Indigenous Perspectives on Patient Safety
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After hearing the perspectives of patients, providers and leaders from Indigenous communities on how they perceive safety and what solutions are/ can be implemented, we will leave the session with at least one practical idea for engaging all patients, families and/or the public in improving patient safety.
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Indigenous Perspectives on Patient Safety
- 1. Indigenous Perspectives on Patient Safety November 14, 2019
- 3. Objective • To offer at least one practical idea for engaging all patients, families and/or the public in improving patient safety. • To better understand how Indigenous people experience patient safety.
- 4. Program • Samaria – Patient perspective • Q&A • Alika – Physician perspective • Q&A • Gina – Leading Practice • Q&A
- 5. Samaria Nancy Cardinal Patients for Patient Safety Canada Speaker
- 6. Discussion
- 7. Speaker Alika Lafontaine Anesthesiologist, Grande Prairie, Alberta
- 8. Discussion
- 9. Speaker Gina Gaspard British Columbia First Nations Health Authority
- 10. Addressing Polypharmacy with First Nations Communities November 14, 2019 Gina Gaspard RN 10
- 12. Elder Jean William “In the past our Elders didn’t take lots of medication, mostly just aspirin. But now cupboards look like pharmacy shelves” 12
- 13. Is polypharmacy a risk for First Nations people? 13 1-5 Medication s… 6-10 Medication s n=21,569 21% 11-20 Medication s… >20 Medications n=3,202… Percentage of First Nations People Receiving Multiple Medications (2017) n= 103,475
- 14. Healthy medication use needs a team 14 Individual: Bring their values and wishes for their care Nurse: Monitor effects of medications: both risks and benefits; advocate for clients’ expressed wishes around quality of life Pharmacist: Identify drug related problems, assist with tapering schedules Prescriber: Diagnose and determine most appropriate treatment based on information from multiple sources (i.e. nurse, pharmacist and patient)
- 15. What are other challenges? 15 ✓ History has reduced Indigenous peoples’ trust in the health care system ✓ There are different world views about health ✓ Lack of cultural safety
- 16. “World Views are hard to talk about” 16 “You have to substantially escape your own to even begin to hear what is being said about another.”Rupert Ross (2014), Indigenous Healing p. 4.
- 17. 17 When our story began…
- 18. 18 What is a Coyote Story?
- 19. Authors: Jean William, Cecelia de Rose & Clara Camille Elders of Northern Secwepemc Supported by: Danielle Wilson Interior Health Authority; Keith White and Margaret English, Doctors of BC; Gina Gaspard & Cindy Preston, First Nations Health Authority 19 Illustrator: Georgia Lesley
- 20. Our learnings • Best strategies come from the community; not imposed from outside “experts” • Indigenous medicines are anything that protects, keeps you strong and leads to wellness. • All people deserve to learn how medications can make the individual strong or sick. • Cultural awareness begins when health care providers share information about medicines and don’t rush the conversation. • When health care providers aim to build self efficacy; individuals take responsibility for their health and wellness. • A person’s definition of living in a good way ought to be part of medicine decision making. • Healthy medication use takes a team 20
- 22. Discussion
- 23. Wrap up, Evaluation Webinar objectives: • To offer at least one practical idea for engaging all patients, families and/or the public in improving patient safety. • To better understand how Indigenous people experience patient safety.