The Nature of Care: Cultural and Clinical Perspectives

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Ethnic minority communities • Barriers to care for South Asian Sikh and Muslim patients that included – resource constrained services – institutional and occasionally racial and religious discrimination – limited awareness and understanding among South Asian people about the role of hospices – difficulty discussing death [Worth A, Irshad T, Bhopal R et al. (2009) Vulnerability and access to care for South Asian Sikh and Muslim patients with life limiting illness in Scotland: prospective longitudinal qualitative study. British Medical Journal 338:b183 doi: 10.1136/bmj.b183]
Ethnic minority communities • “exceptional willingness by staff to learn about and meet needs” • “powerful philosophy of individualised care” • “we should treat every case as a transcultural encounter – even with people of our own cultural background” [Lake R quoted in Johnson, MRD (2009) End of life care in ethnic minorities. British Medical Journal 338:a2989 doi: 10.1136/bmj.a2989]
Page 1 and 2: The Nature of Care: Cultural and Cl
Page 3 and 4: Sir William Osler • “Osler’s
Page 5 and 6: Culture • Defined as an individua
Page 7 and 8: National standards for culturally a
Page 9 and 10: Standards • Culturally competent
Page 11 and 12: Culturally Competent Care: Standard
Page 13: Ethnic minority communities • acc
Page 18 and 19: Community of Practice • Values
Page 20 and 21: Care • Behavioural and motivation
Page 22 and 23: Tangata whenua/ Māori • “Illne
Page 24 and 25: What’s important to you?
Page 26 and 27: Revised cultural formulation • St
Page 28 and 29: Explanatory models approach • How
Page 30 and 31: We must remember that our culture e
Page 32 and 33: Critical elements of culturally com
Page 34 and 35: The Nature of Care William Osler su
Page 36 and 37: Theory of mind • An understanding
Page 38 and 39: Attachment theory • Secure - Refl
Page 40 and 41: Attachment style • Interpret atta
Page 43 and 44: • Set life priorities • Learn t

The Nature of Care: Cultural and Clinical Perspectives

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