Wk 7 lecture 1 pp

Fall 2011: Week 7, Lecture 1,[object Object],PTHA 1301: The Profession of Physical Therapy,[object Object]
Today’s Theme Song,[object Object],Taylor Swift :),[object Object]
Goals for Today: Diversity Part 2 & Disability/Chronic Conditions,[object Object],Discuss multicultural perspectives and cultural competence as they relate to physical therapy care,[object Object],Explain the effect of patient diversity on physical therapy care,[object Object],Summarize the importance of communication on physical therapy care,[object Object],Describe family needs, roles, & responsibilities on patient care,[object Object],Practice Generic Abilities (Interpersonal Skills, Communication Skills, and Professionalism),[object Object]
Bias and Prejudice,[object Object],Unjustified negative attitude based on a person’s group membership,[object Object],May become part of a normative pattern of thinking,[object Object],Often exists even when we are not aware,[object Object],Exists even if we believe we feel otherwise,[object Object],May result in actions that are discriminatory,[object Object]
Becoming Unbiased, EmpathicHealth Professionals,[object Object],Understand yourself,[object Object],Acknowledge presence of prejudice and bias,[object Object],Respect differences,[object Object],Shed unhelpful bias,[object Object]
Discussion Questions,[object Object],Where do you think that your unintended biases come from?,[object Object],What are the effects on patient care?,[object Object],What are the effects on the members of your health care team?,[object Object],What do you think you could do to make changes for yourself or others?,[object Object]
Culture,[object Object],Definition: the customary beliefs, social forms, and material traits of a racial, religious, or social group; also: the characteristic features of everyday existence (as diversions or a way of life} shared by people in a place or time <popular culture> <southern culture>,[object Object],Acquired set of beliefs, values, behaviors, practices,[object Object],Impact on daily experiences and choices,[object Object],Subcultures (example: High School),[object Object]
Cultural Competence,[object Object],What is Cultural Competence?  ,[object Object],APTA states that “acquiring cultural competence as a PT/PTA is a process that is cultivated within the individual through acquisition of knowledge, attitudes, and behaviors specific to culture, language, and communication”.,[object Object],Cross model: “Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations”. ,[object Object],Campinha-Bacote model: “the process in which the healthcare professional continually strives to achieve the ability and availability to effectively work within the cultural context of the client – family, individual, or community”. ,[object Object]
Why is Cultural Competence Important?,[object Object],Society is changing and so are the faces of our clients,[object Object],Critical core component of professional practice in PT ,[object Object],Considered part of “best practice” in providing PT care,[object Object],Cultural competence will affect our clinical outcomes. How???,[object Object]
5 Essential Elements : Cultural Competence (from Cross, et al),[object Object],Value diversity,[object Object],Have the capacity for cultural self-assessment,[object Object],Be conscious of the dynamics inherent when the cultures interact,[object Object],Institutionalize cultural knowledge,[object Object],Develop adaptations to service delivery reflecting an understanding of diversity between and within cultures.,[object Object]
Continuum of Cultural Competence,[object Object],Cultural destructiveness,[object Object],Cultural incapacity,[object Object],Cultural blindness,[object Object],Cultural pre-competence,[object Object],Cultural competency,[object Object],Cultural proficiency,[object Object]
L.E.A.R.N. Model,[object Object],A model for culturally effective communication proposed by EA Berlin and WC Fowkes in “Teaching framework for cross-cultural Care: Application in Family Practice”,[object Object],Listen – Identify and greet patient & others,[object Object],Elicit patient’s health beliefs,[object Object],Assess – Potential attributes/problems in patient,[object Object],Recommend – A plan of action ,[object Object],Negotiate – with the patient after you have made your recommendations,[object Object]
Elements of Culture,[object Object],Nationality,[object Object],Language spoken,[object Object],Class,[object Object],Religion/spirituality,[object Object],Education,[object Object],Income,[object Object],Age,[object Object],Race,[object Object],Ethnicity,[object Object]
Key Concepts,[object Object],Assimilation,[object Object],Definition: the process of receiving new facts or of responding to new situations in conformity with what is already available to consciousness ,[object Object],Acculturation,[object Object],Definition: cultural modification of an individual, group, or people by adapting to or borrowing traits from another culture; also: a merging of cultures as a result of prolonged contact ,[object Object],Bicultural,[object Object],Definition: of, relating to, or including two distinct cultures ,[object Object]
More Key Concepts,[object Object],Ethnocentrism,[object Object],Definition: characterized by or based on the attitude that one's own group is superior ,[object Object],Importance as a barrier,[object Object],Impact on interactions with others,[object Object]
Specific Cultural Perspectives,[object Object],Native American,[object Object],There is often distrust and suspicion of non-native providers,[object Object],Harmony of mind-body-spirit is important,[object Object],Harmony with the natural world is important for health,[object Object],Healing is closely tied to religion and sacred religious narratives and rituals ,[object Object],Illness, disability and death are not discussed,[object Object]
Specific Cultural Perspectives,[object Object],Asian Culture,[object Object],Harmony in body and spirit is the foundation for good health and well-being,[object Object],Disruption will lead to illness ,[object Object],Loyalty and harmony within the family lead to harmony with the environment and within the self,[object Object],Hierarchy and respect for elders are an essential part of harmony,[object Object],Traditional healing practices are valued and widely used ,[object Object]
Specific Cultural Perspectives,[object Object],Latino/Hispanic,[object Object],Good health is a gift from God,[object Object],Poor health is a result of fate,[object Object],There is no way to overcome this,[object Object],Illness and disability may come as punishment for bad deeds,[object Object],Respetoand personalismoare essential traits for health care providers,[object Object]
Specific Cultural Perspectives,[object Object],Black Americans,[object Object],Distrust of medical providers caused by legacy of slavery and other historical factors,[object Object],Reluctance to pursue care unless the illness is extreme,[object Object],Strong faith in God and letting His will be done,[object Object],Prayer is a valuable healing tool,[object Object],Many folk practices and reliance of family and community,[object Object]
Solutions,[object Object],The key to eliminating fear and distrust by people of other cultures is to develop knowledge about, and respect for, other traditions and practices,[object Object],Develop cultural competence,[object Object],Be flexible and open-minded,[object Object],DO NOT stereotype,[object Object],Learn a new language and/or use interpreters,[object Object],Develop knowledge and skill about communication with clients from different backgrounds,[object Object],Develop skill interviewing clients from different cultural backgrounds,[object Object]
More Solutions,[object Object],ASK the client what they would like from the medical encounter,[object Object],What kind of care would they like to receive?,[object Object],Do not treat all patients the same,[object Object],Care must be individualized and congruent with cultural beliefs and practices,[object Object]
Imagine you are 5 years old and your sibling has just been born with a disability. ,[object Object],[object Object]
How might the relationships change?
What additional roles and responsibilities might you need to assume?
How might this have changed your life as a 10 year old? 15 year old?Disability Discussion #1,[object Object]
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