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17 Cards in this Set
- Front
- Back
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African & Asian Americans
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Slow metabolozers - more side effects
*Yet blacks are prescibed higher doses |
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Jewish
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20% more likely to get clozapine-induced agranulocytosis
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Chinese
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50% use herbal preparations
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Nonwhite populations
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More frequent institutionalization
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African-Americans
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> drop out rate
< treatment sessions Enter treatment at a later stage of illness Underuse community health services Overuse state hospital in-patient programs > incidence of misdiagnosis Diagnosis more often severe |
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Mexican Americans
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>Mental illness > than among Mexican immigrants
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Hispanics
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Lack of employment = no health insurance
*Generally do not seek preventative treatment |
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Puerto Ricans
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Depression higher on mainland than on island
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Antidepressants & newer SSRIs
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Fewer blacks receive these than whites
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Middle Eastern women
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Don't introduce/shake hands or be expected to
*Family Honor - but prefer male health care providers (non-gyn) |
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Eastern European
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Education level not class
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Ethnic Minority Assessment
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Communication
Personal space Social organization (behaviour during life events) Time Environment Biologic Variations |
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Transcultural Assessment
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Pain & "Symptoms" and how they communicate them
Beliefs about cause Attitudes towards helpers Desired or expected Rx |
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Spiritual Assessment
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For serious illness & sometimes when taking a health history
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Spiritual interventions contraindicated when...
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Psychoitc/delusional
Clearly stating they do not wish to participate Minors with parents unaware (legal) |
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Bibliotherapy
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With sacred writings, literature to gain insight into feelings and behavior
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Ethical concerns with spirituality
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Departing from areas of established expertise/personal agenda
Limited current research Danger of imposing one's own core values Violating work-setting boundaries (church-state) |
