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What Language Does Your Patient Hurt In

What Language Does Your Patient Hurt In. Introduction. Avoid Stereotypes Cultural Overview African-Americans American Indians Asians Hispanics Middle Easterners Soviet Bloc areas. Tips for a Successful Caregiver Improving Cross-Cultural Relationships.

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What Language Does Your Patient Hurt In

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  1. What Language Does Your Patient Hurt In

  2. Introduction • Avoid Stereotypes • Cultural Overview • African-Americans • American Indians • Asians • Hispanics • Middle Easterners • Soviet Bloc areas

  3. Tips for a Successful CaregiverImproving Cross-Cultural Relationships • Don’t treat the patient in the same manner you would want to be treated. • Begin by being more formal with patients who were born in another culture. • Don’t be “put off” if the patient fails to “look you in the eye” or ask questions about their treatment.

  4. Tips for a Successful CaregiverImproving Cross-Cultural Relationships • Don’t make assumptions regarding the patient’s concepts about the ways to maintain health, causes of illness, or the means to prevent or cure illness. • Allow the patient to be open and honest with you by not discounting or laughing at beliefs that are not held by our Western biomedical tradition.

  5. Tips for a Successful CaregiverImproving Cross-Cultural Relationships • Don’t discount the possible effect of the belief in the supernatural on the patient’s health and well being. • Make your questioning indirect concerning the patient’s belief in the supernatural or use of nontraditional cures • Try to ascertain the value of involving the entire family in the treatment

  6. Tips for a Successful CaregiverImproving Cross-Cultural Relationships • Be very restrained in relating bad news or in explaining in detail the many complications that may result from a particular course of treatment. • Whenever possible, try to incorporate into your treatment plan the elements of the patient’s folk medication and folk beliefs that are not specifically contraindicated.

  7. Tips for a Successful CaregiverCommunicating Directly with Limited English Speakers • Speak slowly, not loudly • Face the patient and make extensive use of gestures, pictures, and facial expressions. Watch the patient’s face, eyes, and body language carefully. • Avoid difficult and uncommon words and idiomatic expressions.

  8. Tips for a Successful CaregiverCommunicating Directly with Limited English Speakers • Don’t “muddy the waters” with unnecessary words or information. • Organize what you say for easy access. • Rephrase and summarize often. • Don’t ask questions that can be answered by yes & no.

  9. Tips for a Successful CaregiverCommunicating Directly with Limited English Speakers • Check your understanding of the patient by paraphrasing what he/she says. • Check the concept behind the word. • Don’t burden the patient with decisions he/she is not prepared to make.

  10. Tips for a Successful CaregiverImproving Effectiveness of Interpreters • Brief the interpreter. • Explain information/ask questions in tow three different ways. • Avoid long & complicated sentences. • Keep it short. • Allow the interpreter “thought time.” • Don’t interrupt.

  11. Tips for a Successful CaregiverImproving Effectiveness of Interpreters • Don’t be impatient • Allow for the “directness of English.” • Utilize/read gestures and facial expressions. • Remember that “culture” may cause even a professional interpreter to modify what you or the patient has said.

  12. Tips for Improving Patient Satisfaction & compliance based on culture. • Learn about your patient’s basic health/illness beliefs and practices by asking patients about: • Food and diet • Medication • Other forms of care • The body • Belief systems

  13. Tips for Improving Patient Satisfaction & compliance based on culture. • Consider which of the above beliefs would not interfere with your plan of treatment or be contraindicated. • Avoid, whenever possible, treatment plan that conflicts with the patient’s beliefs and lifestyle.

  14. African-Americans • 12.1 % of population • Don’t assume only difference is skin color. • Reflect cultural roots that include African healing, medicine of the Civil War South, European medical and anatomical folklore, West Indies voodoo religion, fundamentalist Christianity and other belief systems.

  15. Native Indians • American Indians- members of Indian tribal nations living in United States. • Alaska Native- Eskimo and Aleut population • Many continue to practice tribal religions and traditional medicine

  16. Asians • 3.4% of US (8.7% by 2050) • Five groups • Chinese (Taiwan, Hong Kong, China) • Korean • Japanese • Filipino • Southeast Asian: Laos, Cambodia, Vietnam, Thailand • Common thread: Confucian, Buddhist, Taoist

  17. Hispanic • Artificial designation –not race or color • Largest fastest growing population • 11.6% 1999 , 24.5% by 2050 • Includes • Mexican Americans/ Chicanos • Puerto Ricans/ Boricuas • Hispanos • Cuban Americans • Latinos other Caribbean/ South American Countries

  18. Middle Easterners • Not counted separately • Arab American • Egyptian American • Iranian Americans

  19. Soviet Bloc Countries • Soviet Union • Yugoslavia (Bosnia) • Poland

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