¶ … Australia, indigenous people recognize themselves as belonging to Aboriginal or Torres Strait Islander or by descent, and also identified as the same by the society. A resistance has been observed in them to access hospitals for healthcare. Therefore, healthcare professionals need to plan, implement and maintain appropriate policies for their treatment. Also, cross-cultural awareness training should be given to paediatric hospital staff. (Munns & Shields, 2013, p. 22)
How would you support Rianna and her family in this situation?
The poor health status of Aboriginal and Torres Strait Islander Australians is well documented, and has been the subject of official policy and program attention for many years. The mainstream health system has responded to increased funding and clear portfolio responsibility, with increasing attention to the burden of illness that Aboriginal people experience and the need for effective health care (Dwyer et al., 2014). I would thus make arrangement for proper treatment of Rianna and for her aunt's stay with her. I would utilise four elements of PDSA (Plan-Do-Study-Act) cycle, generated by Edward Shewhart, for the treatment, i.e. (i) P -- plan the change to be tried; (ii) D -- implementing the planned changes; (iii) S -- study or critically analyse the result of the change applied, briefing the result found; and (iv) A -- adjust the plan accordingly, scheduling the next phase and implanting and observing the fluctuations. I would also instruct the liaison officer to make sure they continue the treatment and does not think about DAMA (Discharge against medical advice) (Durey et al., 2012, p. 147).
2- Discuss the challenges that you see within this scenario and how would you deal with them in your clinical context?
As mentioned earlier, the building rapport process prior to medical examinations is the most critical task. Thus, a culturally respectful conversation is most apt for understanding the patient's medical history and present health condition. I would be respectful when discussing the prior treatment of Rianna otherwise it might hurt her beliefs. Before physical examination, I would explain the need to touch her, and why and where and would allow her aunty Kalinda to be by her side so that she is comfortable while undergoing treatment. Language proves to be another barrier, thus, as Rianna is not old enough, I would explain the diagnosis and cause of her illness to her aunty in a simple language with the help of visual aids. I would also ask Rianna about certain choices, if available, of oral...
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