CCHP FINAL STUDY GUIDE SOLVED CORRECTLY!!

intermediate health literacy - ️️indicates skills necessary to perform moderately challenging literacy activities (~53%) national assessment of adult literacy (NAAL) results - ️️higher health literacy in: - women - white and asian/pacific islander - adults who spoke only english before starting school - those with higher education lower health literacy: - hispanics - 65 years - adults at poverty level key words in the definition of culture - ️️accepted or familiar stages of health communication model - ️️1. planning and strategy development 2. developing & pretesting concepts, messages, & materials 3. implementing the program 4. assessing effectiveness & making refinements paralanguage - ️️language without the words proxemics - ️️perception and use of interpersonal and personal space nonverbal communication - ️️communication using body movements, gestures, and facial expressions rather than speech concepts representative of all cultures - ️️- paralanguage - proxemics - nonverbal communication - cultural knowledge comes from dialogue CLAS standards (definition) - ️️national standards for providing culturally & linguistically appropriate services in health care what are the CLAS standards - ️️- provide language assistance services - individual must be made aware that services are available - competent providing language assistance - health related material in patient's preferred languagehistorical perspectives - ️️- misunderstanding & mistrust lead to conflict - people label those of another nation as one thing - individuals within cultures need to be viewed as wholes and made of their own diverse parts below basic health literacy - ️️indicates no more than the most simple & concrete literacy skills (~14%) basic health literacy - ️️indicates skills necessary to perform simple & everyday literacy activities (~22%) proficient health literacy - ️️indicates skills necessary to perform more complex and challenging literacy activities (~12%) majority of population has what health literacy level? - ️️intermediate (53%) health outcomes from low health literacy - ️️- increased use of emergency care & hospitalizations - lower instance of preventative services - poorer skills in taking medications - poorer interpretation of labels - more likely to suffer from depression - poorer health status among elderly - higher all-cause mortality in elderly ageism - ️️negative stereotype and discrimination based on age ethnogeriatrics - ️️healthcare for older adults from diverse ethnic backgrounds intersections of the studies of aging, ethnicity, and health LGBT youths health issues - ️️depression, family rejection, suicide, substance abuse, homelessness, prostitution, truancy lesbian & bisexual women health issues - ️️reproductive cancer, less likely to receive regular care, inadequate by providers, obesity and heart disease gay & bisexual men health issues - ️️HIV/AIDS, STIs, substance use & abuse, stress, eating disorders transgender health issues - ️️lack of access to healthcare, attempted suicide, high unemployment, risks from injection silicone uses (ISU), risks from illegally acquired sex hormonesracially & ethnically diverse communities health issues - ️️subjected to racism & stigma, limited access to healthcare, low SES, cultural factors, legislation LGBT survey (Massachusetts) results - ️️- LGBT health less than heterosexuals - worse outcomes for trans - lesbians less likely to have routine pap - legally married same sex couples were more likely to obtain health insurance through their spouse's employer than non-legally same sex couples laws on public health problems - ️️- school entry vaccination laws - smoking bands or restrictions - child safety belt laws - fluoridation of community water supplies legislative branch - ️️enacts laws - congress executive - ️️enforces laws - president, agencies judicial - ️️interprets laws in resolving disputes - court system utilitarianism - ️️to act as to produce the best for the largest number of people reasons why policies & practices may further disadvantage marginalized populations - ️️the persons charged with creating the policy and executing practice may not necessarily understand the experiences & beliefs of marginalized populations "why more hospitals should prioritize cultural competency" article - ️️practice 1 - be creative about addressing language barriers practice 2 - be responsive to mental health challenges practice 3 - be more mindful of stereotypes "the Hearthstone" strategies for different cultures - ️️- staff shared about cultures once a month to residents (cultural food, customs, dress, & life) - celebrate holidays of different cultures ways "Thrive" serves seniors and their communities - ️️provides critical thinking questions to address and see where your institution is lacking and then they provide tools to address and improve those areas you are lacking in cultural competency wise