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Unpigmented, patchy, milky white skin patches that are often symmetric
bilaterally.
No greater prevalence among dark-skinned individuals
Increased risk for pernicious anemia, DM, hyperthyroidism
When using verbal communication with a patient who does not speak your language,
what should you remember to do?
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Avoid slang
Slow down talking pace
Ask to repeat if response was unclear; don't assume
, Be careful about using gestures (may mean something different in their
culture)
Which two ethnic groups have high rates of diabetes mellitus?
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Filipino Americans and Native Americans
What does culturally universal mean?
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Common to all human cultures worldwide (ex: laughing conveys happiness)
What are the 3 Health Belief Systems?
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Scienfitic/biomedical - aka Alopathic medicine. Focuses on the physical or
biological aspects of disease and illness (ex: disease was caused by germs,
virus, smoking, ect.) used by Western countries.
Magico-Religious - belief that disease is a result of some outside force or
when forces are imbalanced (ex: "evil eye")
Holistic or Balance - belief that unbalance causes illness (ex: hot & cold
theory or Yin-Yang theory)
, When should an interpreter be used?
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Pre-op, triage, patient teaching, assessment of patient.
Even if you can speak the same language to patient, interpreters should
still be used, especially in relation to legal issues
Examples of avoided foods
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Judaism: avoiding pork, seafood with scales, meat should not be eaten at
the same meal as a dairy product
Islam: avoiding pork and alcohol
Attitudes towards diverse ("other") groups occur on a continuum ranging from...
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Hate--Contempt--Tolerance--Respect-Celebration
Discrimination
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