Health Sciences 1002A/B Lecture Notes - Lecture 12: Yaqui River, Cancer Alley, Hydrocephalus

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Thursday, March 8, 2018
Continued From Last Lecture…
What can we learn from First Nations healing initiatives?
-Eliminate Bias, Provide healthcare without any sort of bias
Catch yourself when you are being biased "
-Patient-family centred care
Involve those who are close to the patient (With permission of patient) "
-Paying attention to culture to counter dierences, and common discriminations
-Actively reaching out to people who are in distress
Vs. Government programs that expect you to go and ask for help"
-Healing strategies most helpful for patients depend in part on their cultural
values and beliefs
-Medical framework is dominant framework for understanding illnesses, but
patients and families may value other lenses for interpreting and managing
illness.
Cultural Competence, Cultural Awareness
-Involves life long awareness of one’s own cultural views and respect for those
of others
-Healthcare providers “who use their knowledge and skills to provide eective
healthcare for patients of diverse cultural backgrounds are said to be culturally
competent”
-“Cultural awareness in the ability to acknowledge dierences”
-Self-awareness important.
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Thursday, March 8, 2018
Arthur Kleinman
-8 Questions to support culturally competent core
What do you think caused this problem?"
Why do you think this problem started and when did it start? "
What do you think this problem does inside your body? How does it work? "
How severe is this problem? Will it have a short or long course? "
What kind of treatment do you think you should receive?"
What are the most important results you hope to receive from this treatment? "
What are the chief problems this illness has caused?"
What do you fear most about the illness/problem?"
Caveat/Caution
-Culture is only one factor that may explain actions, behaviours, choices
-Diversity amongst people who self-identity as part of a cultural group
-Culture should never be reduced to ethnicity/race
-No such things as an expert.
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Document Summary

Eliminate bias, provide healthcare without any sort of bias: catch yourself when you are being biased. Patient-family centred care: involve those who are close to the patient (with permission of patient) Paying attention to culture to counter di erences, and common discriminations. Actively reaching out to people who are in distress: vs. government programs that expect you to go and ask for help. Healing strategies most helpful for patients depend in part on their cultural values and beliefs. Medical framework is dominant framework for understanding illnesses, but patients and families may value other lenses for interpreting and managing illness. Involves life long awareness of one"s own cultural views and respect for those of others. Healthcare providers who use their knowledge and skills to provide e ective healthcare for patients of diverse cultural backgrounds are said to be culturally competent . Cultural awareness in the ability to acknowledge di erences .

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