The cultural sensitivity training document outlines the purpose and importance of cultural sensitivity training for Windstone Health employees. It explains that the training aims to improve understanding of members' cultures in order to enhance communication, reduce complaints, and meet legal requirements. Additionally, it stresses that understanding cultural health expectations is key to providing appropriate care and reducing disparities. The document provides guidance on communicating cross-culturally, including strategies such as acknowledging differences respectfully, using plain language, and focusing on similarities. It also covers serving specific populations like those with disabilities or language barriers.
The National Diabetes Prevention Program (National DPP) encourages collaboration among federal agencies, community-based organizations, employers, insurers, health care professionals, academia, and other stakeholders to prevent or delay the onset of type 2 diabetes among people with prediabetes in the United States.
Young Lions CZ 2023 | MEDIA 21 - Honorary MentionYoungLionsCZ
Young Lions Czechia
Creative Competitions & Unique Training Programme
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The young professionals go head-to-head and compete against the clock to be crowned the Young Lions champions.
It takes only 24 hours from a brief to the outcome. Each team has two members from agencies, client organisations or freelancers.
Young Lions develop ambition and the ability to create excellent communications solutions.
We can call them the national championship for brand communication professionals aged 31 or under*.
They provide a unique opportunity to develop creative and personal excellence.
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The only platform where young professionals can find out how good they are compared to their peers.
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Develop a healthy ambition.
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Powerful learning through experience by working under time pressure.
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The National Diabetes Prevention Program (National DPP) encourages collaboration among federal agencies, community-based organizations, employers, insurers, health care professionals, academia, and other stakeholders to prevent or delay the onset of type 2 diabetes among people with prediabetes in the United States.
Young Lions CZ 2023 | MEDIA 21 - Honorary MentionYoungLionsCZ
Young Lions Czechia
Creative Competitions & Unique Training Programme
MEDIA | DIGITAL | PR | PRINT | MARKETING
The young professionals go head-to-head and compete against the clock to be crowned the Young Lions champions.
It takes only 24 hours from a brief to the outcome. Each team has two members from agencies, client organisations or freelancers.
Young Lions develop ambition and the ability to create excellent communications solutions.
We can call them the national championship for brand communication professionals aged 31 or under*.
They provide a unique opportunity to develop creative and personal excellence.
COMPETITIONS
The only platform where young professionals can find out how good they are compared to their peers.
Coveted award closely watched by the whole industry.
Success accelerates career development.
Develop a healthy ambition.
TRAINING PROGRAMME
Powerful learning through experience by working under time pressure.
Provides invaluable group and individual feedback sessions.
Develops competencies in communication, cooperation, problem-solving, decision-making, getting things done, pitching, and presenting.
Enhances ability to create excellent solutions.
www.younglions.cz
At the end of this session, you will be able to
1. Describe the delivery of family planning services at various levels of health care delivery
2. Define unmet need of contraception and enumerate it’s reasons
3. List the various evaluations done on family planning services
At the end of this session, you will be able to
1. Describe the delivery of family planning services at various levels of health care delivery
2. Define unmet need of contraception and enumerate it’s reasons
3. List the various evaluations done on family planning services
Topic 3 DQ 1 reply to SylviaCultural competence is a crit.docxadkinspaige22
Topic 3 DQ 1 reply to
Sylvia
Cultural competence is a critical skill needed among healthcare practitioners. The patient in the case is John from Congo. The Democratic Republic of Congo is a country in Africa endowed with various resources and recurring epidemics such as Ebola. The culture is highly tied to strong family structures. Language differences from cultural differences negatively impact health literacy. Therefore, it is incumbent upon health care professions to deliver health care information that the patient can easily comprehend.
Often, patient education materials are written in advanced reading levels that non-native English speakers may find it difficult to comprehend. One of the strategies is the use of visual aids. Not only do visual aids promote active interaction, but visual aids also aid in visual learners. The health care practitioners can point to some of the body parts that are complex to understand. The effect of the disease can also be explained from visual charts, videos, or models. A simulation in necessary instances is also essential. For patients speaking English as a second language, the health care professions can speak slowly and use simple sentences.
References
Ali, P. A., & Watson, R. (2018). Language barriers and their impact on providing care to patients with limited English proficiency: Nurses' perspectives.
Journal of Clinical Nursing
,
27
(5-6), e1152-e1160.
Brottman, M. R., Char, D. M., Hattori, R. A., Heeb, R., & Taff, S. D. (2020). Toward cultural competency in health care: A scoping review of the diversity and inclusion education literature.
Academic Medicine
,
95
(5), 803-813.
Schram, S., Loeb, J. A., & Song, F. (2020). Disease propagation in amyotrophic lateral sclerosis (ALS): an interplay between genetics and environment.
Journal of Neuroinflammation
,
17
(1), 1-7.
Topic 3 DQ 1 reply to Debra
In order to care for a patient and effectively educated them on their treatment, the healthcare professional needs to have an understanding of their culture, beliefs and attitudes of that individual. Lack of understanding of the cultural differences or ignoring a patients beliefs, values or attitudes can impede the learning process, which can result in nonadherence of the treatment. Although all cultures possess different styles of beliefs, views or practices, it is important not to stereotype, since everyone develops their own style of practices(Falvo, 2011).
Providing care to a patient that is a Muslim and of Islamic faith the healthcare professional should understanding that their faith can influence decision-making, health practices and family dynamics. Some important differences of a Muslim could be their diet, ideas of modesty, privacy and touch restrictions. During the interview the healthcare provider should determine if they have a good understanding of English. Do they need a translator phone, or would they prefer having a family member translate. It would be important to know th.
Read Theory and Practice of Counseling and Psychotherapy, pages.docxdanas19
Read:
Theory and Practice of Counseling and Psychotherapy
, pages 43-45; and
Addressing Diverse Populations in Intensive Outpatient Treatment
I have attached additional reading material, I need this by Thursday,
Serving Special Populations
After completing the reading for this unit, what do you think is the greatest obstacle facing special populations in addiction treatment? What will you do as a counselor to ensure that all of your clients receive the best treatment possible?
Your paper is to be in APA format, 1-2 pages, and include sources. Please see
paper guidelines
for explanation of requirements.
Addressing Diverse Populations in Intensive Outpatient Treatment
1. Introduction
1. Introduction
Culture is important in substance abuse treatment because clients' experiences of culture precede and influence their clinical experience. Treatment setting, coping styles, social supports, stigma attached to substance use disorders, even whether an individual seeks help--all are influenced by a client's culture. Culture needs to be understood as a broad concept that refers to a shared set of beliefs, norms, and values among any group of people, whether based on ethnicity or on a shared affiliation and identity.
Retrieved from,
Substance Abuse: Clinical Issues in Intensive Outpatient Treatment
, Center for Substance Abuse Treatment (2006).
2. What It Means To Be a Culturally Competent Clinician
It is agreed widely in the health care field that an individual's culture is a critical factor to be considered in treatment. The Surgeon General's report, Mental Health: Culture, Race, and Ethnicity, states, "Substantive data from consumer and family self-reports, ethnic match, and ethnic-specific services outcome studies suggest that tailoring services to the specific needs of these [ethnic] groups will improve utilization and outcomes” (U.S. Department of Health and Human Services 2001, p. 36). The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) (American Psychiatric Association 1994) calls on clinicians to understand how their relationship with the client is affected by cultural differences and sets up a framework for reviewing the effects of culture on each client.
Because verbal communication and the therapeutic alliance are distinguishing features of treatment for both substance use and mental disorders, the issue of culture is significant for treatment in both fields. The therapeutic alliance should be informed by the clinician's understanding of the client's cultural identity, social supports, self-esteem, and reluctance about treatment resulting from social stigma. A common theme in culturally competent care is that the treatment provider--not the person seeking treatment--is responsible for ensuring that treatment is effective for diverse clients.
Meeting the needs of diverse clients involves two components: (1) understanding how to work with persons from different cultures and (2) understandi.
Reply to this student post with less than 20 similarity APA style .docxchris293
Reply to this student post with less than 20 % similarity APA style
1- What originates to attention when you consider about culture? For a lot of us, we instantly think of what’s correct in visible of us: distinctive idioms, diverse clothing and different food. But a humanity’s culture also influences an individual’s principles, customs and beliefs. It influences in what way you view confident concepts or behaviors, and in the event of mental health, it can influence whether or not you pursue help, what type of help you pursue and what sustenance you have nearby you. It is significant that we understand the role culture plays in mental health care so we can sustenance our loved ones and inspire treatment once it is required most. (Kapil, Rubina, 2019). There are four ways culture be able to influence mental health:
-
Cultural stigma
. Each culture has a diverse method of seeing at mental health. For various, there is increasing stigma round mental health, and mental health trials are measured a weakness and something to hide. This should make it firmer for those struggling to conversation flexibly and request for help.
-
Understanding symptoms
. Culture should impact how individuals designate and impression about their symptoms. It can affect whether somebody selects to identify and dialogue around only physical signs, only emotional signs or both.
-
Community Support
. Cultural influences can regulate how much sustenance somebody acquires from their family and communal when it comes to mental health. Since of prevailing stigma, sectors are occasionally left to find mental health management and provision alone.
-
Resources
. When watching for mental health treatment, you want to discourse to a person who appreciates your precise skills and apprehensions. It can occasionally be problematic or time-consuming to discovery possessions and treatment choices that take into explanation specific cultures influences and needs.
These are simply a few conducts culture can influence the observation of and treatment for mental health. Each culture and individual is dissimilar and appearance a single journey to recovery. You can support discourse the mental health of subgroups by considerate the role culture plays in mental health and by suitable skilled to help those round you. Mental Health First Aid gives individuals the expertise to recognize signs of mental health and element use contests and action stages to take to help them get treatment
2- Culture is an attractive piece of our lives, but it can similarly negatively impact our approaches in the direction of mental health. Mental disease is still stigmatized in many values. Persons may be disinclined to even dialog about mental health, let alone seek action. For example, African American community were “not very open to acknowledging psychological problems,” and they remained also averse to seek specialized help. In addition, Asian cultures incline to brand mental illness by respectin.
Improve Cultural Competence
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The scenario is that of an 86-year-old Asian male patience that .docxjoshua2345678
The scenario is that of an 86-year-old Asian male patience that depend on his daughter for financial assistance, and in taking care of him . However, his daughter is a widow without enough resources or the ability to fully take care of her father. She is poor herself. Improving the quality of life for the old Asian male by identifying his most important health needs and recommendation through thorough health assessment is key. Older adults being more vulnerable to diseases due to low immunity, should be considered for a safe socioeconomic, cultural, spiritual and lifestyle that may prolong their life.
The first step is for the Nurse Practitioner to develop a respectful and trusting relationship with the patient, in other to obtain a detailed and accurate health history, making sure to use available translator if the patient does not speak English. The future PMHNP should engage in effective communication, such as patience and active listening because the Patient may need more time to process information before answering questions. Also, the NP should not use judgmental or non-patronizing language, in other to develop a connection with the patient (Ball, 2015).
Specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient
Socioeconomic factors
: The 86 year old man is financially unable to provide for himself, and is dependent on his daughter, who is a widow and is financially unable to provide for her father, therefor, the patient is socio-economically poor, and may lack a good living standard in relation of having balanced diet, meeting medical expenses and other maintenance that may improve his quality life. The NP has to consider these socio-economic factors while assessing the Patient.
Lifestyle Factor
: due to low income status, and lack of financial support from his daughter, the 86 year old Asian man most like lives a low and poor quality of life, which may have contributed to his detoriating health status, lack of of constant medial care, good nutrition and clean healthy environment. The treatment and recommendation from the NP should factor the patient’s lifestyle during treatments.
Cultural factors
: Culturally, Asians are known to be very reserved and secretive when it comes to personal health. Such strong cultural factor may influence the patient’s decision is not open about his needs to his daughter and subsequently, to a healthcare professional, The NP must figure out a way to gain his trust. Also, culturally, Asians are mostly group-oriented people that place importance on family connection as the primary source of identity (Carteret, 2010). Asian children are also known to take care of their elderly parents, but in this scenario, the patient’s daughter is equally poor and has difficulty fulfilling her role of a provider and may create emotional burden both for both parties. Religious and cultural practices such as Buddhism for Asians should also be incorporated in managing.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. Purpose of Training
To educate Windstone Health employees
and providers on culturally sensitive
issues related to our members.
3. Why Cultural Sensitivity is Good for
Windstone:
It improves communication and understanding
with our members—avoids “stereotyping”
It minimizes member complaints
It increases our productivity and efficiency
especially when dealing with members and staff,
etc.
It’s required (by federal and state laws)
4. Why Cultural Sensitivity is Important to
Our Work at Windstone
Health care providers and staff must understand their
own values and beliefs, as well as the differing
cultures of the people they serve.
Understanding a person’s culture is critical to
reducing health disparities and improving access to
high quality health care.
It is important to not judge; but instead, seek to
understand.
5. Cultural and Health Care Expectations
Recognizing and acknowledging an individual’s
culture is essential to meeting health care
expectations; such as:
Who provides treatment
What is considered a health problem
What type of treatment is required
Where care is sought
How symptoms are expressed
How rights and protections are understood
6. What is “CULTURE”?
Ethnicity
Language
Religion
Gender
Sexual Orientation
Age/Generation
Socioeconomic status
Disability
7. What does “Culture” and “Sensitivity”
mean to you?
Think of examples of the following:
What is your “culture?”
How would someone be “sensitive” to your “culture”?
How would they be “insensitive”?
8. What You Will Learn Today
Definitions:
“culture”
“subculture”
“cultural competence”
“stigmatized group”
An overview of how cultures are both different as well
as similar
How being sensitive to cultural differences is
important to providing services.
9. “Culture” and “Subculture” Defined
Culture: (i.e. California Residents)
Integrated patterns of human behavior that includes
the language, thoughts, actions, customs, beliefs,
values, and institutions that unite a group of people.
Identifies various concepts of health, perceptions,
behaviors, and attitudes.
Subculture: (i.e. Latino California Residents)
ethnic, regional, economic, or social group
characteristic patterns that distinguish itself from
others
10. Stigmatized Group: (i.e. Behavioral Health
patients)
individuals rejected as a result of a specific
attribute
Cultural Competence:
Capacity to effectively deal with people from
different cultures and lifestyles.
“Stigmatized Group” and
“Cultural Competency” Defined
11. “Behavioral Health” patients as a
Subculture and/or a Stigmatized Group
Every culture has differing opinions on
mental health
Windstone members/patients are
potentially a part of a “stigmatized group”
12. Health & Wellness Screening
Our Health and Wellness product requires much
Cultural Sensitivity on the part of Windstone
employees and providers.
Members of certain subcultures, such as
Latinos, may be reluctant to admit to having
behavioral health care issues and may be
embarrassed to seek behavioral health care
treatment if they do have issues.
13. Common Causes of Misunderstandings
Each culture has conventions for courtesy.
Leaping to conclusions about character,
motivation, or integrity of an individual
based on one interaction.
14. Common Causes of Misunderstandings
(continued)
Culture establishes correct tempo & tone
of voice.
Some cultures start discussions with
specific detail; others with generalities.
15. Common Causes of Misunderstandings
(continued)
All cultures value respect but may
communicate respect differently.
Trust or lack of trust has an effect on
intercultural communication.
16. Common Causes of Misunderstandings
(continued)
**The use of humor can be easily
misinterpreted and can negatively affect
communication (especially puns and
sarcasm).
17. Strategies for Cross Cultural
Communication
Reduce power dynamics
Be non-judgmental
Avoid saying “I know how you feel”
When you don’t know much about a culture,
admit it, and ask to be educated about it.
18. Strategies for Cross Cultural
Communication
Focus on similarities or common ground
Build a relationship of trust with the patient.
Explain the purpose of the call or session
19. Strategies for Cross Cultural
Communication
Length of time between comments,
responses, speed, and possible
interruptions
Modify speech to match patient - make them
more comfortable. Impatience can be a sign
of disrespect
20. Strategies for Cross Cultural
Communication
Be aware of your pattern of interruptions
Don’t be offended if a patient interrupts
Especially if the patient is older than you
21. Strategies for Cross Cultural
Communication
Explain information clearly; ask member to
repeat instructions in their own words
Prompt and encourage questions
Use specific, plain language
Match the volume and speed of the
member’s speech.
22. Strategies for Cross Cultural
Communication
Mirror body language and eye contact
Confirm decision making preferences
Use formal address unless invited otherwise
“Hello Mrs. Garcia! I’m Jane, calling from Windstone.
“Oh Hi Jane, you may call me call Rosa.”
Be mindful and respectful of any memory, hearing,
language deficits
23. Communities Served
Windstone provides care to culturally
diverse patients, including, but not
limited to the following.
Lesbian, Gay, Bisexual, and Transgender
Seniors and Persons with Disabilities
Homeless
Persons with Mental Health/Substance Abuse
24. Dealing with Low Health Literacy
and/or with Language Barriers
Meet the needs of the patient
Consider age, gender and background
Use simple words and avoid jargon
Never use acronyms
25. What is LAP?
Effective January 1, 2009, in accordance with Section
1367.04 of the California Knox-Keene Act, the
Department of Managed Health Care regulations –
Section 1300.67.04, Title 28, California Code of
Regulations -- require that health plans establish a
Language Assistance Program (“LAP”) for enrollees
who are Limited English Proficient (“LEP”).
(Meets Federal Requirements)
26. Can I use my own bilingual staff to
interpret?
Windstone may use its own bilingual staff
members as interpreters only for front
desk, appointments, verifying benefits, etc.
Windstone staff or provider staff may not sit
in with a provider and member during their
session.
27. Do these regulations prohibit family
members from serving as interpreters for
enrollees?
No. The member can authorize (in writing) a family
member to translate if you are dealing with the family
member in person, under an urgent situation.
However, if you are interacting with the member over
the telephone, Windstone requires a Power of
Attorney authorizing the family member to interpret.
You must ensure that members are notified of the
availability of free, quality language assistance
(interpretation and translation) services.
28. Seniors and Persons with Disabilities
Key Facts (from the World Health Organization):
Over a billion people, about 15% of the world's
population, have some form of disability.
Between 110 million and 190 million adults have
significant difficulties in functioning.
Rates of disability are increasing due to population
ageing and increases in chronic health conditions, among
other causes.
People with disabilities have less access to health care
services and therefore experience unmet health care
needs.
29. Seniors and Persons with Disabilities
Tips for communicating with people with disabilities:
Use “People First” Language which describes what a
person “has”, not what a person “is”.
Example: Say “she has autism” not “she’s autistic.”
You may offer to assist a person with a disability, but wait
until your offer has been accepted.
Then, ask for instructions on how you can best assist.
Be patient, flexible, and supportive.
Try listening with an open mind to what the person with the
disability is saying without prejudice about what he or she
can or cannot do.
30. Seniors and Persons with Disabilities
Tips for communicating with people with disabilities
(Continued):
Make sure you talk directly to a person with a disability,
just like you would with anyone else.
Try to keep your focus on the “person” and not the
“disability.”
31. If you’re Culturally Sensitive:
Clear communication is the basis for
providing culturally competent care and:
Improves safety and compliance
Improves physician & patient satisfaction
Improves office processes (saves time and
money)
Reduces risk of malpractice