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Culturally Sensitive Care Beyond the Doctor-Patient Visit

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Culturally Sensitive Care Beyond the Doctor-Patient Visit Aurora Galindo-Simental B.S. C.H.E.S Health Educator/Promotora June 27, 2014 Cultural Sensitivity and Health ... – PowerPoint PPT presentation

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Title: Culturally Sensitive Care Beyond the Doctor-Patient Visit


1
Culturally Sensitive Care Beyond the
Doctor-Patient Visit
  • Aurora Galindo-Simental B.S. C.H.E.S
  • Health Educator/Promotora
  • June 27, 2014

2
Cultural Sensitivity and Health Care
  • Cultural Sensitivity
  • Cultural sensitivity means being aware that
    cultural differences and similarities exist and
    have an effect on values, learning, and behavior.
    Stafford, Bowman, Eking, Hanna, Lopoes-DeFede
    (1997)
  • Cultural Sensitivity respect and empathy to
    people of various nationalities.
  • Our Spanish speaking team to understand cultural
    influences, appreciate adaptation skills, and
    tailor culturally competent approaches for
    at-risk Latino/Hispanic patients.

3
Caring for Hispanic/Latino Diabetic Patients
  • Building trust
  • Overcoming language barriers
  • Nutrition management
  • Addressing myths and facts of diabetes
  • Family dynamics

4
Culturally Sensitive Methods I
  • Establish trust and rapport
  • Give a warm greeting put patient at ease
  • Improve communications
  • Overcome language barriers
  • Provide culturally sensitive nutritional
    management
  • Healthy breakfast/food demonstration
  • Sensitive to financial concerns
  • Missing work, transportation
  • Consider family dynamics
  • support and encouragement, or lack of.

5
Culturally Sensitive Methods II
  • Courteous welcome with a positive attitude.
  • Listen with sympathy and understanding to
    patients perspective of the problem.
  • Decrease physical distance and increase contact
    with patients
  • Shake hands with patients, or place a hand on
    their shoulder when speaking.
  • Show interest in patients lives.
  • Brief conversation about their family.
  • Use of appropriate titles and greetings.
  • Address patients by their proper name (surname),
    rather than first name.

6
Overcoming Language Barriers
  • Spanish language DGAs are offered to better
    engage patients and empower them to self-manage
    their diabetes.
  • Understanding physicians' instructions
  • Improved family shared decision making
  • Adherence to treatment
  • Decrease missed appointments
  • Increased of patient satisfaction
  • Long term behavior modification

7
Nutrition Management I
  • Understanding Cultural Beliefs Regarding Weight
  • Excess weight in Latino/Hispanic culture is
    tolerated and many times celebrated.
  • Overweight children may indicate that they are
    well take care of. --Thin children may be viewed
    as unhealthy
  • Mealtime is an especially social activity and
    serves as a link with the homeland and family
  • Taught not to be wasteful--Clean your plate.

8
Nutrition Management II
  • Incorporating Latino/Hispanic healthier meal
    options in the DGA
  • All Breakfast items bought in local grocery
    stores
  • Label reading
  • Creating meal plans with recipes
  • Food demonstration
  • Meeting with our bilingual RD CDE
  • Group outings to local grocery stores
  • Comparing items for a healthier selection

9
Addressing Myths of Diabetes
  • Eating too much sugar causes diabetes.
  • You should never eat carbs if you have diabetes.
  • If you have pre-diabetes, there is nothing you
    can do to prevent Type II diabetes.
  • You can catch diabetes from someone else.
  • Insulin will cause blindness.
  • Being punished with insulin for not following
    doctors orders .
  • Having diabetes makes you less of a man.

10
Conclusion
  • Culturally sensitive group appointments are
    effective for improving clinical outcomes and
    reducing diabetes risk in our Latino/Hispanic
    populations.

11
DGA Highlights
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