Inherent in this approach is an understanding that trusting, emotionally supportive, and collaborative relationships with patients can affect patient knowledge, decision-making, and adherence to care (Levinson et al., 2010). Be aware of how professional boundaries (i.e. Encourage your co-workers to provide more culturally competent care. Genital and urinary issues are often not discussed with a spouse present. Follow up with a positive statement about how … The cognitive approach can study concepts that are largely theoretical with no empirical evidence to support them, such as the working memory’s central executive. Caring for an older patient requires discussing sensitive topics. A general understanding of how memory works can be used in everyday contexts such as using mnemonics to aid revision or chunking bits of information together. Research on racism, ageism, classism, discrimination, and sexism. Questions about sexual health should be asked in a matter-of-fact, yet sensitive manner. Empathy also makes patients feel accepted, important, worth saving (even in dire medical situations), well understood, and able to voice their concerns. [7-11]Patient-Centered or Patient-Focused Care. Purpose: To examine strategies used by nurse practitioners (NPs) and physician assistants (PAs) when discussing the sensitive topic of erectile dysfunction (ED) with patients. limits to the physician-patient relationship) are perceived. Last, work to build trust , so that people know that your intentions are honest and compassionate. Tread lightly and carefully. Providing culturally sensitive care is an important component of patient centered-care. The patient-centered model of care emphasizes the importance of the clinician’s relationship with the patient and the patient’s family as a therapeutic tool, endorses shared decision making as a key component of treatment, and emphasizes clinician understanding and addressing of patient … Everyone looks at others through their own lens of experiences, upbringing, and belief systems. Be Sensitive. The first step in addressing often hidden social issues is asking patients about potential social challenges in a sensitive and culturally acceptable way. Most patients feel comfortable talking to their usual health care provider about potentially sensitive issues that are relevant to health care, but providers don’t often ask about these issues. 2. Use language that shows consideration. How can an older person rediscover his 2. Let the patient know that you will revisit the issue at future visits. The person has already put themselves in a vulnerable position by coming forward in the first place. Open and honest doctor-patient communication is an important step in building trust. Whether it’s intentional or inadvertent, discrimination against transgender patients happens too often in health care settings. 1. Establish good communication with the patient. Hidden health issues, such as memory loss or depression, are a challenge. CS Cultural Insights Communicating with Hispanics/Latinos Culture is a learned system of knowledge, behaviors, attitudes, beliefs, values, and norms that is shared by . Exhibit Empathy, Sensitivity, and Support. Multicultural Concerns. These systems are beginning to revisit how they conduct their business under the framework of a trauma-informed approach. Beach C, Sugarman J, Johnson R et al (2005) Do patients treated with dignity report higher satisfaction, adherence and receipt of preventive care? As you strive to learn more about becoming a culturally sensitive nurse, let others know what you’re doing and why. Clinicians, or clinician teams, with skills appropriate to patient circumstances. Much of the communication between doctor and patient is personal. Let them talk about other issues that may be affecting their physical or emotional health, such as family or work issues. A tactful approach shows character, maturity, ... Make sure that you handle issues assertively, ... tact reflects emotional sensitivity and increases the likelihood of a positive outcome. Ethical issues happen when choices need to be made, the answers may not be clear and the options are not ideal. Research involving experiences of grief and loss, trauma, or violence. “Try to help patients find a physician who knows about their culture,” says Lee. 29 As social acceptance has grown, awareness of gender identity and … Purpose: To examine strategies used by nurse practitioners (NPs) and physician assistants (PAs) when discussing the sensitive topic of erectile dysfunction (ED) with patients. ), which promotes patient-centered approaches to treatment. Involve staff in defining the problems and testing solutions so they … Data sources: A total of 456 NPs and PAs combined responded to a 22-item online survey posted on NP and PA association websites. In the broadest sense, culture includes how people think, what they do, and Physical safety. When nurses are aware of these nurse-sensitive issues they can provide better care for their patients. I went back to the research source and found the problem. The goal of this article is to provide guidance on how to discuss sensitive issues concerning men's sexual health with your patients. There are two primary treatments for individuals with anxiety: Cognitive behavioral therapy (CBT), which involves learning how to lower anxiety and face distressing situations. • Success in taking a medical history of sensitive topics depends on three things: 1. Putting yourself and the patient at ease. 2. Using carefully worded questions. 3. Using brief, evidence-informed procedures or protocols for screening sensitive topic areas. He usually collects his methadone within the contracted time, so the pharmacist wonders why he has been late so often this week as it is out of character. Ask patients how they want to be treated and how care can be provided in a culturally sensitive way. Determine the Appropriate Time. A patient with mental illness may require nurses to adopt the following strategy: Assess a patient’s mental state. Consider describing mental illness as a biological disorder rather than a psychological problem or weakness. As part of your assessment of quality of care, consider asking for patient feedback on the health assessment process. Asking patients about social challenges in a sensitive and caring way . Establishing a more formal approach to patient feedback using focus groups or a patient advisory group can provide a richer understanding of patient views. Some patients may prefer that practitioners pay particular attention to the aesthetic features of the device. Hindu patients may express strong, culturally-based concerns about modesty, especially regarding treatment by someone of the opposite sex. Providing a range of acceptable and aesthetically pleasing choices and working to meet patients' expectations, rather than attempting to change their perceptions, will indicate the practitioner is sensitive to those patients' needs. • Ask the patient to clarify any terms or behaviors with which you are unfamiliar, or repeat a patient’s term with your own understanding of its meaning, to make sure you have no miscommunication. If you don't connect with your doctor, or if you feel like you can't trust them with sensitive issues, it may be time to look for a new provider. If your patient has an issue with you or another provider or staff member, be sure to address it promptly, before it escalates. Appropriate decision partners. Talk to patients’ groups and charities working on the issue to build your understanding and get advice on how to brief your staff. Understand, practice, and demonstrate basic screening protocols for assessing alcohol/drug use, intimate … Data sources: A total of 456 NPs and PAs combined responded to a 22-item online survey posted on NP and PA association websites. As you strive to learn more about becoming a culturally sensitive nurse, let others know what you’re doing and why. Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other physical, psychosocial, and spiritual problems. A pacemaker consists of a box (i.e. Address your patients’ main health concerns first. By closely monitoring changes in physiological observations and interpreting early sings of physical and psychological decline, nurses are more likely to identify, manage and therefore avoid serious adverse events before they occur. They have had to deal with a lot of stigma and a lot of teasing,” Kahan says. 2. The principles of palliative care might simply be regarded as those of good clinical practice. Thus, the pharmacist should develop an organized approach to a patient interview. Consult with knowledgeable mental health professionals. They will listen, give you options based on facts, and have your best interests in mind. Hospitals will lose reimbursement for hospital-acquired pressure ulcers. The pharmacist sees the patient rush into the pharmacy, flustered. The following topics may sometimes be considered sensitive: Research on sexual behavior or practices. It is a reportable event and a highly visible indicator of safety and quality. The comfort and ability of the patient and clinician to speak openly is paramount to discussion of potentially sensitive issues inherent to many health decisions. Ease into the conversation, gradually. Establish a positive rapport with families, get to know all children and families, and have consistent communication with families and … How to address domestic violence and abuse. When working with a lot of different clients, it's important as a mental health professional to remain culturally sensitive to your clients needs. Treatment Options for Patients with Anxiety. Open the discussion about weight in a respectful and nonjudgmental way. It is imperative to be empathetic to their position … Keywords: patient-centered culturally sensitive health care, interpersonal control, health promoting lifestyle, patient satisfaction, treatment adherence Developing a partnership with families will open the door for conversation and make it easier to approach sensitive topics. This is in addition to improving patient care. "It's important for patients to understand that we view medical exam rooms as sacred ground where patients can talk about anything." To identify, practice, and demonstrate understanding of specific communication techniques that increase the reliability and specificity of patient self-report when discussing sensitive topics. Approach sharing awareness with openness and positivity, rather than from a critical point of view. In a multicultural society, it is important to keep in mind that physicians and patients frequently do not come from the same cultural background or belief system. areas. Assist: Offer help based on the patient’s readiness level. 7. Suggestions on how you may approach someone living with a mental health condition: Talk to them in a space that is comfortable, where you won’t likely be interrupted and where there are likely minimal distractions. Facts that are not important to the patients ability to be an informed participant in decision making, such as results of specific lab tests, need not be told to the patient. Healthcare providers are consistently identified as the most trusted source of vaccine information by parents and patients. Nurses need to use every interaction with patients to detect domestic violence and abuse, which is widespread and has major health implications. Avoiding this discomfort is causing a serious threat to the mental and physical health of Americans, particularly those in the lesbian, gay, bisexual, transgender, questioning, or intersex (LGBTQI) community. Then, use empathy and emotional intelligence to connect with people, and to see things from their perspective. Learn communication techniques that decrease patient and physician anxiety and increase the accuracy and specificity of patient self-report about sensitive topics. Understand, practice, and demonstrate basic screening protocols for assessing alcohol/drug use, intimate partner violence, and sexual practices and concerns. Conclusions: Four derived categories reflect communication strategies that … Be what you would want your spouse to be to you if the situation were reversed. First, practice active listening when others speak. A shared care approach is needed, with the key roles undertaken by primary care and cardiology services Most doctors are used to talking about personal matters and will try to ease your discomfort. Abstract. Avoid Making Assumptions. Learn communication techniques that decrease patient and physician anxiety and increase the accuracy and specificity of patient self-report about sensitive topics. Cultural humility focuses on identifying one’s own implicit biases, self-understanding, and interpersonal sensitivity and cultivating an appreciation for the multifaceted components of each individual (culture, gender, sexual identity, race and ethnicity, religion, lifestyle, etc. How to Provide Holistic Care. It is important to go through a consistent approach when interpreting pacemaker ECGs, ideally the same one you use for non-paced … The success of any doctor/patient relationship boils down to chemistry. a group of people (Smith, 1966). Hindus are often strictly vegetarian in refusing to consume any meat or animal by-products. Culturally Sensitive Care. The data are self-reported and reflect respondents’ recollections of their interactions with their providers. Approximately 29% of the population are minorities and demographic projections indicate an increase to 50% by the year 2050. Besides the approaches discussed above, empathy is a key ingredient in enhancing physician-patient interactions. It is a standard of care and a nurse-sensitive issue. trauma-related issues. 7. The practice also has an obligation to protect the providers from sexual misconduct and workplace violence. Bollard M (2009) Promoting a human rights approach for people with learning disabilities in community practice. Encourage your co-workers to provide more culturally competent care. Primary Health Care 19:26–8. Introduction This paper describes the process of obtaining consent from two Aboriginal families in order to By Kim Maryniak, PhDc, MSN, RNC-NIC, contributor. “Weight is a very personal issue that many patients have had to deal with their whole lives. 1. When it malfunctions, the issue is with rate, pacing, capturing (i.e. 4. PURPOSE. Medical confidentiality. Gender-sensitive policy design and implementation. Main’s Personal view article is important, and as highlighted by previous responses, there is a fine line between being a friend and being friendly.1 As a foundation doctor I have had to break or discuss bad news with … Research on illegal activities or ethically questionable behaviors. prognosis and end of life issues would enhance the quality of life of patients and families and later contribute to the well-being of the bereaved. Purpose and Approach: Developing a Framework for Trauma and a Trauma-Informed Approach. Also ask about religion and spirituality in general, which can be a helpful source of support for those with mental health problems. Nurses must strive to enhance their ability to provide patient-centered care by reflecting on how their and the patient’s culture’s, values, and beliefs impact the nurse-patient relationship. Example dialogue of a more empathetic approach to the patient. Learn more on remaining culturally sensitive with … If a patient gets mad at you for something, don’t think that he is a bad patient or person. Hence, culturally sensitive communication should be determined by the patient, as recipient of care, to ensure the approach to communication is individualised and holistic, and incorporates the cultural preferences and considerations identified by the patient (CATSINaM, 2016 Annals of Family Medicine 3:331–8. Introduction. Elise Kempler1,2, Emma Webster1 1The University of Sydney School of Rural Health, Dubbo, 2Royal Prince Alfred Hospital . Culturally sensitive communication in the intensive care unit (ICU) has the potential to influence patient and family experiences of end-of-life care. conversation particularly sensitive or stressful to the patient. This module addresses these issues by providing: (a) communication techniques that decrease patient and physician anxiety and increase the accuracy and specificity of patient self-report about sensitive topics, and (b) brief, evidence-informed screening protocols related to intimate partner violence, substance use/abuse, and sexual When in doubt, the best way to provide sensitive care to patients of diverse cultures is to ask. The patient looks embarrassed and mumbles an apology. As their aim, the approaches refer to reducing or eliminating existing inequalities in health and service provision between different populations (CLAS, COER, EQS), as well as improving outcomes for individual patients (JCR, CRF, EDS).Some approaches (CLAS, COER, EQS) start from human rights principles, regarding inequalities between groups as injustices which should be eliminated. Social protection programmes that mainstream the inclusion of women require policy makers to assess the underlying causes of exclusion, and take deliberate measures to address women’s gender-specific risks and vulnerabilities. The health-related disparities among LGBTQI patients range from bullying and physical assault to refusal of health care and housing. Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other physical, psychosocial, and spiritual problems. Basically, it works like this. With only a few exceptions, anything you discuss with your doctor must, by law, be kept private between … Multicultural concerns cover a broad range of topics and identities including race, religion, ethnicity, culture, sexual orientation, and/or disability. However, these types of behaviors could be due to a patient’s cultural beliefs and values. 1. ISSUE BRIEF: Key Ingredients for Successful Trauma -Informed Care Implementati on www.chcs.org 2 Exhibit 1. 1. APPROACH WITH AN OPEN MIND • Can be challenging due to superstitions/beliefs ... require providers to show awareness when it comes to sensitive issues such as end-of-life care. Principles of palliative care. Ask patients about their experience completing the health assessment. To truly help your patients, you may need to be mindful of their emotional, spiritual, mental and cultural needs. Medical confidentiality is a set of rules that limits access to information discussed between a person and their healthcare practitioners. For those patients who exhibit latex sensitivity, other approaches have been attempted in the past to reduce patient exposure, although not always with optimal results. For patients at risk for STDs, be certain to encourage testing and offer praise for protective practices. Next they must seek cultural knowledge on appropriate treatment approaches and use this knowledge to develop skills that accurately assess their patient’s needs in a culturally sensitive framework. Obstetrician–gynecologists should understand that patients with obesity may have had negative experiences with other health care professionals regarding their weight, and they should approach the topic with sensitivity, empathy, and an understanding of the emotional consequences of obesity stigma 30. A good doctor or healthcare professional will help you to feel comfortable. (A similarly sensitive approach needs to be taken during rectal or prostate examinations.) Understand and check your own biases. Approach sharing awareness with openness and positivity, rather than from a critical point of view. A Culturally-sensitive Approach to Elderly Care Gunn-Tove Minde Harstad University College, Norway Abstract This chapter takes a culturally sensitive approach to elderly care. Avoid Making Assumptions. “You could actively make the referral for the patient, or you could just follow up with the other physician.” Tang agrees that nurses should take a proactive approach to making sure the patient… delivering the spike to depolarize the myocardium), or sensing [1].. Approach to a Pacemaker ECG. Rushing in may exacerbate your patient's fear of the unknown. Lipcon says there are a few key steps for effective listening and communication when dealing with sensitive issues. They are as follows: Step 1: Show empathy and listen intently. The person has already put themselves in a vulnerable position by coming forward in the first place. It is imperative to be empathetic to their position and listen. To identify and demonstrate understanding of factors that affect the reliability and specificity of patient self-report when asked about sensitive topics. United States of America demographic profiles illustrate a nation rich in cultural and racial diversity. It may be that the person is … Obtaining consent from Aboriginal patients: a culturally sensitive approach . When a patient refuses to take a medication, insists on having a family member feed him, or always has a lot of visitors, some nurses may interpret these actions as being noncompliant. Human beings are complex and have needs that extend beyond physical healing and well-being. Recognising and responding to deteriorating hospitalised patients is an important global issue in nursing. Inquire about the patient's beliefs related to disease, the reasons for illness, and issues about treatment. 11 Tips for Providing Culturally Sensitive Healthcare. Pre-test training with a small group of staff before you roll it out. 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