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8 Cards in this Set

  • Front
  • Back
List and describe variables contributing to patient-provider discordance.
Age (generational),
Gender,
Health Status,
Acculturation to western medical practices,
Racial/ethnic background,
Language,
Dialects (leading to differences in terminology and meaning),
Health literacy,
Educational attainment.
Identify and describe common causes of communication differences between pharmacists and patients.
Language Barrier (familiarity with English, accents, slang, speed),
Literacy Barrier (understanding medical terminologies),
Cultural barrier (verbal & non-verbal communication styles, beliefs about health, illness and healing),
Trust,
Perceptions and Stereotypes (predispositions).
List 5 signs that cultural differences may exist a between a pharmacist and patient.
1. Conflict with health care providers
2. Dissatisfaction with care and services
3. Resistance to care recommendations
4. Lack of adherence to care plan
5. Patient/family does not return for care or services
6. Mismatch between what the patient/family is saying verbally and nonverbally
Identify and analyze some behaviors you find personally challenging when communicating with others.
1. Verbal
2. Non-verbal
3. Written
4. Sign language
5. Personal/Impersonal
6. Degree of formality
7. Degree of directness
8. Appropriate subjects for conversation
Describe 3 common strategies of techniques that can be used to facilitate communication across cultural differences that may exist between a pharmacist and patient.
1. Introduce yourself
2. Ask open-ended questions
3. Engage in active, curious, reflective listening
4. Proactively inquire about/observe and respect their preferences
5. Empathize
6. Demonstrate caring behaviors
Describe one explanatory framework model that can be used with patients to help elicit health beliefs, practices, and experiences.
L-E-A-R-N
LISTEN with sympathy and understanding to the patient’s perception of the problem,
EXPLAIN your understanding/perceptions of the problem,
ACKNOWLEDGE and discuss the differences and similarities,
RECOMMEND treatment,
NEGOTIATE agreement
Describe another explanatory framework model that can be used with patients to help elicit health beliefs, practices, and experiences.
Establish RAPPORT
Demonstrate EMPATHY
Offer SUPPORT
Establish a PARTNERSHIP
Provide EXPLANATIONS
Model CULTURAL COMPETENCE
Establish, model, and nurture TRUST

ER
Dem E (Moore)
OS
EP
Provide E
Model CC
EM&NT
Describe another explanatory framework model that can be used with patients to help elicit health beliefs, practices, and experiences.
A-D-H-E-R-R-E
ACKNOWLEDGE the need for treatment
DISCUSS treatment options and the consequences of non-treatment
HANDLE any questions or concerns regarding treatment
EVALUATE the patient’s health literacy, understanding of the purpose/rationale for treatment, and barriers and facilitators to adherence
RECOMMEND/REVIEW the therapeutic regimen
EMPOWER by eliciting the patient’s commitment and willingness to follow through with the regimen