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Strategies to Respond with Sensitive People from Diverse Contexts Assessment Answer

Graduate Outcome: Apply advanced strategies and practices to respond with sensitivity to people from diverse contexts. 

Learning Outcome/s: By the end of this module you will be able to: LO 128: Employ strategies to manage intervention with sensitivity for people living with disability or addiction. 

ASSESSMENT METHODS AND CONDITIONS: This module will be assessed summatively through a portfolio of evidence. Assessment conditions allow access to reference material, other texts and workbooks. 

ASSESSMENT GUIDELINES Complete the clinical workbook for LO 128. The workbook must have all responses answered to gain marks for this assessment. 

All assessment criteria must be passed with a "C" grade or higher to gain credits for this assessment. 

Provide collaborative support of a person in a disability or mental health context. 50 marks 

Cultural Sensitivity 

Cultural sensitivity embodies the knowledge, understanding, skills, and protocols that allow an individual or system to provide services across cultural lines in the best possible way. Cultural sensitivity permits us to respond with respect and empathy to people of all nationalities, classes, races, religions, ethnic backgrounds, and other groups in a manner that recognises, affirms, and values their worth. (NACHC Community Health Corps 4) Samples of 'other groups' may include children, adults, senior citizens or sub-groups within the disability sector itself, 

Communication in healthcare is defined as: 

The exchange of information between a patient and their healthcare provider, and includes communications with the family and carer. It involves two-way communication (spoken, written and non-verbal) that engages patients in decision making and care planning. It is tailored, open, honest and respectful and there is an opportunity for clarification and feedback (Australian Commission on Safety & Quality in Healthcare, 2016, p. 1). By increasing one's knowledge and understanding of different cultures, cultural beliefs, values and attitudes, clinicians are more likely to provide individualised care for patients that is culturally sensitive (Bellamy & Gott, 2013; Friganovic et al., 2016). 

Section 1: 

Talking to an individual with a disability is one of the most important aspects of person-centred care when you are at your workplace. No one wants to be talked at or talked down to. A person does not want to spend time trying to understand what is being said because the speaker is using language that cannot be easily understood by all. 

Different ways of communication include taking the person's needs into consideration and being respectful of the person when you are talking and listening. Some important areas to consider 

1. "People first" language. 

"People first" language emphasises the individual not the disability. Rather than using terms such as disabled person, handicapped people, an autistic person, use terms such as people/persons with disabilities, a person with a disability, or a person with autism. 

Identify two different instances at your workplace where you have used "people first"  language.

a.

b. 

2. Working towards creating an inclusive environment 

Using neutral language is a way to make sure that all communication is inclusive. Do not use language that portrays the person as passive or suggests a lack of something: victim, invalid, defective. Example: use burn survivor instead of burn victim; person who has had a stroke instead of stroke victim. Always use gender-neutral language or gender-inclusive language to avoid bias towards a particular sex or social gender. 

Give two examples from your day to day workplace setting to demonstrate that you understand the importance of inclusivity for people with disabilities. 

a. 

b.

3. Plain Language

Plain language is clear, straightforward expression using only as many words as necessary. You consciously avoid jargon, complicated words/sentence construction. You always make sure that the person understands the message easily. 

Give four examples of simple language that you use on a day to day basis at your workplace when dealing with people with disabilities. 

a. 

b. 

c. 

d.   

4. Be often to different ways of communication 

People communicate in many ways other than speech. These may include facial expressions, gestures, writing, using pictures and equipment e.g. computer or assistive technology. 

Give two examples of different ways of communication you have come across with clients at your workplace and how did it make a difference? 

a. 

b. 

5. Being mindful of the pace at which you speak

While communicating there may be times when you need to slow down and give the individual time to process what you are saying. There may also be times when you need to ask an individual to do the same so you may better understand his/her message. This is perfectly acceptable. 

Have you come across such a situation? Explain it in few sentences: 

Cultural sensitivity: Case study 

Compare the two scenarios with regards to showing cultural sensitivity in the ways you relate with them and handle the situations. 

Working with a client of your own ethnicity how would a culturally competent look like. Give 5 strategies to provide culturally acceptable care for a client of your own ethnicity. 

You ethnic background:

1.

2.

3.

4.

5.

Mention advantages of working with a person from a different culture. 

Cultural sensitivity: Case example

Write down how would you deal with the situation 

In your work place you noticed that one of your colleagues is making jokes about a client's way of walking. What do you do? 

Cultural sensitivity: Case example 

As a Catholic, Jane does not eat meat on Fridays. Everybody in your workplace is aware of this belief. However, one Friday, she attends a group lunch and is dismayed to find out that meatballs and beef lasagne are being served. What do you do in this situation? 

REFLECTION 1 

Using the Gibbs Reflective model, write a reflection on how effective you have felt about  your cultural strategies in your clinical environment, and in what aspects could you do better. 

Let's get real: Real Skills for people working in mental health and addiction 

The Let's Get Real framework of the Ministry of Health is a foundation document for mental health and addiction workforce development. It takes a service-user-centred approach to developing the essential knowledge, skills and attitudes required to deliver mental health and addiction services. 

The seven Real Skills of Let's get real are shared by everyone working in mental health and addiction treatment services. Work in mental health and addiction treatment services is complex and involves using more than one Real Skill at any one time. Identify and explain any three of the given skills you need to work efficiently in a given setting-

1.

2.

3.

Values and Attitudes Included in this framework are the essential values and attitudes shared by all individuals who work across all mental health and addiction treatment services. 

Values: 

• Respect • Human Rights • Service • Recovery •Communities • Relationships 

Attitudes: 

  • Compassion and caring• • Genuine • Honest • Non-judgemental 
  • Optimistic • Open-minded • Patient • Professional • Resilient • Supportive • Understanding 

As a professional working in the mental health and disability sector, what is your understanding of the values mentioned above? Provide a brief description of each of them based on your understanding. 

1. Respect 

2. Human Rights 

3. Service 

4. Recovery

5. Communities

6. Realtionships

This time choose 2 values and 3 attitudes. Give a specific workplace scenario where each of these values and attitudes has been shown to be shown. 

1.

2.

3. 

4. 

5. 

Cultural Competencies 

There is no widely accepted definition of what cultural competence is. However, it is generally accepted that there is an adjustment needed within one's own culture in order to understand another's culture. 

Five elements may be identified to include cultural competence and sensitivity into an organisation. These include: 

• Valuing diversity • Capacity for cultural self-assessment • Awareness of different dynamics in cultural intermingling • Having institutionalised cultural knowledge • Adapting service provision when cultural diversity is present 

Write a description of the following for the different ethnic cultures 

Samoan 

Language 

Family groups 

Faith and beliefs 

Cultural values 

Moorl

Language 

Family groups 

Faith and beliefs 

Cultural values 

Chinese

Language 

Family groups 

Faith and beliefs 

Cultural values 

Strategies to manage interventions with sensitivity for people living with disability or addiction: 

Case scenario 1 

Mrs. Jin is a 65-year old client who struggles to speak or understand English. She cannot sleep at night and is complaining of a sore back. She is becoming stressed and cranky as no one seems to understand her situation. What can you do to help her feel better? 

Strategies to manage Interventions with sensitivity for people living with disability Of addiction: 

Case scenario 2 

You have a client who Is refusing proscription medications because of his/her religious beliefs. How do you communicate so that he/she will not be offended with your advice? 

REFLECTION 1

 Using the Gibbs Reflective Model, write a reflection on strategies you have used to interact with cultural sensitivity with a client from a different cultural background. 

Answer

Cultural Sensitive

1

a. The impairment not like my client is blind.

b. The second example: He is not blind, but a visually impaired person.

2 working towards an inclusive environment

Though disabled people such as blind ( physical handicap) and autistic (mentally handicap) face the challenge in an everyday scenario, manage the work routine, and have a regular life like normal people (Bonaccio 2019). But there struggle also includes earning a decent affordable life and earn money to sustain (Murtiningsih, 2016). As a support worker, in my workplace, I have seen even the blind people working on the computer, much with ease and comfort. The companies have supported the blind people with the assistive technology, which includes screen readers, using the refreshable braille displays, along with integrating the digital screen magnification that can help to interact with high-tech products.I have also seen autistic people getting hired in everyday jobs such as running a canteen and working with other people. I feel with the policies to be fair and equal it would help the company to remain transparent and would create respect from the stakeholders.

3 PLAIN LANGUAGE

a. While talking with the disabled person, it is important to be slow, humble, and be systematic. It is also necessary to follow the main protocol of how to handle the disability language with the diligent care firstly not to call the disabled like the blind or deaf, rather call them as hearing impaired and the visually impaired.  For example, saying hey he is a deaf person, you follow sign language, can be better said as speak slowly he is hearing impaired person (Markey 2019).

b. They speak slowly and clearly as to how to differentiate the clear language. For example avoid any difficulties, include the jargon and the complex vocabulary. To use the sign words, if required and ask in every step, if they are following or not. For example, when talking to the partially impaired person in the workplace, speak simple concise small sentences, to make the blind person follow easily.

c. To speak orally with open and transparent communication and then document the communication, in order to be followed. For example, if the disabled person is handicapped, then they can follow the oral and written communication. 

d. If required to use the some of the software and the tools, which can help to follow the set instructions in the better manner, for example, the Makaton which is to use the language program which would help to follow the signs, symbols, and speech; and even help in inculcating the set options when communicating (Powers, 2017).

4. Different forms of communication

a. Signs & Gestures Communication

When talking in the workplace with the hearing impaired person, one can use signs, gestures, and even some of the keywords and flash it. Some colorful indication can help to follow constructively.

b. Non-Verbal Communication

The body language should be formal, structured, and professional, which can help to follow systematically. For example, having a stern expression and controlling the facial expressions while expressing to hire the new candidate in the workplace (Powers, 2017).

5. Being mindful of the pace you speak

As I speak tremendously fast and even use a lot of new words and added vocabulary, it results in mixing thoughts and even confuses. My mind is faster but I speak much faster in one go, which results, in people not being able to follow the spoken language and are often lost.

Cultural Sensitive Case Study

  1. Being an Asian, I speak fast and can follow the instructions as I am quick and also inquisitive in action, while my colleague is American, who has a formal structured language. We miss-match due to the attitude and behavior    (D’Souza., 2016).
  2. Being Asian I am viewed as hard-working, and often given more work, the American college is viewed to be the leader and is not loaded with much work. This causes racial stereotyping.
  3. Being Asian, I speak less and I am thought to be a coward, while my colleague being American is open about her thoughts.
  4. I also look upon down to the Malaysian, thinking they would bribe people, this causes culturally insensitive practices,, as I have standardized all under the one group.
  5. American college speaking jargon and a lot of informal languages are viewed to be okay while being an Asian it is looked as unprofessional.

Cultural Acceptable Care

To be more respectful of others while communicating.

To understand the cultural gaps in between.

To bridge the gap between the culture, by researching over the background and communicating in an appropriate style (Johnson, 2019).

To be more knowledgeable and adaptable.

To relate with the formal care and be culturally sensitive, such as not using inappropriate words.

Advantages of working with different culture 

 I can learn new techniques, tricks and inventive ways to relate to the current business situation.

Culturally Sensitivity-> Case example-> deal with the situation

In would interrupt and correct her, by saying she knows what she means and do you know how to talk. I would also ensure, that my colleague respects my client ethnically and culturally specific (Bonaccio, et al, 2019).

Culturally sensitivity-> case example-> Example Jane

In a situation like this, I would alert my colleague Jane and make her stop eating the specific fish loaded meals. Guide others and informs others to be careful of no giving her specific good. 

Reflective 1 (GIBBS) Reflection

Description

I found my colleague being insensitive and said “Maori are lazy bones’ and taunted the other Maori colleague as go and find out people similar to you.

Feelings

I felt bad and found the comment to be rudely aimed at the specific group.

Evaluation

It was important to educate every employee is different, coming from different background, and how to be respectful. 

Analysis

To educate and create awareness, would help to control the problem.

Conclusion

To conclude, culturally safe practices, is all about the mindset, upbringing, and how one can hold respect to others, at the same time value other people's respect.

Action Plan

An action plan is to make each of the workplaces understand each other cultural differences and know the importance of the diverse environment (Bezhan, 2018).

Let us GET REAL- MENTAL HEALTH ADDICTION

Three skills

  • Essential – to work progressively and also link with health.
  • Enhanced – To provide better treatment.
  • Leadership – To identify job roles and set priorities.

Three skills I have to work upon

  • To work collaboratively with the communities
  • To overcome discrimination and educate others about how to avoid it. 
  • To place the practices in the best interest of people and use the laws, when required (Powers, 2017)


VALUES AND ATTITUDES

Respect

Respect, is also examined the esteem, which can be objectified with the positive feeling or action that can work collaboratively with the basis of someone or something and how it can be substantial with the high esteem or regard. It is also a sense of admiration and can obligate good or valuable qualities(Bezhan, 2018)

Human Rights

Human rights that would be the moral principles or norms which can be based on the standards that can be human behavior that would be constructive, it would be the natural and legal rights which would be substantial on municipal and international law. To obligate how there can be human rights come which can also obligate the national and international law which can result in the enactment, custom along judicial decisions (Powers, 2017). The subjective to be international level, human rights norms can also be resulting in the treaties and can be based on the  international law

Service

A service is an act of providing an appropriate way to assist. 

Recovery

The recovery is defined as the recovery"  that can result in the progress and how to present the "cured." It would be substantiated in the can be obligate with the "being in remission" which can be the possibility (as to find a definite cure that the path to a definite cure.

Communities

A community that can be obligate the social unit with the commonality that can substantially result in the norms, religion, values, customs, or identity. They relate the community that  shareand how  can be geographical area and the virtual space that can represent the  communication platforms

Relationships

The relationship can be family relations along with the relatives: consanguinity and it can be consequent in terms of the interpersonal relationship, a strong, and there can be a deep or close association or acquaintance 

 

 

Choose two values and the three attitudes

Respect

To hold dignity with utmost pride and understand each other cultural differences and having valuable respect.

Relationships

To foster a caring and open type relationship, providing therapeutic care, and think about the wellbeing factor.

Supportive

To support the best of the care, need, and building relationship. It is best to foster the relationship and scout out the best possible options, 

Understanding

It is important to rely on good decisional values and even hold a constructive path, that can help to foster a better bonding and broad understanding. As each of the parties has to scout out the best relationship, it is necessary to understand what can be

Non-judgemental

To understand the cultural backgrounds and developing a best possible relationship.

Five Elements  may be identified for the cultural competence

Samoan

Language

Officially is the Samoan, practicing English, but belongs to the Austronesian family of languages. It is more like the Polynesian languages, covers the Tongan. Includes the cursory overview of the language and even some of the vocabulary (Powers, 2017).

Family Groups

Fa'amatai is the chiefly system and the major part of the Samoan society, consecutively hold an indigenous form of governance belonging to the key socio-political system and there would be extensive welfare and well-being and the major cause of the protection of family property, The elderly people largely take the decisions and constitute the decisions.

Faith and beliefs

Samoa Religions. consists of the Protestant 54.9% (Congregationalist 29%, includes the Methodist 12.4%,  works with the Assembly of God 6.8%, works as the Seventh Day Adventist 4.4%, and it is required the  Protestant 2.3%), includes the Roman Catholic 18.8%, having a Mormon 16.9%, Worship Centre 2.8%, and even the representing the Christian 3.6%, includes the 2.9% (includes Baha'i, Muslim), none 0.2% (2016 est.) (Johnson, et al, 2016).  Includes the faith and belief of the Fa'a Samoa, includes the Matai, Tatau and they have the beliefs of the Friendliness, instill collectivism. have a modesty framework and also the respect. and reciprocity.

Cultural Values

The cultural values of Samoa exist in the communal ways and how there is the Fa'a Samoa, having the socio-political culture. While the Samoan culture, it would be attributed to having the activities based together set up.

Maori

Language

The language is also known as te reo ('the language'), which belongs to the Eastern Polynesian language that has been spoken by the Māori people,  who belong to the indigenous population of New Zealand. They precisely relate with the Cook Islands Māori, Tuamotuan, and Tahitian, and have gained a language from New Zealand's official languages in 1987 (Powers, 2017).

Family Groups

Whānau refers to family and extended family. The whānau is a member of a hapū (sub-tribe), which is a member of an iwi (tribe). Even in modern society, Māori is more likely than non-Māori to live in extended families, indicating the continued importance of traditional living arrangements. 

Faith and beliefs

Traditionally Māori has an in-depth faith, having the insights of the pantheon of gods along with holding the spiritual influences. The faith and beliefs also belong from the Māori instead of moral practices, religious lives, and being unruly and having political thinking as they match with Christianity their own.

Cultural Values

The Maoris  has a high god belief and there is also a belief about the rich, art, songs and belonging to the dance, along with the deep spiritual beliefs


Chinese

Language

The native language is Mandarin of the “Hanyu" who belongs to the Sino Tibetan. It is a common language used majorly by the national people.

Family Groups

Family is close-knitted, culturally values their religion, having a  sense of belongingness, and holds strong network support. Within China, the families are part of the traditional structured system, practicing their closed values.

Faith and beliefs

China has a multi-religious country and includes the religion like the Taoism, Buddhism, Islam, Protestantism, and Catholicism which have shaped up the cultural beliefs. The practice of any other faith is not prohibited but is often tolerated, while in the case of the traditional Chinese beliefs (Johnson, 2019).

Cultural Values

Being the oldest religion, it infuses the cultural values of harmony, benevolence, righteousness, and even rightfully place the courtesy, wisdom, honesty, loyalty, along with the filial piety part of China's diplomacy that can obligate the harmony, following the Chinese traditional value (Murtiningsih 2018).

Strategies to manage interventions with cultural sensitivity for the people living with disability or addiction 

Case Scenario 1

  • To give massage with the OTC pain relievers. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), that can help in the acute back pain.
  • Use a heating pad or pack to help her soothe muscles and connective tissue.
  • If required, massage and inform the fellow RN about the condition
  • Intervene with the help of the translator or the bilingual nurse.
  • Understand the sign language.

Strategies Case 2

  • Intervene with the family and try to make them understand.
  • Educate the patient, show video if required discuss the key benefits of it.
  • Show her some examples of the other diverse population having similar beliefs about how they have benefitted it (Johnson, 2019).
  • If required document it,

Reflective 1 (GIBBS) Reflection

Description

In the regular office set up,  my colleague started to interact in her Chinese language, being an English Native speaker, instead of responding, I choose to ignore her and her behavior, which she was signaling to come quickly and help the fellow staff member who was found unconscious.

Feelings

As I did not culturally respect her, ignored her feeling, choose to ignore, her, it was disrespectful to ignore her due to her language, despite knowing her cultural background. By ignoring her I was being culturally insensitive and even disrespected the dignity and respect of my fellow Chinese colleague.

Evaluation

Cultural sensitive practices mean to be knowledgeable about the different backgrounds, build trust, relationship, values, and hold respect for all this.  

Analysis

In my opinion, instead of ignoring her talks and behavior, had I been polite to understand the signs language, gestures and asked her to write few common English words, could have helped to safeguard the scenario.

Conclusion

To conclude, culturally safe practices, is all about the mindset, upbringing, and how one can hold respect to others, at the same time value other people's respect.

Action Plan

As an action plan, It is important to understand other staff people backgrounds, diverse cultures and even hold respect and care for each other (Murtiningsih 2018)

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