Self Directed Learning Package - University of Queensland

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26 • The Palliative Approach ToolkitCultural considerationsThinking PointWhat if, instead of being of Australian descent, Alfredwas from another country and spoke very little or noEnglish?How might this affect his care?Australia has a diverse, multicultural population. Over 22% ofAustralia’s population was born overseas, representing over200 different countries. 1 Residents and family members fromculturally and linguistically diverse (CALD) populations may haveparticular needs related to end of life care.Key PointHaving said this, do not make assumptions aboutcultural needs based on a resident’s language,religion or country of origin. All residents from aCALD background require careful assessment.Here’s some useful tips for getting it right:• Do not hesitate to ask about relevant cultural aspects ofcaring for a resident.• Be aware of customs that show respect.• Respect that people have different reactions towards deathe.g. for some Indigenous Australians speaking the name of adeceased person can cause considerable stress.• Communicate in ways that are appropriatee.g. avoid the use of jargon and translate information intoterms the family and resident can understand.• Just because someone can understand spoken English doesnot mean they can automatically read it as well.
27 • Self Directed Learning Package - Introductory Registered & Enrolled NursePainKey PointPain is a subjective experience, occurring when andwhere the resident says it does.The way that residents experience and make senseof pain is strongly influenced by their previousexperiences of pain, culture, spiritual beliefs, socialrelationships and other physical symptoms theymay be experiencing.SeeRecognise and assessAs a nurse, you have an important role in identifyingand assessing pain.Thinking PointAlfred has osteoporosis, osteoarthritis and fracturedhis hip three years ago.He is often heard asking careworkers and nurses ifit is time for his next dose of pain medication. Heasks for assistance with most activities of daily livingbecause the pain is “terrible”.• What is the best way to assess Alfred’s pain?• How do you normally identify if a resident haspain?• Do you use an assessment tool? Do you write downwhat a resident says?
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Self Directed Learning Package - University of Queensland

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