Tracey Long – Cultural Competency

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 Tracey Long – Cultural Competency

Tuyet is an 8-Month-Vietnamese girl presents to the Emergency Room with 4 pills.-Day history of fever, diarrhea, vomiting. She seems dehydrated and listless. Tuyet is now sick for the second time in a month, according to her mother. Tuyet is the reason, she believes. “exposed to the wind”. On her back, there are dark ecchymotic striations. Her siblings and 4 brothers are all at home with her father. They don’t have insurance and he is a temporary worker. Tuyet gets admitted to the pediatric unit.

• Are you aware of the healthcare beliefs held by your family?
• What caused the marks on Tuyet’s back?
• How can you identify healthcare barriers?

This and other questions are faced every day in every healthcare setting. Cultural To reduce health disparities, and increase access to high quality healthcare, competency is crucial.-Quality health care, care that is sensitive to and responsive to the diverse needs of patients. Join expert, Tracey LongRN, PhD, CCRN. Come to this interactive seminar to gain practical strategies that will improve patient outcomes, increase your skills, and increase personal satisfaction.

OUTLINE

Diversity and Demographics in America

• Cultural competence:
• Cultural competence: Approaches
• Solutions to health disparities in communities that are underserved

Cultural Beliefs, Values & Practices

• Increase awareness of bias in personal and organizational life
• Avoid stereotypes
• Culture components
• America’s major ethnic groups
• Other cultural groups

Establishing Trust and Rapport

• Identifying decision makers
• Working with families

Cross-cultural communication

• Understanding verbal & non-verbal cues
• Effectively using interpreters
  • What are the key qualities of an interpreter
  • What and how should they be used?
  • Considerations of legal and ethical issues

Clinical Implications & Considerations

• Assessment of cultural health care beliefs
  • Immunizations
  • Blood transfusions
  • Preventative care
• Ethnicity and genetic risks
  • Tay-Sachs disease
  • Sickle cell
• Prevalence of diseases
  • Cancer
  • Heart disease
  • Infant mortality
• Pregnancy, childbirth
  • Female genital and sex mutilation: The effects
• Care for refugees and immigrants
• Health care system barriers
  • Tuberculosis
  • HIV/AIDS
  • Parasites
  • Hepatitis B
  • Malaria
• Integration of cultural rituals in the inpatient setting

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Compliance challenges

• Treatment efficacy
• Patient education
• Strategies for patient adherence
  • Obesity
  • Diabetes
  • Hypertension

Alternative Medicine

• Traditional herbs
• ETHNIC
  • Explanation, Treatments, Healers, Negotiate, Intervention, Collaboration

End of life practices

• Family expectations & responsibilities
• Advanced directives & DNR
• Notifying people of bad news

Dietary Modifications

• Plan of care that incorporates dietary habits
• How to overcome dietary restrictions
• Patient education is important
• Lactose intolerance

Patient Education

• Teaching & Learning principles
• Making educational materials custom
• Assessment of the outcomes

Healing ~ a Religious & Spiritual Experience

• The power of core values
• Theological perspectives
• Conflicts between religious values

OBJECTIVES

1. Make sure you create an environment that encourages diversity within your workplace.
2. Use effective communication techniques to build rapport, understand better and establish trusting relationships.
3. Identify various cultural assessment methods.
4. Work with patients to include their families and healers.
5. Facilitate discussion about birth, and how it ends-Of-Your life beliefs and your decisions.
6. Develop opportunities to find common ground with patients, families & colleagues.
7. Create cultural learning opportunities that address the educational needs of different populations and ages.
8. When you incorporate cultural beliefs into your plan of care, be aware of the different clinical implications.