Wk 7 lecture 1 pp
- 1. Fall 2011: Week 7, Lecture 1PTHA 1301: The Profession of Physical Therapy
- 2. Today’s Theme SongTaylor Swift :)
- 3. Goals for Today: Diversity Part 2 & Disability/Chronic ConditionsDiscuss multicultural perspectives and cultural competence as they relate to physical therapy careExplain the effect of patient diversity on physical therapy careSummarize the importance of communication on physical therapy careDescribe family needs, roles, & responsibilities on patient carePractice Generic Abilities (Interpersonal Skills, Communication Skills, and Professionalism)
- 4. Bias and PrejudiceUnjustified negative attitude based on a person’s group membershipMay become part of a normative pattern of thinkingOften exists even when we are not awareExists even if we believe we feel otherwiseMay result in actions that are discriminatory
- 5. Becoming Unbiased, EmpathicHealth ProfessionalsUnderstand yourselfAcknowledge presence of prejudice and biasRespect differencesShed unhelpful bias
- 6. Discussion QuestionsWhere do you think that your unintended biases come from?What are the effects on patient care?What are the effects on the members of your health care team?What do you think you could do to make changes for yourself or others?
- 7. CultureDefinition: 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>Acquired set of beliefs, values, behaviors, practicesImpact on daily experiences and choicesSubcultures (example: High School)
- 8. Cultural CompetenceWhat is Cultural Competence? 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”.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”. 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”.
- 9. Why is Cultural Competence Important?Society is changing and so are the faces of our clientsCritical core component of professional practice in PT Considered part of “best practice” in providing PT careCultural competence will affect our clinical outcomes. How???
- 10. 5 Essential Elements : Cultural Competence (from Cross, et al)Value diversityHave the capacity for cultural self-assessmentBe conscious of the dynamics inherent when the cultures interactInstitutionalize cultural knowledgeDevelop adaptations to service delivery reflecting an understanding of diversity between and within cultures.
- 11. Continuum of Cultural CompetenceCultural destructivenessCultural incapacityCultural blindnessCultural pre-competenceCultural competencyCultural proficiency
- 12. L.E.A.R.N. ModelA model for culturally effective communication proposed by EA Berlin and WC Fowkes in “Teaching framework for cross-cultural Care: Application in Family Practice”Listen – Identify and greet patient & othersElicit patient’s health beliefsAssess – Potential attributes/problems in patientRecommend – A plan of action Negotiate – with the patient after you have made your recommendations
- 13. Elements of CultureNationalityLanguage spokenClassReligion/spiritualityEducationIncomeAgeRaceEthnicity
- 14. Key ConceptsAssimilationDefinition: the process of receiving new facts or of responding to new situations in conformity with what is already available to consciousness AcculturationDefinition: 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 BiculturalDefinition: of, relating to, or including two distinct cultures
- 15. More Key ConceptsEthnocentrismDefinition: characterized by or based on the attitude that one's own group is superior Importance as a barrierImpact on interactions with others
- 16. Specific Cultural PerspectivesNative AmericanThere is often distrust and suspicion of non-native providersHarmony of mind-body-spirit is importantHarmony with the natural world is important for healthHealing is closely tied to religion and sacred religious narratives and rituals Illness, disability and death are not discussed
- 17. Specific Cultural PerspectivesAsian CultureHarmony in body and spirit is the foundation for good health and well-beingDisruption will lead to illness Loyalty and harmony within the family lead to harmony with the environment and within the selfHierarchy and respect for elders are an essential part of harmonyTraditional healing practices are valued and widely used
- 18. Specific Cultural PerspectivesLatino/HispanicGood health is a gift from GodPoor health is a result of fateThere is no way to overcome thisIllness and disability may come as punishment for bad deedsRespetoand personalismoare essential traits for health care providers
- 19. Specific Cultural PerspectivesBlack AmericansDistrust of medical providers caused by legacy of slavery and other historical factorsReluctance to pursue care unless the illness is extremeStrong faith in God and letting His will be donePrayer is a valuable healing toolMany folk practices and reliance of family and community
- 20. SolutionsThe key to eliminating fear and distrust by people of other cultures is to develop knowledge about, and respect for, other traditions and practicesDevelop cultural competenceBe flexible and open-mindedDO NOT stereotypeLearn a new language and/or use interpretersDevelop knowledge and skill about communication with clients from different backgroundsDevelop skill interviewing clients from different cultural backgrounds
- 21. More SolutionsASK the client what they would like from the medical encounterWhat kind of care would they like to receive?Do not treat all patients the sameCare must be individualized and congruent with cultural beliefs and practices
- 22. Imagine you are 5 years old and your sibling has just been born with a disability. What effects might this have on your family?
- 23. How might the relationships change?
- 24. What additional roles and responsibilities might you need to assume?
- 25. How might this have changed your life as a 10 year old? 15 year old?Disability Discussion #1
- 26. Consider having a sudden-onset condition versus a progressive disorder.Which do you think would present a more challenging adjustment for you?
- 27. What types of coping strategies might you employ?Disability Discussion #2
- 28. Andrew Ruiz, MBA, BBASPC RegistrarGraduate of Muleshoe High School, Class of 1998
- 29. Received a BBA from Angelo State University
- 30. Received a MBA from Angelo State University
- 31. Has worked at SPC as the registrar for 3.5 years!GuestSpeaker
- 32. Upcoming AssignmentsOutline of Research Paper due NEXT TUESDAY 10/18/11, 11am via Blackboard PAHC page 259,#2 - Assignment NOT due PAHC page 136, #1 - Assignment NOT due Show Elaine 5 additional notecards PER source (50 total notecards) TODAY before you leave class!!!Watch Darius Goes West video on Blackboard, before 2:30pm next Tuesday 10/18/11 – QUIZ!!!Complete the MBTI, score it, and do calculations (this will be in your PTA mailbox on Thursday 10/13/11. MBTI assignment will be due AT THE BEGINNING of class next Tuesday, 10/18/11.Test #2 – Friday, 10/21/11 – Review Information will be given to you next Tuesday, 10/18/11.