The context of the patients life world while

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Unformatted text preview: ve that is organized around the context of the patient's life world while simultaneously illness. mentally organizing the biomedical pieces of information within the diagnostic framework of t he history-taking heuristic. 3. Use of conversational devices other than questions: Orientation statements, paraphrasing statements, reflections, and directives. Silence. CHAPTER 3: BASIC COMMUNICATION SKILLS Lect ure: Cult ural Compet ency Thursday, October 20, 2005 Generaliz at ion idea having general application St ereot ype g eneralization about an entire group of people Prejudice Discriminat ion R acism BAT HE T RANSLAT E LEARN ET HNIC Coulehan: p. 30 - 37 nonverbal communicat ion kinesics paralanguage negative or hostile attitude toward a person or group based on negative stereotypes restrictive treatment of a person or group based on prejudiced assumptions of group c haracteristics negative or hostile behaviors towards a person of color and based on racial prejudice Mnemonic to elicit context of visit: Background (what is going on in your life? what's bothering you?) Affect (how do you feel about what is going on?) Trouble (what about the situation troubles you the most?) Handling (how are you handling that?) Empathy (that must be very difficult for you) Mnemonic for working with medical interpreters: Trust (between patient, clinician, interpreter) Roles (of interpreter) Advocacy (handling power and loyalty issues) Nonjudgmental (maintaining this attitude) Setting (salaried interpreters, or volunteers, etc.) Language (methods & linguistic appropriateness) Accuracy (accurate information exchange) Time (time management during clinical encounter) Ethical Issues (confidentiality of information) Mnemonic to engage patient in effective communication L: Listen (to the patient’s perception of problem) E: Explain (your perception of the problem) A: Acknowledge (differences and similarities) R: Recommend (treatment) N: Negotiate (agreement) Mnemonic for Culturally Competent Clinical Practice Explanation (what do you think is the reason you have these symptoms?) Treatment (what kind of remedies have you tried?) H ealers (have you sought advice from other healers?) N egotiate (negotiate for mutually acceptable options) I ntervention (determine an intervention with your patient) C ollaboration (collaborate with patient, family members, healers, community members) The process of transmitting information without the use of words. It includes the way a person uses his or her body, such as facial expressions, eye contact, hand and arm gestures, posture, and various movements of the legs and feet. Also includes paralinguistics - verbal qualities like tone, rhythm, pace, and vibrancy; speech errors; and pauses or silence. The use of personal space. Components: speech rate, pauses, pause/speech ratio, tone or voice quality, pitch, volume, articulation Handout: Multi-cultural Non-verbal Communication Asians Prefer a more dignified, formal demeanor. Japanese consider impo...
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