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Essay on cultural competence in healthcare
Essay on cultural competence in healthcare
Cultural diversity in healthcare 1
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I was a child when my aunt got sick, and my fascination about the field of medicine began. She had brain cancer. While I watched the disease progress I was flooded, not only with sadness and grief, but with questions. With two psychologists for parents I had a lot of support and understanding of my feelings, but I was left curious about the medical aspect of the disease and why there was no cure. The notion that the brain could change someone’s entire personality and physical function was amazing to me. Spending a lot of time in hospitals, I observed so much about the impact of a cancer diagnosis on patients and their families, and about what happens to people through the disease process. I noticed the enormous influence that the medical professional’s …show more content…
It was becoming increasing clear to me that the hospital environment was a community that I knew one day I wanted to be a part of. For three summers, I shadowed one emergency room physician who has been an amazing role model and mentor. This exposure taught me not only a plethora of terms, but to think critically and quickly and to prioritize and reason in ways that had immediate benefit. I also learned a great deal about bedside manner, and how important it is to be culturally and emotionally sensitive to patients. Like my family, this physician noticed so many important things about people- who they are and what matters to them. She knew just when to touch someone on the shoulder, or to step back. She accounted for age and class and race and subtleties that don’t even have words. She viewed each patient as a whole person. One night a woman was brought into the ER after a car crash and needed a neurological exam immediately. She was wearing a hijab. This physician kindly addressed the woman and asked her if she wanted the door closed while she took off her hijab. They both knew the cultural significance, helping this patient to feel respected and less
Medical school and teaching hospital leaders, educators, providers, and researchers operate in an environment that is more chall...
Glioblastoma Multiforme is the most aggressive and malignant form of brain cancer, with an average survival of less than 12 months.
Dr. Barbee came to work in slacks and tie every day. The reason I know this is because the fourth year student told me that he was required to wear the same. Some of the technicians and pharmacist had on scrubs and crocs. This was not a representation of professionalism, but Dr. Barbee made sure to carry himself professionally. He was a very calm and soft spoken individual, he was polite and very respectable. “The key to quality and efficiency is professionalism.” He showed all the qualities of being professional and was a great role model to us. Also Dr. Barbee was asking me some questions about Diabetes. I knew the answer to most of the questions but some I did not know, so I looked them up on the search engines he provided. I learned some new things that helped me later in my pathophysiology and physiological chemistry class on the topic of Diabetes. Diversity is a key aspect of the hospital because they serve all individuals. From infants to elderly, to disabled to
Question Quote "I doubt that these experiences are unique to the hospitals or the medical school at which I have thus far trained. I expect that they pervade health care systems throughout the country. I give credit to my medical school for teaching me to be critical of the culture of medicine, apply interdisciplinary perspectives to clinical quandaries, and reflect on my experiences." (Brooks KC. 2015.)
Through the twentieth-first century, the medical field has been progressing. When we go to hospitals, we often see the proper etiquette, diverse group of people, and a safe healthy environment. However, during the 1950’s life in a hospital was different. Hospitals did not admit patients who were a different race, color, and gender. There were different medical protocols doctors had to follow causing discrimination, segregation, and inequality.
When it comes to a bad diagnosis it is often difficult for doctors to tell their patients this devastating news. The doctor will likely hold back from telling the patient the whole truth about their health because they believe the patient will become depressed. However, Schwartz argues that telling the patient the whole truth about their illness will cause depression and anxiety, but rather telling the patient the whole truth will empower and motivate the patient to make the most of their days. Many doctors will often also prescribe or offer treatment that will likely not help their health, but the doctors do so to make patients feel as though their may be a solution to the problem as they are unaware to the limited number of days they may have left. In comparison, people who are aware there is no cure to their diagnosis and many choose to live their last days not in the hospital or pain free from medications without a treatment holding them back. They can choose to live their last days with their family and will have more time and awareness to handle a will. Schwartz argues the importance of telling patients the truth about their diagnosis and communicating the person’s likely amount of time left as it will affect how the patient chooses to live their limited
...health while going through cancer. In this case, their family leads to the emotions that can impact the patient’s health and decision-making.
My educational experiences sparked my first consideration of a career in physician assistant and encouraged me to further explore this interest. At the same time, I started giving community services to healthcare. My first opportunity to personally interact with the patient was in the emergency department as a volunteer at Dekalb Medical Center. The first day I stepped onto the floor, my
Cancer is a deadly disease that millions of people die from a year. Many loved ones are killed with little to no warning affecting families across our world. My family happened to be one that was affected by this atrocious disease. This event changed the way my family members and I viewed cancer.
According to SEER Statistics, 23,380 people are estimated to get a brain or nervous system cancer diagnosis. Out of those people, 14,320 people are estimated to die from their brain or nervous system cancer diagnosis (National Cancer Institute). Cancer is a type of dangerous tumor, or a buildup of extra cells that form a mass of tissue, that can be life threatening (National Cancer Institute). The term for a tumor that is cancerous is a malignat tumor, whereas a benign tumor does not contain cancer cells (National Cancer Institute). According to the National Cancer Institute, the causes of brain cancer are unknown, but risk factors include family history and excessive radiaton exposure. Although they are not always due to a brain tumor, comon symptoms include headaches, nausea, speech, hearing, vision, and mood changes, problems with balance and mamories, seizures, and numbness in arms and legs (National Cancer Institute). MRI and CT scans as well as surgical biposies (or the removal of part of the tumor to be examined) are used to diagnose brain cancer (National Cancer Institute). Different types of treatment options include radiation therapy, surgery to remove the tumor, and chemotherapy. According to Charles Davis, MD, PhD and Nitin Tandon, MD of WebMD.com, chemotherapy is “ the use of powerful drugs to kill tumor cells”. There are a few different types of chemotherapy, but all of which bring out the same kinds of side effects. Although the physical side effects of chemotherapy are commonly known, few people know of the emotional toll chemotherapy can take on a patient and his or her family as they go though this process.
When you think of Brain cancer what do you think of? I think of it as millions of people being killed by it each year. It hard to think of someone that you love could die of something as that but it happens. Brain cancer is a malignant tumor that causes people to die. Some can be removed, and some can not. So over the past decades they have been trying to treat people. It has been working but not all the way. People get the cancer back and sometimes it cant be controlled and people die. Brain cancer is really deadly and kills millions each year.
Through meetings with other survivors and patients, we share our stories and motivate each other during this journey. Sometimes it can be tough to share our feelings and thoughts to our family and friends who have not been through this. The talks and the sharing from the nurses during the BTSS meeting has also helped me to get more insights into what brain tumour is all about, the things to look out for, what can be done to improve the quality of life. I am often reminded of this quote: “"It ain’t how hard you hit; it’s about how hard you can get hit, and keep moving forward." – Rocky
Sara sat on her blue bed, looking out the window at the cherry blossom trees that her and her mom planted when she was ten. She wonders how her mom's doing. When will she get better? When will we be able to do the fun things again? (CTA)*
In most cases, the person finds him/her self in confrontation with huge confusing questions combined with fear of death and of what is after death. Creating peace and healing processes around this situation needs many psychological and cognitive development, and requires a strong personality that shows volition. If these components are not available within this individual’s sentiment, then a process of creation is required in order to create these components. In the mentioned study the author claims “Some anecdotal and preliminary empirical evidence suggests that when people with cancer come to a more complete understanding of their life goals and purpose and take action toward manifesting those goals, the body mobilizes its internal healing resources to assist in the reduction or elimination of the disease.”(Fauver 2011:2) In addition, the individual will recognize that the healthy body that he or she aspires for is invisible based on the available facts, and he/she will be required at this moment to start growing the belief in the invisible. This epic scene of emotions, physical pain, philosophical and psychological confusion, leaves the person with only one choice situation. Finding the convenient spiritual path for the patient becomes the pain killer, the doctor and the hope. These
By questioning everything that happens has always formed a big part of my life and occupied my thoughts in my spare time. Growing up as a curious child made me appreciate the small changes in nature and the complexities of the life around me, from understanding how the human body works to asking the question “why”. My undergraduate and graduate academia at Indiana University of Pennsylvania have provided me with a solid comprehensive and diverse background in a wide variety of scientific disciplines including physics, organic chemistry, genetics, biochemistry, toxicology, and microbiology where I maintain an active interest. By acquiring these distinct experiences, they have contributed to my overall desire in becoming an independent researcher.