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28 Cards in this Set
- Front
- Back
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Culture
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-meanings, values, ideals, attitudes, and behavioral norms shared within a group
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Race
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-denotes human groupings that are biologically determined
-although genetic ancestry is more highly correlated with geographic ancestry than race |
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Ethnicity
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-sense of belonging to a group who shares a common origin and history
-provides a filter through which we see the world |
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prejudice
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-negative beliefs and attitudes about a group (cognitive)
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discrimination
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-exclusion based on difference (behavior)
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Ethnocentricism
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-use of ones own beliefs and values to judge people from other cultures
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Time (US vs WORLD)
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-us values promptness
-world view is that time is relative (enjoy the moment) |
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Tradition (US vs WORLD)
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-us values youth
-world respects age |
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assimilation
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-several generations removed from a relocation
-totally absorbed into new society -customs may be lost |
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What are the effects of culture on the medical encounter?
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-may need an interpreter
-must understand the patients interpretation of their illness -can change the mental status exam |
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What things are patients who are not proficient in english less likely to get out of the medical encounter?
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-empathy from doctors
-good rapport -information -participation in the medical decision making process |
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What aspects of symptom reporting can culture influence?
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-the kinds of problems which are reported
-expression of illness -meaning of symtpoms -stigma associated with symptoms |
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How can culture influence sick role behavior?
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-ability to remove clothing/ornamentation
-dietary habits -alternative health practices -aversions to blood loss |
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What is the best interpretation method for both doctor and patient?
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-having a professional interpretor
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What types of problems are refugees likely to exhibit?
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-culture shock and emotional illness
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What questions should be asked in an immigration history?
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-reasons for leaving
-the experience itself -degree of loss -support systems |
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What is culture shock?
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-a reaction to a sudden change in culture setting
-anxiety, depression, isolation -less severe when accompanied by a family member |
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traditional acculturation
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-raised in native country, relocate as adults
-live in ethnic neighborhoods -speaks little english |
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transitional acculturation
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-children of relocated adults consider themselves american
-parents dont share the same view |
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bicultural acculturation
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-second generation us
-functions in both cultures |
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assimilated acculturation
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-several generations removed from relocation
-totally absorbed in new society -customs may be lost |
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amok
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-dissociative episode
-brooding followed by violent behavior |
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Piblokto (artic hysteria)
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-tremors
-imitation of animals -running into snow -happens to artic region native americans -lasts 1 to 2 hours -more common in women |
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rootwork
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-anxiety/fear
-vomiting/dizziness -symptoms supposedly caused by withcraft or the evil influence of another person |
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ataque de nervios
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-shouting/crying
-agressive behavior -sense of being out of control -brought on by stress |
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susto
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-sleep problems
-loss of appetite -somatic complaints -caused by frightening event which makes the soul leave the body |
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koro
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-sudden intense anxiety that the penis/vagina or nipples will recede into the body and cause death
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L.E.A.R.N.
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-listen
-explain -acknowledge differences -recommend treatment -negotiate an agreement |
