Indigenous Health - Section 2

While providing care to the patient, it is important for the health professional to assess the history of the patient. The history of the patient will include all the details regarding the psychological, cultural and social aspects of the patient. The ethical principle states that the health professional should formulate the health management plan of the individual after keeping in account the history of the individual. It is important for the health professional to conduct physical examinations and investigation wherein necessary in order to ensure that no cultural and social aspect of the indigenous individual is neglected while providing them with healthcare (Ribeiro et al., 2017)|. A health professional while delivering health care services is ought to first recognize and then respect the rights of the patient in order to ensure that ethical decisions are taken. For example, an indigenous may have experienced depression, substance abuse or suicidal ideations in past. In this case, it may become important for the health professional to do video monitoring of the individual while providing them with appropriate health care services. Another example can be, the individual may have undergone extreme surgeries and illness in past, in this case as well the medication given to the individual should be prescribed considering the reactions of it on the patient.

While making decisions regarding access to care, it is the responsibility of the health professional to provide care to the patient irrespective of the gender, class and race of the individual. It is the ethical responsibility of the health professional that he provides care that is free from discrimination and bias (Cerón et al., 2016). Along with this, it is the ethical responsibility of the practitioner to ensure that legitimate care is provided to all the patients and no prejudice is done keeping in account the racial or gender differences between the individuals. For example, it has been noticed that health professionals tend to say no for providing health care to the indigenous people because they have different social and moral values as compared to the health practitioner (O’Donohue, 2020). However, it should be duty of the health professional to provide access to care to the individuals irrespective of these differences.

The ethical code of conduct also encourages the health professional to maintain its professional behavior while providing health care services to the patients. It is the duty of the health professional to respect the cultural and social boundaries of the community to which the patient belongs while providing care (Francis-Cracknell et al., 2019). For example, the health professional should not say anything to the patient that hurts his religious or cultural sentiments.

Indigenous Health - Section 3

It is the duty of the health professional to provide good patient care. One of the important aspects of good patient care is effective communication. It becomes important for the health professional to communicate effectively while encountering patients of different culture. Health professional needs to be culturally competent in order to effectively address the cultural needs of the patient (Forsyth et al., 2020). According to the LEARN model, in order to develop respectful partnerships in diverse communities, the practitioner first needs to learn, explain, acknowledge, recommend and then negotiate while conducting cross cultural communication with the patients.

It becomes important for the health professional to listen to the needs of the individual patiently and under his/her expectations from the care in order to build a relationship of humility and trust with the patient. The health professional may also explain his own perceptions regarding the concept of care and also regarding the current health status of the individual (Kerrigan et al., 2020). However, it becomes important for the health professional to acknowledge the difference between his and the patient’s views and try to conclude with a positive agreement. After acknowledging, the health professional may propose an effective treatment plan for the patient and negotiate well so that the developed plan fits in with the perceptions and cultural values of the patient. All of these steps can help the health professional in developing respectful partnerships while working with patients from diverse communities.

In order to avoid cultural generalizations and conflict, it becomes important for the health professional to understand the cultural and social beliefs of the patient while developing systems of care. By implementing effective communication and acknowledgement to the beliefs of the patient, a health professional can promote cultural safety at work.

References for Ethical Principles for Psychologists

Cerón, A., Ruano, A. L., Sánchez, S., Chew, A. S., Díaz, D., Hernández, A., & Flores, W. (2016). Abuse and discrimination towards indigenous people in public health care facilities: experiences from rural Guatemala. International journal for equity in health15(1), 1-7.

Forsyth, C., Short, S., Gilroy, J., Tennant, M., & Irving, M. (2020). An Indigenous cultural competence model for dentistry education. British Dental Journal228(9), 719-725.

Francis-Cracknell, A., Murray, M., Palermo, C., Atkinson, P., Gilby, R., & Adams, K. (2019). Indigenous health curriculum and health professional learners: a systematic review. Medical teacher41(5), 525-531.

Kerrigan, V., Lewis, N., Cass, A., Hefler, M., & Ralph, A. P. (2020). “How can I do more?” Cultural awareness training for hospital-based healthcare providers working with high Aboriginal caseload. BMC Medical Education20, 1-11.

O’Donohue, W. (2020). Criticisms of the Ethical principles for psychologists and code of conduct. Ethics & Behavior30(4), 275-293.

Ribeiro, A. A., Arantes, C. I. S., Gualda, D. M. R., & Rossi, L. A. (2017). Historical and cultural aspects of the provision of care at an indigenous healthcare service facility. Ciência & Saúde Coletiva22, 2003-2012.

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