Transcript Counseling points on meds in pregnancy

SHARE
SHAPING AWARENESS OF
REPRODUCTIVE EDUCATION
Outline
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What to expect at a SHARE event
Cultural sensitivity and communication
When you are counseling
Culture specific communication
Review all SHARE materials
What to expect at a SHARE event
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Duration: 2-4 hours
Settings: clinics, retail, shelters
Public: underserved populations of various
backgrounds
Attire: what you’d wear to lab, including lab coat
and name badge
Your role: to answer questions mainly focused on, but
not limited to, SHARE topics
Available Materials
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Brochures
 Birth
Control Guide (FDA) and Additional Information
on Birth Control
 STDs
 Medicine and Pregnancy (FDA)
 Pregnancy and Medicine: What is Safe to Use and
What to Avoid
 Flyers about drug use during lactation
 List of Local Clinics
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Pregnancy and Lactation Poster
Free condom samples
Cultural sensitivity and communication
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Use simple words
 Be
careful to avoid medical language and words
related to the body/STDs that might be considered
offensive
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Be aware of your patients’ tone of voice and body
language and mimic them
 In
some cultures, it is rude to look at someone straight in
the eye or to speak very loudly
Cultural sensitivity and communication
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Some people may just want to talk
 This
is also a form of counseling and patient contact
 If you are comfortable with this, they will likely walk
away feeling like you helped them
When you are counseling
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If unsure, please double-check info on your LexiComp/Micromedex
If you do not know how to answer a question, refer
the person to one of the SHARE coordinators or the
precepting Pharmacist
When you are counseling
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Please DO NOT endorse certain medications or
make diagnoses. Only give suggestions:
 “You
may have heartburn, you could try X” instead of
“You have heartburn, X is the best to use”
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Go over the brochures with your patient:
 Explain
what is unclear to him or her
 Point out info relevant to that person (specific
condition/med)
Culture Specific Communication
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American Indian
 Talking
loudly is rude
 Personal space is important and is greater than the one
of European Americans
 Physical contact except shaking hands from strangers is
unacceptable
 A lot of questions may foster mistrust
 Direct eye contact and finger pointing is disrespectful
LPN Notes 2008
Culture Specific Communication
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Arab Heritage
 Shake
hands only with the right hand; men should not
initiate handshake with women and girls
 Pork and alcohol are prohibited by Muslims;
medications should not contain alcohol and gelatin
made out of pork
 Direct eye contact between members of opposite sex is
disrespectful
 May be reluctant to talk about personal information
LPN Notes 2008
Culture Specific Communication
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Asian Heritage
 Direct
eye contact may cause uneasiness
 Avoid unnecessary touching
 Men should not initiate handshake with women and girls
 Patients may seek first traditional or alternative
treatment before accepting Western medicine
 Actions considered disrespectful: discussion of mental
illness, direct eye contact, pointing, touching the head,
placing the feet on desk or table
LPN Notes 2008
Culture Specific Communication
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Mexican Heritage
 May
seek traditional or alternative healers first
 Being overweight is seen as positive
 Avoid direct eye contact with older generation
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Russian Heritage
 Patients
may be standoffish to health-care workers until
trust is established
 Diets are high in fat and sodium
LPN Notes 2008
Summary
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Come to the event prepared – look professional!
Review this presentation
Bringing Lexi-Comp might be helpful
Use your best judgment on how to communicate
with people from other cultures
Next event – Friday, February 26: 1-4 pm
(tentative)
Questions?