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28 Cards in this Set

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