Native Patients Patient Centered Care

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 patient’s family in the treatment process is critical in creating awareness of the past traumas and how they were dealt with.

· The involvement of the patient’s family also enables the clinician 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 patient’s body-mind-spirit concept (Vigil et al., 2021).

· Learning the patient’s listening skills is essential to create an environment that is suitable for the patient’s 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.

· The family should be engaged in the conceptualization of the mental health disorder to identify the cultural and experiential factors that are unique to the family and patient.

· Physicians should explore if there is any dissonance between the patient and their environment and developing strategies to help them get involved in their community to strengthen their sense of self and cultural identity.

· Identification of the environmental factors that might be stressors, such as racism, poverty, discrimination, and challenges with the tribal programs or Indian Health Service.

· The identification of the resources at the disposal of the patient is critical to creating a complementary treatment program.

· The development of the program should establish the possible outcomes and the manner they will impact the patient

· Create suitable strategies to deal with the family if it involves a change in beliefs or lifestyles that are sets them apart from the family.

· Understanding the communication behaviors of the patient was my favorite point since the patient has insight into the boundaries the patient sets and creates a suitable approach to the development of a treatment plan that is respectful to the patient’s culture.

Response to the Cultural and Spiritual Values paragraph:

The consideration of the patient’s cultural and spiritual values in the course of treatment is critical to enables the development of a rapport with the patient and establishes trust. Inquisition of this information also offers insights into the communication behavior of the patient and enables the physician to create an environment that is suitable for the patient’s self-disclosure. Consequently, the patient’s boundaries are respected, and where critical information might need to be revealed, an understanding can be established by explaining why it is necessary in the treatment process.