event, series of events, or set of circumstances experienced by an individual as physically or emotionally harmful or life-threatening with lasting adverse effects on individual’s functioning & mental, physical, social, emotional, or spiritual well-being

15
Q

Trauma Informed Care

A

adoption of principles & practices that promote a culture of safety, empowerment & healing

16
Q

Importance of Trauma

A

61% of men & 51% of women report exposure to at least 1 lifetime traumatic event

90% of clients in public behavioral health care settings have experienced trauma

17
Q

ACES

A

10 types of childhood trauma

physical abuse
verbal abuse
sexual abuse
physical neglect
emotional neglect
parent who is alcoholic
mother who victim of DV
family member in jail
family member w/ mental illness
disappearance of parent thru divorce/death/abandonment
18
Q

What does ACES implicate?

A

survivors of childhood trauma are up to 5,000% more likely to attempt suicide, have eating disorders or become IV drug users

19
Q

Trauma Approach

A
safety
trustworthiness & transparency
peer support
collaboration & mutuality
empowerment, voice & choice
cultural, historical & gender issues
20
Q

Safety

A

physically & psychologically safe (interpersonal interactions promote sense of safety)

21
Q

Trustworthiness/transparency in exam

A

operations & decisions conducted w/ transparency (goal of building & maintaining trust)

22
Q

Peer support for post-trauma patient

A
safety
hope
build trust
enhance collaboration
promote recovery & healing
23
Q

collaboration & mutuality

A

partnering
leveling power differences (share power in decision)
everyone has a role to play

24
Q

empowerment, voice & choice

A

individual’s strengths are recognized & built upon

**foster resilience & facilitate recovery

empower staff/clients

cultivate self-advocacy

25
Q

cultural/historical/gender issues

A

leverages the healing value of traditional cultural connections

recognizes & addresses historical traumas

26
Q

What is important when seeing pt who had trauma?

A
permission to touch
control over situation
right to set limits
right to tell the story
right to hear the story
27
Q

SUMMARY of lecture

A

communicate
be patient
be willing to learn
be willing to accept