Week 11 P&L

Question 1

How do we provide culturally safe end of life care for indigenous people?

Answer 1

• Acknowledge importance of connection to land/community
• Acknowledge influence of colonisation
• Acknowledge mistrust of the healthcare system
• Plan for language barriers (talk to “right” person, consider interpreter, limit jargon)

Question 2

What are some barriers to indigenous people accessing palliative care

Answer 2

• Racism/distrust of the healthcare system
• Lack of community knowledge of palliative care
• Economic and logistical (e.g. location) factors

Question 3

Cultural considerations when dealing w/ indigenous pall care patients

Answer 3

• They may belief in further life; influence decisions
• May not want to talk about it (?manifestation)
• May be shame in community

Question 4

What is aboriginal lore? Give a common example of how it might affect decision making power

Answer 4

• Lore is traditional laws of indigenous culture
• For example, an elder may be granted decision making rights over one of his people

Question 5

How do we provide culturally safe care to indigenous people?

Answer 5

• Recognising how knowledge/skills/beliefs influence interactions with indigenous patients and their families
• Providing holistic care free of racism/bias

Question 6

True or false: advanced care directives can delegate decision making power to cultural leaders, such as indigenous elders

Answer 6

True.

Question 7

What’s a key difference in how decision making can vary in indigenous patients, from a legal perspective?

Answer 7

• Decisions may be influenced by wider community
• May necessitate shared meetings to determine what needs to be done with regards to important decisions