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Cultural competence in healthcare essays
Cultural competence in healthcare essays
According to Purnell (2013), “cultural competence in health care is having the knowledge, abilities, and skills to deliver care that is congruent with...
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In Dar El Mona Healthcare Resort I managed my own case load including assessment, treatment and program modification. I was professionally, legally and autonomously responsible for all phases of physiotherapy practice. I used different valid and reliable assessment tools and clinical knowledge and skills to undertake comprehensive patient assessment including those with complex presentations and multipathologies. I used to formulate and deliver individualized evidence based physiotherapy treatment programs that included wide variety of treatment options such as therapeutic exercises, gait training, balance and coordination, hydrotherapy, manual therapy and electrotherapy. In addition, I constantly reassessed treatment effectiveness and changed …show more content…
rehabilitation programs as appropriate. Dar El-Mona Healthcare Resort is the largest physiotherapy and rehabilitation facility in Egypt, it covers over 88,000 m¬¬¬¬¬¬¬¬¬2. It serves a wide range of in and outpatient cases including neurological conditions, geriatrics, cardiovascular/cardiopulmonary, sports rehabilitation, pediatrics and orthopedics. During this period I managed a variety of cases but mainly neuro-rehabilitation including cerebrovascular strokes, spinal cord injuries, brain tumors, demyelinating diseases, peripheral nerve lesions and others. In addition, I developed sound skills and experience in dealing with different complications that presented with neurological dysfunctions and prolonged bed recumbence. These complications included bladder dysfunctions, bed sores, cardiovascular and cardiopulmonary disorders. As an active member of the multidisciplinary team (MDT), I attended team meetings and case conferences and participated in discharge planning.
Moreover, I maintained distinguished empathic relations with all members of the MDT. I regularly liaised with colleagues regarding assessment, treatment and program modification. I also ensured an effective communication and specialist advice to patients, carers, colleagues and other health care practitioners. In Dar El-Mona Healthcare Resort, we received patients/clients from all over Africa and Middle East. Therefore, I had to have the excellence of cultural competency and to ingest different cultures. I held the responsibility of achieving the best health outcomes regardless patient's/client's culture, values and …show more content…
believes. During this year, I was responsible for applying safety guidelines including safe moving and handling and safe use of all equipments in addition to infection control and prevention policies.
I attended the in service training and actively participated in the continuous professional development (CPD). I also supervised less experienced physiotherapists and physiotherapy assistances. I experienced working in a very busy schedule which acquired me the necessary skills of time management, working under pressure, prioritization and changing plans as required. I maintained accurate, computerized and professional documentation that respected patient's/client's dignity and
privacy.
In the healthcare system many times patients are just patients and appointments are just appointments. The outlook on the patients and appointments all depends on the area of practice and the health professional themselves. Working in the emergency department, the nurses and doctors there typically do not see the same patient more than once and if they do the chance of them remembering them is slim to none just for the simple fact of the pace of the department. When it comes down to Physicians in the hospital setting, the care is not just quick and done. Great patient to healthcare professional relationships are formed and for some it may feel as if they are taking a “journey”(209) with their patients as they receive their medical care. This essay will be based off the book Medicine in Translation: Journeys with My Patients by Danielle Ofri, in which Ofri herself gives us the stories of the journeys she went on with several of her patients. Patients are more than just an appointment to some people, and when it comes to Ofri she tends to treat her patients as if they are her own family.
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health. This shows the significance that health care workers can have on patient care.
They must do so by gaining an understanding of the perceptions, traditions and values of the patient with whom they are caring for (Ulrich, 2009). By utilizing cross cultural knowledge and sensitivity, nurses can establish trust and rapport to better care for their patients (Ulrich, 2009). Once a need has been detected and a respectable connection has been made, the third step (a resolution or outcome), can hopefully be achieved (Jezewski, 1995). It is not enough to simply detect an issue. Nurses must advocate, negotiate, innovate and mediate cultural boundaries to provide the highest level of care for their patients (Jezewski, 1995). If any of these stages break down, providers must continue attempts to assist their patients through conflict by staying connected and continually implementing culturally competent communication (Ulrich,
While doing my observations, at the outpatient and inpatient settings, I confirmed this is a career suited for my personality and abilities, where you get to teach patients how to recover and start from the beginning, and
While there were many differences between each setting, there were also several commonalities. In all settings, the physical therapists provided care that was professional and skilled. They worked collaboratively with other healthcare professionals to provide the best care possible for each of their patients. They strived to establish rapport and trust with each patient. Each of the settings I observed provided me with insights to the field of physical therapy and convinced me that this career is the right choice for
A cultural assessment interview is very important when taking care of patients or their families who may be from a different culture than the nurse’s. In order to be able to better take care of a patient, we first need to know their own interpretation of disease and illness within their cultural context, values, and beliefs. Since I am Indian and my culture is a mix of the Indian cultural beliefs and my religion Islam, I was looking forward to this interview so that I am able to learn more about different cultures using my assessment.
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
Taking Leena’s case has been useful to write this essay, it gave a practical outlook of how ICF, goal-planning and rehabilitation can be amalgamated together and bring out a standard format, taking into consideration, not just the physical and functional status but the whole individual with his contextual and environmental factors. As a physiotherapist, working in the rehabilitation team using the ICF will give me an opportunity to work holistically and view my patient with his/her complete health status. Acknowledging it and implementing a comprehensive rehabilitation protocol will help me to pave a successful outcome.
Possessing personal aspirations of charitable and global nursing care, I believe the integration of cultural care, and its body of knowledge, into nursing care to be extremely important. It will help the nurse to understand how to individualize patient care plans relative to the patient's culture. I hope to acquire the understanding regarding common or uncommon health problems and treatments relative to race, nationality, culture, religion and lifestyle. While these factors are extending characteristics of transcultural care, I do not intend to go into detail pertaining to specific cultures and their connec...
"The Physical Therapist: A Professional Profile." American Physical Therapy Association. Online. Internet. 8 April 1997. Available: http://www.apta.org/pt_prof/professionalprofile.html.
The provision of patient/family-centered care, which assure safety and quality in the service, would have a team work approach as a foundation and underpinning. In a healing process or in the preservation of health intervene several factors, some of them are closely related with the environment. Healthcare providers constitute an important part of that environment, and definitely, communication with patients, families, and among themselves, have a significant impact on it. The environment would influence the patient’s perception of care, and the staff’s level of
Finally the evaluation involved reviewing the care plan by checking if the patient’s condition has improved, goals achieved and interventions applied successfully (Alfaro-LeFevre, 2010). The issues highlighted in the previous stages made it difficult to assess the effectiveness of Jane’s nursing interventions and the achievement of goals as the criteria was unclear. Despite this, all three care needs had either shown signs of improvement and/or not deteriorated further. The patient also expressed that the care plan had working effectively for her because she felt involved in the process as the orthopaedic consultant and nurses talked to her on a daily basis and that it was addressing her needs. To support this Kitwood, (2007) states that it is ultimately the patient who will say if the care plan has met their needs effectively
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.
If the practitioner doesn’t develop their skills and expertise this could threaten themselves professionally and the setting. CPD helps impact the setting as each individual will be contributing to the team with their combined skill