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Published byPrudence Osborne Modified over 9 years ago
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Integrative Approaches LEARN Model & Native American Teachings/Medicine
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LEARN MODEL Most powerful transcultural barriers are different explanatory models of disease/illness Providers must first become aware of their own cultural biases
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Starts in communication … Verbal Non-verbal Handshakes & smiles –Signs of warmth and caring to a Hispanic patient –Indication of frivolity and immaturity to Soviet emigres
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LEARN Model L - Listen with empathy & understanding (active listening)
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LEARN Model L – Listen with empathy & understanding E – Explain your perception of the problem/need
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LEARN Model L – Listen with empathy & understanding E – Explain your perception of the problem/need A – Acknowledge & discuss differences in client/provider perceptions
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LEARN Model L – Listen with empathy & understanding E – Explain your perception of the problem/need A – Acknowledge & discuss differences as well as similarities in client/provider perceptions R – Recommend treatment or action plans
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LEARN Model L – Listen with empathy & understanding E – Explain your perception of the problem/need A – Acknowledge & discuss differences/similarities in client/provider perceptions R – Recommend treatment or action plans N – Negotiate treatment or action plans (Involvement = Action) Berlin & Fowkes (1983); Modified Tafoya & Wirth (1992)
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… the disconnect “Patients ask why they’re ill, and having told them how they became ill, physicians think they’ve answered the question.” Dr Margaret Clark
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… mending/preventing the disconnect … “Because of alternate views of the causative factors of disease, there are also alternative methods of treatment.
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Asian & Latino American Cultures Believe in a humoral concept of disease and treatment Based upon opposition or balance of hot & cold qualities
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What happens to clients?
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Integrating Native American Teaching … to develop effective, culturally relevant approaches to HIV/AIDS treatment, services, case mgt, and prevention programs.
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Smudging & Sacred Smokes To cleanse and purify both the physical and spiritual bodies with smoke from sacred herbs Sage & Cedar Every Nation has its own specific teachings & practices
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Sweat Lodge Ceremony of preparation Means of physical and/or spiritual renewal No fire – hot rocks produce heat & create steamy mist
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Apache Tears Obsidian Smoking Mirror Knives, spearpoints & arrowheads Paul Ortega, Apache Medicine Man Put “sorrow” in stone Once you’ve learned what you needed to know, release it / let it go
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Storytelling Internalization of the meaning of the story Telling elaborating stories as opposed to telling directly … “this is what the story means”
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Talking Circles Provide group members w/ structure and support Help to deal with “pause time” issues 1 st generation responsibilities of “teaching” & “sharing”
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Drumming & Dancing
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Entire cosmos moves in constant rhythm All of life pulses to the cosmic dance Music is a healing force – all living spirits sing
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Drumming & Dancing Drumming & dancing are expressions of: –inter-dependence, –healing, –medicine & –rebalances energy
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Drumming & Dancing Can be a holy act, a religious act or an act of great power
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Sacred Herbs
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Medicine People
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