Sunday, November 9, 2008

Indigenous Patients

When we had the people from CUCRH talking to us, I was interested with their talk about how culture differs etc. I listened and took mental notes however they didn’t sink in until I have actually started treating indigenous patients.
My first contact was in my cardio placement with a patient from remote community who had heart bypass surgery who was also my midway assessment patient. When I was told that she would be my patient, my supervisor also reminded me of cultural difference. During her assessment, I remembered from CUCRH talk, I didn’t pursuit for clearer answer when I asked about timeframes and gave up using VAS scale. However as it was my first experience with a patient, I wasn’t too sure when it is appropriate to ask for more details and when to change approach. My CCT then jumped in asking if pain is small or big. I also noticed of eye contact issue that she would sometimes look away and sometimes look into my eyes. Afterward, my supervisor commented that in general my approach with the patient was good. And I have to thank CUCRH for giving us the opportunity to get insight of indigenous culture.
Now at my rural prac, when I was in remote community doing outpatients I had a couple indigenous patients as well. Although they live in around the town, there are still cultural differences. For example sisters are necessary blood related. On the 2nd appointment, neither of them turned up. It was understandable to me, as they may have family affairs which are far more important than appointments and difference time system.
So I just wanted to say it was great that we had some opportunity to learn the basics of aboriginal culture. The CUCRH has helped me a lot during my placement.

2 comments:

kevin said...

Hey Yang,
I havent had much experience with aboriginal patients this year but as i come from the country i have previously had experiences with aboriginals.
I think thats really good that you not only listened to the CUCRH talk but also remembered parts of it and put it into practice.
I can imagine it must be harder for people that havent had many experiences with aboriginals previously to then treat them. Therefore i think youre doing well.

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