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NUSA 401- HA

TermDefinition
culture non-physical attributes of a person (thoughts, communications, actions, beliefs)
Cultural competency combination of attitudes, skills, knowledge and skills that a healthcare providers uses to deliver care
Young old Middle old Old old 65-74 75-85 85+
SDOH Social Determinants of Health: affect a person’s health from preconception to the end of life. EBP indicates that poverty has greatest influence on healthcare.
LEP Limited English Proficiency: Use of wristband to alert staff that an interpreter is needed to communicate the
Religion organized system of beliefs as a shared experience that can assist in one’s individual spiritual needs.
Spirituality broader term that encompasses something larger than one’s own existence with a belief in transcendence
Watson has spirituality as the central concept in her theories. "Focusing on spirituality is addressing what it means to be a human. Everyone has spiritual needs that must be addressed."
Disease causation theories -Biomedical -Naturalistic/ holistic -Magical religious -cause and effect that can provide physical and psychological illness (ex. germ theory). -Belief in the forces of nature that there’s balance in the universe (ex. yin/yang theory, hot/cold theory). -Supernatural forces dominate resulting in good vs evil
Traditional treatments and folk healers -hispanic -black -american indian -asian -amish -espirtualista, yerbo, sabedor - hougan, spiritualist, old lady - shaman, medicine woman, medicine man -herbalist, acupuncturist, bonesetter - braucher
Developmental competence -Parenteral perceptions of illness Awareness of beliefs across the lifespan can impact perception of healthcare delivery and treatments - a belief that a birth defect/ congenital abnormalities are punishment for breaking religious laws.
Some cultures express pain openly whereas others don’t Transcultural expression of illness
Culturally sensitive has basic knowledge and understanding
Culturally appropriate applies knowledge to improve health outcomes
Culturally competent applies understanding all contextual aspects of care
Cultural care provision (providing) of healthcare across cultural boundaries in consideration of context
Spiritual assessment -FICA -R-COPE -Use open-ended qs for starter -(Faith Importance/Influence, Community and Address/Action) -Brief R-COPE to examine pt’s coping mechanism
Interview Purpose Record a complete health history (bridge to the physical examination). Subjective and Objective data.
successful interview characteristics getbd(mine). gather data establish trust from pt teach about health state (disease prevention, health promotion) build rapport to continue therapeutic relationship discuss health promotion and disease prevention
interview contract terms location, explanation (my role), purpose (mutual goal is optimal health), time frame, participation, confidentiality, cost
receiving communication- interpretation past experience, culture, self-concept, physical/mental state
EHR (electronic health records) is helpful for recording but can also be a barrier (ex. distraction in the interview)
9 verbal responses that facilitate the interview. First 5 is mine: facilitation encourages pt to say more and show that I’m interested and listen further (ex. umhmm, go on)
9 verbal responses that facilitate the interview. First 5 is mine: silence gives the pt to think and organize their thoughts.
9 verbal responses that facilitate the interview. First 5 is mine: reflection echoes what the pt just said to express meaning. Ex. I heard you just say that you’re experiencing pain in your left knee. Can you tell me more about that pain? For how long did you have this pain
9 verbal responses that facilitate the interview. First 5 is mine: empathy develops an understanding and sensitivity for others’ feelings. Putting myself in pt’s shoes. Ex. “I’m sorry that you’re going through this right now. I can feel that you’re really uncomfortable.”
9 verbal responses that facilitate the interview. First 5 is mine: clarification
Created by: butterprez
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