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Patient-Centered Care for Native Patients
Implications for Clinical Practice for Asian Americans and Pacific Islanders
American Indians and Alaska Natives (AI/AN) form a heterogeneous population with varying sub-tribes; thus, different cultures, religious and spiritual beliefs, traditional practices, art forms, languages, and history (Mendoza, 2015).
The differing culture requires the development of the health outcomes with the patient and their family to meet the ideals cultural conceptualization of care for the patient and their family.
The process of defining the problem and the desired health outcomes is used as a foundation for the development of a rapport with the patient.
Informing the patient about their role in the treatment process is critical to ensure it is aligned to their beliefs and conceptualization of the disorder.
The involvement of the patients family in the treatment process is critical in creating awareness of the past traumas and how they were dealt with.
The involvement of the patients family also enables the clinician...
linician to track the history of the family.
The generation of Asians is a critical predictor of the extent of the trauma that has been in the family and informs the clinician on the suitable treatment strategy.
Taking into consideration the cultural attributes while selecting the most suitable treatment strategy is critical to establish confidence in patients.
Taking inventory of the resources at the exposure of the patient is my favorite point since established areas of the treatment plan where the patient can exercise self-agency in the management of their treatment.
Implications for American Indians and Alaska Natives (AI/AN).
The exploration of the cultural identity, ethnicity, and the extent to which an individual follows the cultural values is essential to build a holistic understanding of the patients body-mind-spirit concept (Vigil et al., 2021).
Learning the patients listening skills is essential to create an environment that is suitable for the patients self-disclosure.
The etiology of the patient should involve extensive inquisition on the history of the family to establish if they witnessed colonization, genocide, or social injustices that were witnessed by AI/AN.
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References
Mendoza, J. (2015). ative Americans: Cultural Diversity, Health Issues and Challenges (Focus on Civilizations and Cultures). Nova Science Pub Inc.
Vigil, D., Sinaii, N., & Karp, B. (2021). American Indian and Alaska Native Enrollment in Clinical Studies in the National Institutes of Health's Intramural Research Program. Ethics & Human Research, 43(3), 2-9. https://doi.org/10.1002/eahr.500090
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