Thanks everyone for posting on yahoo. This is a great tool!
Thank you so much for the input. Just wanted to let you all know that we are
working on a DVD/powerpoint/letter to distribute to PA organizations and PA
programs to educate our community. We also want to have a DVD for NGOs about
PAGH and the use of PAs in underserved areas and the physician-PA team model.
Anything time you would be able to give us to help us distribute information and
contact organizations would be awsome. There is always a lot to be done and even
the smallest thing like sending emails helps us cross off item on our task list.
I have posted our 2010 goals. Take a look and if you have any more suggestions
or ideas let me know! harmoniousness@...
Harmony Johnson PA-C
President PAs for Global Health
I had no problems with download. Will send direct to you as attachment outside
of yahoo groups
Bruce
Bruce E. Bowman MHS, PA-C
>>> phillip kirkland 10/15/09 9:56 PM >>>
Kathy,
I was trying to download the file at the bottom of your comment but everything I
try says the file is corrupted. Any ideas?
Phillip
Phillip Kirkland, MSPAS, EMT-P, PA-C, USAR-3, DMAT-1 TN, FAAPA, FTAPA
Confidentiality Notice
This e-mail message, including any attachments, is for the sole use of the
intended recipient(s) and may contain confidential or proprietary information
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distribution is prohibited. If you are not the intended recipient, please
promptly contact the sender by reply e-mail and destroy all copies of the
original message.
Hello,
Not sure if I am replying to all or to "Denver". Please distribute
this guidebook if you like. It is aimed at educators and students.
It is from GHEC (Global Health Education Consortium). I am on their
board and am writing a piece on PAs for their 2nd edition. If you
have input please send -covering similar areas, though from a PA
perspective.
Thanks,
Kathy
At 6:26 AM -0700 10/14/09, Corinne Weis wrote:
>
>
>Good Morning Bruce,
>
>Thanks for starting the dialog. I have already stepped back into my
>life and PAGH seems like a distant goal. I am still interested in
>developing a regional network. One idea that I would be happy to
>start would be contacting members in regional areas. Using global
>health education materials already in place or developing more and
>going to regional PA programs and state meetings to present PAGH and
>hopefully increasing membership or interest in global health. It
>would be helpful to have a DVD for presentation and this is
>something that Bill Taylor talked about.
>
>
>Another way that we may be able to help people get involved in
>global health, is information on how they could get local training
>from the Red Cross, which is another way of launching into
>international health. I did try to access their web site and found
>it difficult to navigate. (Not sure if it is my skills or their
>site.)
>
>I am not sure if this went out to the whole group. Thanks again for
>starting the dialog, let's see if we can keep the process moving
>forward.
>Corinne
>
Thanks for starting the dialog. I have already stepped back into my life and PAGH seems like a distant goal. I am still interested in developing a regional network. One idea that I would be happy to start would be contacting members in regional areas. Using global health education materials already in place or developing more and going to regional PA programs and state meetings to present PAGH and hopefully increasing membership or interest in global health. It would be helpful to have a DVD for presentation and this is something that Bill Taylor talked about.
Another way that we may be able to help people get involved in global health, is information on how they could get local training from the Red Cross, which is another way of launching into international health. I did try to access their web site and found it difficult to navigate. (Not sure if it is my skills or their site.)
I am not sure if this went out to the whole group. Thanks again for starting the dialog, let's see if we can keep the process moving forward.
Corinne
--- On Thu, 10/8/09, bbowman813 <bbowman@...> wrote:
From: bbowman813 <bbowman@...> Subject: [PAGH] denver To: PAGH@yahoogroups.com Date: Thursday, October 8, 2009, 10:17 AM
I meant to add to last posting...would anybody like to start a dialogue now on ideas steming from the Denver conference. It would be nice to stimulate more discussion/ ideas on how to move forward. Any thoughts?
At times it seems hard to promote and maintain interest in PAGH between meetings.
I meant to add to last posting...would anybody like to start a dialogue now on
ideas steming from the Denver conference. It would be nice to stimulate more
discussion/ ideas on how to move forward. Any thoughts?
At times it seems hard to promote and maintain interest in PAGH between
meetings.
bruce
I will be at the conference from Thursday afternoon through Saturday - Look
forward to seeing any and all of PAGH. Would love to get together for dinner or
coffee one of the days. The new campus where the conference is being held is
rather isolated so anyone interested in going downtown or the above give me a
call (I live in Colorado and so will have a car) - 970-371-0910.
Adelante, Sandy
I will be there. either thurday night or early Friday returning sunday
cyril
--- On Sat, 9/19/09, bbowman813 <bbowman@...> wrote:
From: bbowman813 <bbowman@...> Subject: [PAGH] Global Heath Meeting October 2,3 Denver To: PAGH@yahoogroups.com Date: Saturday, September 19, 2009, 10:58 AM
How will be attending this meeting in Denver in a couple of weeks?
I will be there from Thursday evening till Sunday afternoon. I fly out at 2
bruce
it is taken care of...the web site had been set up as an open group...anyone
could join...I have made it a closed group.
permission will have to be granted to join. I will have to make an educated
guess based on what they fill out...there is no way to ultimately verify that
they are not malicious.
bruce
Bruce E. Bowman MHS, PA-C
>>> Sandy Hoyman <shoyman@...> 08/12/09 9:20 PM >>>
Whoever is the administrator of this group should notify Yahoo.
________________________________
From: karnspac <karnspac@...>
To: PAGH@yahoogroups.com
Sent: Wednesday, August 12, 2009 11:30:13 AM
Subject: [PAGH] Re: Message Alert - You Have 1 Important Unread Message!
--- In PAGH@yahoogroups. com, "newjakilly" <newjakilly@ ...> wrote:
>
> Message Alert - You Have 1 Important Unread Message!
> http://cleavonsk. zoomshare. com/files/ sexygirl. htm
>
Quit sending your crap to this message board!
Confidentiality Notice
This e-mail message, including any attachments, is for the sole use of the
intended recipient(s) and may contain confidential or proprietary information
which is legally privileged. Any unauthorized review, use, disclosure, or
distribution is prohibited. If you are not the intended recipient, please
promptly contact the sender by reply e-mail and destroy all copies of the
original message.
Whoever is the administrator of this group should notify Yahoo.
From: karnspac <karnspac@...> To: PAGH@yahoogroups.com Sent: Wednesday, August 12, 2009 11:30:13 AM Subject: [PAGH] Re: Message Alert - You Have 1 Important Unread Message!
Thanks for taking care of it.
--- In PAGH@yahoogroups.com, "Bruce Bowman" <bbowman@...> wrote:
>
> I have adjusted the membership for people to apply and be approved. Hopefully
this will diminish the spam. I delete this kind of member as soon as they do
something like this.
>
I have adjusted the membership for people to apply and be approved. Hopefully
this will diminish the spam. I delete this kind of member as soon as they do
something like this.
Good Morning All,
We received this forward from one of our members
Hello everyone,
Today we received a request from Relief International, an NGO we have
partnered with in the past, to support their work in Gaza. They are
looking for doctors (or nurses/PAs) who might be interested in going
to Gaza. They have been distributing about 500,000 dollars of
supplies (mainly food, non-food items, and medicines) since the onset
of the conflict but have been seeing huge medical needs. They
currently have 5 first aid centers set up inside Gaza since the
hospitals are completely overwhelmed. These centers are currently
staffed by RI-trained volunteers (including doctors) but
They are looking to get some international medical volunteers into
the Gaza to
provide additional support.
Obviously, any deployment by Relief International of international
volunteers is based on the
security situation in the area, and the latest report by their field
staff indicates that the violence has worsened recently. That said,
they are in
talks with the Egyptian and Israeli government as well as the UN to
try and open up a safe humanitarian corridor for RI staff and
volunteers. If we can
guarantee safe access, they'd like a team ready to go in about 48-72
hours.
IF ANYONE IS INTERESTED IN A POSSIBLE DEPLOYMENT WITH RELIEF
INTERNATIONAL TO GAZA, please contact Dustin Shiau, their Disaster
Response Medical Coordinator, ASAP and DIRECTLY at:
Dustin Shiau
Emergency Response Officer
Relief International
Los Angeles, CA 90036
Tel: (310) 478-1200
Fax: (310) 478-1212
Email: dustin@...
Dustin will provide you with any information about their needs and the
opportunities available. While doctors and nurses/PA's are their
greatest need, they will consider paramedics with previous
overseas/disaster experience.
Note that at this time NYC Medics is NOT considering a deployment to
the area.
Thank you for your support, and please feel free to share this email
with your friends/colleagues.
Chris
--
Christine Amy
Executive Director
NYC Medics
www.nycmedics.org
Here are some contacts for you. the clinic in Mulage is near Santa Rosalia on the Baja. Jim Christopher is the contact person. jimaniebaja@aol.com His direct phone in Mulage(pronounced moolahey) is 011526151530505. Also Dr Edeberto Romo in Santa Rosalia at 011526151520789.( he speaks spanish). The Roatan clinic is La Clinica Experanza and you can get information on their website.. Good Luck! Cathy McCurdy PAC
--- On Sun, 11/16/08, ER PA <erpa911@yahoo.com> wrote:
From: ER PA <erpa911@yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups.com Date: Sunday, November 16, 2008, 7:29 AM
Cathy,
thank you for the E mail . yes I am definitely interested and would appreciate the contact information.
respectfully,
Cyril
--- On Sat, 11/15/08, cathy mccurdy <mccurdydonks@ yahoo.com> wrote:
From: cathy mccurdy <mccurdydonks@ yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Saturday, November 15, 2008, 7:04 PM
there is a small town on the Baja called Mulaje that has a clinic run by volunteer physician. If you are interested I will try to get a contact number for you. contact rotary international and there is a clinic on the island of Roatan off the coast of Honduras that always needs help. email me if interested. CAthy
--- On Fri, 11/7/08, ER PA <erpa911@yahoo. com> wrote:
From: ER PA <erpa911@yahoo. com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Friday, November 7, 2008, 4:37 PM
thank you harmony
--- On Thu, 11/6/08, Harmony Johnson <hamster11996@ yahoo.com> wrote:
From: Harmony Johnson <hamster11996@ yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Thursday, November 6, 2008, 11:00 AM
I would check out www.cfhi.org (Tropical medicine on the coast of mexico)
--- On Sun, 11/2/08, erpa911 <erpa911@yahoo. com> wrote:
From: erpa911 <erpa911@yahoo. com> Subject: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Sunday, November 2, 2008, 10:52 PM
I am looking for a medical site where I can spend a week providing medical care during christmas week 12/20 to 12/27. I am planning on going with my family. Any suggestionS?
Here are some contacts for you. the clinic in Mulage is near Santa Rosalia on the Baja. Jim Christopher is the contact person. jimaniebaja@... His direct phone in Mulage(pronounced moolahey) is 011526151530505. Also Dr Edeberto Romo in Santa Rosalia at 011526151520789.( he speaks spanish). The Roatan clinic is La Clinica Experanza and you can get information on their website.. Good Luck! Cathy McCurdy PAC
--- On Sun, 11/16/08, ER PA <erpa911@...> wrote:
From: ER PA <erpa911@...> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups.com Date: Sunday, November 16, 2008, 7:29 AM
Cathy,
thank you for the E mail . yes I am definitely interested and would appreciate the contact information.
respectfully,
Cyril
--- On Sat, 11/15/08, cathy mccurdy <mccurdydonks@ yahoo.com> wrote:
From: cathy mccurdy <mccurdydonks@ yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Saturday, November 15, 2008, 7:04 PM
there is a small town on the Baja called Mulaje that has a clinic run by volunteer physician. If you are interested I will try to get a contact number for you. contact rotary international and there is a clinic on the island of Roatan off the coast of Honduras that always needs help. email me if interested. CAthy
--- On Fri, 11/7/08, ER PA <erpa911@yahoo. com> wrote:
From: ER PA <erpa911@yahoo. com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Friday, November 7, 2008, 4:37 PM
thank you harmony
--- On Thu, 11/6/08, Harmony Johnson <hamster11996@ yahoo.com> wrote:
From: Harmony Johnson <hamster11996@ yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Thursday, November 6, 2008, 11:00 AM
I would check out www.cfhi.org (Tropical medicine on the coast of mexico)
--- On Sun, 11/2/08, erpa911 <erpa911@yahoo. com> wrote:
From: erpa911 <erpa911@yahoo. com> Subject: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Sunday, November 2, 2008, 10:52 PM
I am looking for a medical site where I can spend a week providing medical care during christmas week 12/20 to 12/27. I am planning on going with my family. Any suggestionS?
I will get some email contacts and get back with you. CAthy
--- On Sun, 11/16/08, ER PA <erpa911@...> wrote:
From: ER PA <erpa911@...> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups.com Date: Sunday, November 16, 2008, 7:29 AM
Cathy,
thank you for the E mail . yes I am definitely interested and would appreciate the contact information.
respectfully,
Cyril
--- On Sat, 11/15/08, cathy mccurdy <mccurdydonks@ yahoo.com> wrote:
From: cathy mccurdy <mccurdydonks@ yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Saturday, November 15, 2008, 7:04 PM
there is a small town on the Baja called Mulaje that has a clinic run by volunteer physician. If you are interested I will try to get a contact number for you. contact rotary international and there is a clinic on the island of Roatan off the coast of Honduras that always needs help. email me if interested. CAthy
--- On Fri, 11/7/08, ER PA <erpa911@yahoo. com> wrote:
From: ER PA <erpa911@yahoo. com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Friday, November 7, 2008, 4:37 PM
thank you harmony
--- On Thu, 11/6/08, Harmony Johnson <hamster11996@ yahoo.com> wrote:
From: Harmony Johnson <hamster11996@ yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Thursday, November 6, 2008, 11:00 AM
I would check out www.cfhi.org (Tropical medicine on the coast of mexico)
--- On Sun, 11/2/08, erpa911 <erpa911@yahoo. com> wrote:
From: erpa911 <erpa911@yahoo. com> Subject: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Sunday, November 2, 2008, 10:52 PM
I am looking for a medical site where I can spend a week providing medical care during christmas week 12/20 to 12/27. I am planning on going with my family. Any suggestionS?
thank you for the E mail . yes I am definitely interested and would appreciate the contact information.
respectfully,
Cyril
--- On Sat, 11/15/08, cathy mccurdy <mccurdydonks@...> wrote:
From: cathy mccurdy <mccurdydonks@...> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups.com Date: Saturday, November 15, 2008, 7:04 PM
there is a small town on the Baja called Mulaje that has a clinic run by volunteer physician. If you are interested I will try to get a contact number for you. contact rotary international and there is a clinic on the island of Roatan off the coast of Honduras that always needs help. email me if interested. CAthy
--- On Fri, 11/7/08, ER PA <erpa911@yahoo. com> wrote:
From: ER PA <erpa911@yahoo. com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Friday, November 7, 2008, 4:37 PM
thank you harmony
--- On Thu, 11/6/08, Harmony Johnson <hamster11996@ yahoo.com> wrote:
From: Harmony Johnson <hamster11996@ yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Thursday, November 6, 2008, 11:00 AM
I would check out www.cfhi.org (Tropical medicine on the coast of mexico)
--- On Sun, 11/2/08, erpa911 <erpa911@yahoo. com> wrote:
From: erpa911 <erpa911@yahoo. com> Subject: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Sunday, November 2, 2008, 10:52 PM
I am looking for a medical site where I can spend a week providing medical care during christmas week 12/20 to 12/27. I am planning on going with my family. Any suggestionS?
there is a small town on the Baja called Mulaje that has a clinic run by volunteer physician. If you are interested I will try to get a contact number for you. contact rotary international and there is a clinic on the island of Roatan off the coast of Honduras that always needs help. email me if interested. CAthy
--- On Fri, 11/7/08, ER PA <erpa911@...> wrote:
From: ER PA <erpa911@...> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups.com Date: Friday, November 7, 2008, 4:37 PM
thank you harmony
--- On Thu, 11/6/08, Harmony Johnson <hamster11996@ yahoo.com> wrote:
From: Harmony Johnson <hamster11996@ yahoo.com> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Thursday, November 6, 2008, 11:00 AM
I would check out www.cfhi.org (Tropical medicine on the coast of mexico)
--- On Sun, 11/2/08, erpa911 <erpa911@yahoo. com> wrote:
From: erpa911 <erpa911@yahoo. com> Subject: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Sunday, November 2, 2008, 10:52 PM
I am looking for a medical site where I can spend a week providing medical care during christmas week 12/20 to 12/27. I am planning on going with my family. Any suggestionS?
--- On Thu, 11/6/08, Harmony Johnson <hamster11996@...> wrote:
From: Harmony Johnson <hamster11996@...> Subject: Re: [PAGH] looking for a mission site To: PAGH@yahoogroups.com Date: Thursday, November 6, 2008, 11:00 AM
I would check out www.cfhi.org (Tropical medicine on the coast of mexico)
--- On Sun, 11/2/08, erpa911 <erpa911@yahoo. com> wrote:
From: erpa911 <erpa911@yahoo. com> Subject: [PAGH] looking for a mission site To: PAGH@yahoogroups. com Date: Sunday, November 2, 2008, 10:52 PM
I am looking for a medical site where I can spend a week providing medical care during christmas week 12/20 to 12/27. I am planning on going with my family. Any suggestionS?
I went on a trip with CFHI, and although it was a good trip, it
was 100% comprised of students and was really geared toward an educational
experience where students shadowed or observed practicing clinicians. Most of
the students, at that, were pre-med (2 were PA students) and had no clinical or
medical experience. Although this was a great opportunity for students, it
meant that actual clinical work was *extremely* limited. Checking blood
pressure was considered a big clinical opportunity. Again-it was a good
experience, but I would not recommend CFHI for a practicing clinician looking
to actually do some “work”
I’m not sure about the dates, but peaceworkmedical.com often
does short trips and is PA run
Travis
_________________________
Travis Sherer, PA-C
Director, Health Equity Project
www.healthequityproject.org
travis_sherer@...
_________________________
From:
PAGH@yahoogroups.com [mailto:PAGH@yahoogroups.com] On Behalf Of Harmony
Johnson Sent: Thursday, November 06, 2008 2:00 PM To: PAGH@yahoogroups.com Subject: Re: [PAGH] looking for a mission site
I would check out www.cfhi.org
(Tropical medicine on the coast of mexico)
From: erpa911
<erpa911@...>
Subject: [PAGH] looking for a mission site
To: PAGH@yahoogroups.com
Date: Sunday, November 2, 2008, 10:52 PM
I am looking for a medical
site where I can spend a week providing
medical care during christmas week 12/20 to 12/27. I am planning on
going with my family. Any suggestionS?
From: erpa911 <erpa911@...> Subject: [PAGH] looking for a mission site To: PAGH@yahoogroups.com Date: Sunday, November 2, 2008, 10:52 PM
I am looking for a medical site where I can spend a week providing medical care during christmas week 12/20 to 12/27. I am planning on going with my family. Any suggestionS?
I am looking for a medical site where I can spend a week providing
medical care during christmas week 12/20 to 12/27. I am planning on
going with my family. Any suggestionS?
Can go to mexico, costa rica or other site
Thanks for pointing this out - my sincerest apologies for your being omitted from the email list! We'll make sure you get on the email list immediately, and confirm that we have the other award winners updated as well.
Your contributions to this organization continue to be much appreciated!
Thank you again, Liz Crawford Treasurer
Sandy Hoyman <shoyman@...> wrote:
I will do that. However, I was told that all
AAPA humanitarian award winners would get a complimentary membership. Since I have not received any of these perks I can only assume that I am not a member. Not a matter of the cost , just consistency. Sandy Hoyman
----- Original Message ---- From: Harmony <hamster11996@yahoo.com> To: PAGH@yahoogroups.com Sent: Tuesday, October 14, 2008 8:21:34 PM Subject: [PAGH] PAGH membership
If you are not a member of PAGH go to our website (posted above) and join! Become a part of our network and meet other globally minded and experienced PAs! Only members recieve our monthly emails which includes PAGH announcements and global news, volunteer opportunities, and disease of the
month article. THanks for your interest!
I will do that. However, I was told that all AAPA humanitarian award winners would get a complimentary membership. Since I have not received any of these perks I can only assume that I am not a member. Not a matter of the cost , just consistency. Sandy Hoyman
----- Original Message ---- From: Harmony <hamster11996@...> To: PAGH@yahoogroups.com Sent: Tuesday, October 14, 2008 8:21:34 PM Subject: [PAGH] PAGH membership
If you are not a member of PAGH go to our website (posted above) and join! Become a part of our network and meet other globally minded and experienced PAs! Only members recieve our monthly emails which includes PAGH announcements and global news, volunteer opportunities, and disease of the month article. THanks for your interest!
If you are not a member of PAGH go to our website (posted above) and
join! Become a part of our network and meet other globally minded and
experienced PAs! Only members recieve our monthly emails which includes
PAGH announcements and global news, volunteer opportunities, and
disease of the month article.
THanks for your interest!
Harmony this is a great topic. In fact I have submitted a possible presentation for the next year conference.
In the most recent aapa journal there was an article on muslim and cultural beliefs.
cyril
--- On Tue, 10/14/08, Harmony <hamster11996@...> wrote:
From: Harmony <hamster11996@...> Subject: [PAGH] Cultural beliefs and your patient population To: PAGH@yahoogroups.com Date: Tuesday, October 14, 2008, 8:00 AM
Last month in our monthly email Sandy Hoar in his "Words of Wisdom from the Feild" article began a discussion about cultural beliefs and its influence on patient care. He states " The more familiar you are with a community's belief system and using simple terms and ideas to match a patient's understanding the easier it is to form a healing partnership with the patient. "
I'd like to invite everyone to discuss this topic and present examples.
What I'd like you all to think about is:
How does a provider go about learning about patient beliefs?
How do you provide culturally competent care?
Are there different cultural beliefs and medical beliefs between different ethnicities within the states?
how do you deal with time restraints, resource restraints and still provide education to your patients?
I have a particular interest in culturally competent healthcare as this is what my Masters Thesis topic was about. One example I like to point to is a Hispanic American patient whom I treated. He hand CML and needed to take Gleevac but the medicine was expensive and he said he did not "feel sick". He was spanish speaking and a migrant worker. When I tried to explain to him in spanish that he had too many WBCs. He did not understand. Spanish has a word for cells- globulos, but this patient did not know that his blood was made up of cells. So I in very basic language I explained the microanatomy. And used the term globulos of which he had never heard before but I explained they were things he could not see. I used examples from his environment. I also explained that he would not feel sick until the blood "clogged" up his body and El cuerpo (the body) would lose strength from making too many globulos. He understood and took the Gleevac- once
we found him assistance. This example may be more exemplary of socio-economic and educational differences rather than culture.
Another similar example related to Hispanics is that there is a principal called "respecto" in Hispanic culture that may not be present in Anglo American culture. Hispanic patients feel that a doctor/PA is someone in a position of authority and our judgement should not be questions. (How many of your patients question your judgement in your work in the states? - Its more acceptable to speak up in American culture!) So if a Hispanic patient is not taking the medication prescribed- they may not tell you because they don't want to disobey or disagree. So I always try to ask all patients if my treatment plan is something they can do or not.
Post your thoughts and experiences on this topic! Be looking for similar topics on the PAGH Yahoo!Groups site in the future.
Last month in our monthly email Sandy Hoar in his "Words of Wisdom from the Feild" article began a discussion about cultural beliefs and its influence on patient care. He states " The more familiar you are with a community's belief system and using simple terms and ideas to match a patient's understanding the easier it is to form a healing partnership with the patient. "
I'd like to invite everyone to discuss this topic and present examples.
What I'd like you all to think about is:
How does a provider go about learning about patient beliefs?
How do you provide culturally competent care?
Are there different cultural beliefs and medical beliefs between different ethnicities within the states?
how do you deal with time restraints, resource restraints and still provide education to your patients?
I have a particular interest in culturally competent healthcare as this is what my Masters Thesis topic was about. One example I like to point to is a Hispanic American patient whom I treated. He hand CML and needed to take Gleevac but the medicine was expensive and he said he did not "feel sick". He was spanish speaking and a migrant worker. When I tried to explain to him in spanish that he had too many WBCs. He did not understand. Spanish has a word for cells- globulos, but this patient did not know that his blood was made up of cells. So I in very basic language I explained the microanatomy. And used the term globulos of which he had never heard before but I explained they were things he could not see. I used examples from his environment. I also explained that he would not feel sick until the blood "clogged" up his body and El cuerpo (the body) would lose strength from making too many globulos. He understood and took the Gleevac- once we found him assistance. This example may be more exemplary of socio-economic and educational differences rather than culture.
Another similar example related to Hispanics is that there is a principal called "respecto" in Hispanic culture that may not be present in Anglo American culture. Hispanic patients feel that a doctor/PA is someone in a position of authority and our judgement should not be questions. (How many of your patients question your judgement in your work in the states? - Its more acceptable to speak up in American culture!) So if a Hispanic patient is not taking the medication prescribed- they may not tell you because they don't want to disobey or disagree. So I always try to ask all patients if my treatment plan is something they can do or not.
Post your thoughts and experiences on this topic! Be looking for similar topics on the PAGH Yahoo!Groups site in the future.
Harmony Johnson PA-C, MMS , President Physician Assistants for Global Health, harmoniousness@...
"One person can change the world and everyone should try" JFK