The human behavior, ideas, attitudes reflect the manner of cultural competency of different patients. These behaviors are their culture, which affects their belief in their treatments. The socioeconomic, spiritual, lifestyle and other cultural factors are changed to one group or a subgroup of the individual, in which the patient-centered care and cultural competence have an overlapping concept (Ball et al., 2019). Poverty and inadequate education disproportionately affect various cultural groups which they have higher rates of dying from an illness compared to those that are educated and economically advantageous. The mode of communication of an individual has a different meaning for different people, which include the use of speech, body language, and space (Ball et al., 2019). An example is a Spanish meet with eye contact in the conversation, Asians, middle eastern cultures may be rude or immodest, and Americans may let the eye wander and say understanding of the communications.
The respect model is an essential consideration in the effectiveness of cross-cultural communication, whether it is verbal, non-verbal, or written. The example of a patient-centered communication on a patient who is a 40-year-old black male recent immigrant from Africa without health insurance is to connect on a social level. The practitioner will verbally acknowledge and legitimatize the patient’s feelings, which reassures the availability of help for them. The practitioner can give particular emphasis to the patient working together to address health problems, especially to resolve health insurance issues for the patient. The practitioner can provide explanations clearly by often checking for understanding. It is essential to respect the patient cultural beliefs, for this is one way of establishing the trust of working to the patient.
In asking questions to the patient, it should have a conceptual structure on evidenced-based guidelines. One of the techniques when asking the issue is the PICO (problem, intervention, comparison, and outcome) acronym. The practitioner can begin to ask what their clinical issues are? How long does their illness going on? What is their previous intervention or exposure related to the disease? Is there any difference in their condition when they take the previous treatments: What is the aggravating factor that causes the problem? These questions can answer the history of the present illness of the patient. The United States Preventive Services Task Force (USPSTF) makes recommendations about clinical preventive services such as screenings, counseling, and preventive medications. The practitioners make their clinical decisions and recommendations based on the excellent quality of scientific pieces of evidence. However, evidence alone is never meant to replace experience and intuition (Dains Baumann, & Scheibel, 2019). The task force also makes its recommendations on benefits based on matrix and grades. So, the practitioner can make their decision to help the patient based on the grading system, and certainty of benefit depends on their assessments to the patient.
The diversity in healthcare is to ensure the best possible care adequately provides all backgrounds, beliefs, ethnicities, and perspectives to a patient with a variety of healthcare providers. An example of this is the case of asthma in the United States that ethnicities share a disproportionate burden of the disease. According to Melton, Graff, Homes, Brown, & Bailey, 2014) that there are disparities result of activities (work & school) among African-American because of a variety of factors which include communication of patient and provider and literacy to healthcare. An individual with higher educational attainment has a higher understanding of their health status. Their culture influences their beliefs to take the medication which African-American have a fear of making the ICS and less knowledge about asthma that they will develop a decreased tolerance of the drug (Melton, Graff, Homes, Brown, & Bailey, 2014).
The social history and family history of the patient are essential to assess to determine the support system available to the patient. The practitioner can ask the patient if he is married, where is his family member; and what is the family member’s status in life (If they are healthy or suffering also from illnesses). For example, if the patient has asthma, then the practitioner can ask if he is a smoker and drinks alcohol that may aggravate the disease. If he has any allergies that may trigger the illness. However, requesting a complicated social history can also be performed by a social worker that the patient can get a benefit or support from different agencies. The practitioner can treat the medical condition of the patient in which a medication can be prescribed; the drug can be adjusted; an additional medication can be prescribed to prevent the exacerbation of the disease. Lastly, the own patient understanding of the treatment is essential to assess to ensure compliance with the procedure. The practitioner can ask the patient by their knowledge of the treatment.
Write a Respond to two of these #1&2 case studies using one or more of the following approaches: