Questions:
1.
What are three things that providers must be aware of when treating Native American patients?
2.
What are 12 cultural amplifiers that magnify the difficulty faced by
Native Americans living with or at risk for HIV?
3.
What are 12 service interventions that can be used to address the
service needs of Native Americans living with HIV or who are at risk for HIV?
4.
What are the four service interventions that can be used to give
Native Americans a sense of control over their treatment and services?
5.
What are three steps you can take to provide Native Americans with
linguistically and culturally-sensitive care?
6.
What are four steps to help a Native American patient integrate HIV
into their identity?
7.
What are four steps that you can take to help your Native American
patient maintain a sense of control?
|
Answers:
A. Teach and Offer a Bicultural Approach to Care, Create an Empowerment Narrative, Establish Peer Intervention, Teach Patients about the Structure of the Medical Care System, Practice Direct Communication, Show Respect for Traditional Approaches to Healing, Assess Integration of HIV Diagnosis Into Identity, Develop an Alliance, Link Patient to Social Service Provider,
Establish a Multidisciplinary Care Team, Educate Providers about Culturally
Sensitive Services, and Pace the Delivery of Information.
B. Determine what the patient knows about HIV. Determine where the patient is on
the continuum in incorporating HIV into their life. Discuss the patients
participation in support groups for families affected by HIV. Discuss how it
is not uncommon for partners or family members of an HIV-infected person to
feel depressed and isolated, and how support groups, therapy or traditional
counseling could be beneficial.
C. If you do not speak the language or have knowledge about the tribe, link the
patient and their family to a social service provider who speaks their
language, is from the same tribe, or from another Native American tribe.
If the social service provider is unfamiliar with medical and psychosocial
aspects of HIV disease, connect the provider with a sensitivity training
program about HIV disease. If the patient is agreeable, work with the social service provider to establish and maintain an ongoing relationship with the
patient's family.
D.Treat the patient with respect and pace the information when explaining
medical information and treatment options. Involve the patient in making
decisions about their care and treatment plan. Link the patient to an HIV-case
management program, gay youth support groups, HIV support groups, and any
other services that are available for positive youth. Emphasize that the
patient's HIV status, and your discussion, are confidential and that it is
safe for the patient to talk to you.
E. Underlying morbidity and mortality trends in the community, how these affect perceptions and expectations, and how they might impact a service delivery
system.
F. Circular Migration, Holistic Approach to Health, Traditional Healing, Distrust
of Authority, Fear of Breach of Confidentiality, Communication Style, Modesty,
Language and Culture, Family and Community Role, Orientation to the Present,
Mortality, and Sexual Orientation.
G. Create an Empowerment Narrative, Teach Patients about the Structure of the Medical Care System, Practice Direct Communication, and Teach and Offer a
Bicultural Approach to Care. |