Cultural barriers to services ch. 5
What is Ethnocentrism?
(200 points added)!
The universal tendency to think that your way of thinking and behaving is the correct and natural way.
What is countertransference?
(300 points added)!
--When the nurse displaces their feeling from the nurse's past on to the other person, impairing the unbiased rapport. This is not therapeutic and we do not want this.
What is Enculturation?
Is the learning (usually at young age) of behaviors, beliefs.
What are the Eastern traditions related to medicine?
-- Mind and body are interconnected
-- Family decisions
-- Traditional healers and remedies
-- State of harmony
Tell about communication barriers
-- We communicate differently...body language, eye contact, voice
-- Interpreter can act as a cultural broker, bridging cultures
What are the western traditions related to medicine?
-- Mind and body are separate
-- Independence
-- Prescription medications
-- Goal/action oriented
What should we know about stigma of mental health?
--cultures deny what is not visible
-- Acceptance is the first step--some cultures may deny what is not visible or attribute to otherness (now there is more greater acceptance of mental health illnesses).
What is transferance?
--When pt transfers feelings of past to the nurse (positive or negative). This is common. We do not have control over this.
what does clinical supervision mean?
-- Listening to and assisting staff as they express emotions in order to work though countertransference if the nurse is having difficulty. Emotions must be expressed with supervisor; not with pt.
(1) Is misdiagnosis common in mental health?
(2) What are cultural concepts we should understand?
(3) What does it mean to have genetic variations in pharmacodynamics?
(200 points added)!
(1) Misdiagnosis is common with mental health
(2) belief of the cause of mental illness (Attitudes toward pharmacological/herbal remedies)
(3) Some individuals may not respond to medications
What are the stages of the therapeutic relationship? (Peplau)
Preorientation
Preparation of the meeting, recognize own thoughts/ feelings, preparation to therapeutic setting, gathering information from patient’s chart.
Orientation
Meeting the client for the first time, introduce self and role. Establish rapport, specify a contract, and explain confidentiality.
Working
New coping skills practiced, educating client on symptom management or medications. Bulk of nursing care occurs during this phase.
Termination
Summarizing progress made, discussing how to incorporate coping skills into their life, exchanging memories.
Why are professional boundaries necessary?
-- Need to focus on pts needs and goals, empower client to sue their resources. Do not do more for the patient than what is asked.
--Self-awareness
--Values, beliefs, judgements, approvals
-- Promote client growth
-- Genuineness, empathy, positive regard