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Click to preview a selection of cultural competency seminars offered by
               Michael Caudill & InterCultural Advantage
                 www.InterCulturalAdvantage.com
Curanderismo:
                 Latino Folk Medicine
               as a Therapeutic Bridge




                Michael Caudill, MA, RN   2
www.InterCulturalAdvantage.com
Part 1:                  Open the door
       Approach:
 Beginnings & Grounding

         Part 2:
        Threshold:
    Culture & Character

          Part 3:
          Passage:
      Practical Practice

         Part 4:
      New Tools for
       New Paths:
    The Way Forward


  Latino Folk Medicine: Curanderismo             4
www.InterCulturalAdvantage.com
You can learn more about
                                    curanderismo and other
                                  seminars I offer by visiting:

                                 www.InterCulturalAdvantage.com


Latino Folk Medicine: Curanderismo                         5
www.InterCulturalAdvantage.com
12TH Annual IMI Conference on Intercultural Relations
          School of International Service
        American University, Washington DC




    Culture, Therapy & Healing:
     Practicing Competence in
              Calamity
              Michael Caudill, MA, RN
        InterCultural Advantage Consulting
           & Western Carolina University
Culture, Therapy & Healing:
          Practicing Competence in Calamity



          Main ideas:

   Diverse patients affected by
    disasters or extreme stress
    have different needs, strengths,
    expectations, & ways of healing

   We need to extend our care to include community &
    cultural approaches to healing extreme stress


                      www.InterCulturalAdvantage.com   7
Culture, Therapy & Healing:
     Focus on Burundi
         Michael Caudill, MA, RN
   InterCultural Advantage Consulting
Focus on Burundi

         Questions:
   Who are the Burundians?

     Why are they here?

    What are their beliefs?

How can I better communicate?

  What do I need to know to
   provide effective care?



         www.InterCulturalAdvantage.com   9
Folkmoot 2011




Burundi Dancers in Waynesville, NC

         www.InterCulturalAdvantage.com   10
Cultural Competency & the
Latino          Patient




           www.InterCulturalAdvantage.com   11
Cultural Competency and
the Latino Patient: Overview
 Seminar Description
•   Providers & staff develop
    skills needed to deliver
    culturally competent
    health care to Latinos.
 Presentation style
•   Video, lecture, simulation
    s and vignettes build
    essential skills that will
    be used every day.
•   Content can be modified
    to fit training and
    scheduling needs of the
    client.


                     www.InterCulturalAdvantage.com   12
Cultural Competency and
the Latino Patient: Overview
 Seminar objectives:
• Prepare providers for demographic
  changes already underway
• Decrease frustration & dissatisfaction of
  patients & providers
• Increase staff retention

• Better medical outcomes


               www.InterCulturalAdvantage.com   13
Cultural Competency and
the Latino Patient: Overview
 Who will benefit?
•   Physicians
•   Supervisors
•   Nurses
•   CNA's
•   Allied Health Staff
•   Clerical Staff
•   Administrators
•   Firefighters
•   Police & Security
•   EMT's
•   Paramedics


                          www.InterCulturalAdvantage.com   14
Cultural Competency &
the Latino Patient: Overview

             My motivation:
      • Prepare staff & providers for
    demographic changes already underway

   • Decrease frustration, dissatisfaction,
            & misunderstanding

         • Just plain interesting….


              www.InterCulturalAdvantage.com   15
Cultural Competency and
the Latino Patient: Overview
 What is Cultural Competency?
• Cultural Competency is a set of
  behaviors, attitudes and policies that enable
  health care providers to work effectively in
  cross-cultural situations.

• Cultural competency provides staff with the
  tools necessary to provide
  effective, compassionate care for your diverse
  patient population.

                www.InterCulturalAdvantage.com     16
Culture, Communication,
& Health Care

                                           Cultural Awareness
 Culturally competent
  health care requires                               +
  more than just                           Cultural Knowledge
  knowledge about
  various ethnic or                                  +
  cultural groups.                             Cultural Skills

 It is the combination                              +
  of accurate                                Ongoing Learning
  knowledge, attitudes &
  skills, with policies                              =
  supporting their                        Cultural Competence
  application.
             (3)




                   www.InterCulturalAdvantage.com                17
Cultural Competency &
the Latino Patient: Overview
     Module 1:                            Module 4:
     “Why Cultural                         Your Patient's
      Competency?”                         Clinical History

     Module 2:                            Module 5:
         Latino
         Snapshot                 The Culturally Competent
                                       Patient Evaluation

     Module 3:                            Module 6:
 Latino Health Practices          The Culturally Competent
                                        Treatment Plan


                 www.InterCulturalAdvantage.com               18
Cultural Competency &
the Latino Patient: Preview
      Module 1:
    “Why Cultural
     Competency?”

   1.1 Culture,
        Communication,
        & Health Care

   1.2 American Cultural
        Assumptions

   1.3 Why Cultural
        Competency?


                       www.InterCulturalAdvantage.com   19
Cultural Competency &
the Latino Patient: Preview
         Module 1 Learning Objectives:
    At the end of this module you will be able to:

•   Define cultural competence & explain six reasons why it
    is needed.

•   Identify the critical differences between an effective &
    ineffective patient interaction.

•   Describe the roles that culture plays in determining
    health, wellness, & healing.

•   Recognize four American cultural assumptions.

•   Describe the four sequential steps to achieving cultural
    competency.

                     www.InterCulturalAdvantage.com            20
Cultural Competency &
the Latino Patient: Preview
       Module 2:
    Latino Snapshot

   2.1 Latino Snapshot

   2.2 Health Facts

   2.3 Cultural Values




                       www.InterCulturalAdvantage.com   21
Cultural Competency &
the Latino Patient: Preview
          Module 2 Learning Objectives:
    At the end of this module you will be able to:
   Recognize the likely health care consequences of our
    growing Latino population.
   Describe the effect acculturation has on health care.
   Define the “healthy migrant effect”.
   Name the seven major health problems affecting
    Latinos.
   List eight Latino cultural values affecting health care.




                     www.InterCulturalAdvantage.com            22
Cultural Competency &
    the Latino Patient: Preview
          Module 3:
        Latino Health
          Practices
    3.1 Health Attitudes &
         Beliefs

    3.2 Folk Medicine &
         Traditional Healers

    3.3 Communicating Health
         Information




                        www.InterCulturalAdvantage.com   23
Cultural Competency &
the Latino Patient: Preview
          Module 3 Learning Objectives:
    At the end of this module you will be able to:

   Identify the three primary perceived causes of folk
    illnesses.
   Describe two folk illnesses that may be acute
    emergencies.
   Recognize the four types of traditional healers used by
    Latinos.
   List five compelling symptoms that prompt most Latinos
    to seek medical care.
   Identify four cultural values that are critical in teaching
    Latinos about health.

                     www.InterCulturalAdvantage.com          24
Cultural Competency &
    the Latino Patient: Preview
         Module 4:
      The Competent
      Clinical History

    4.1 G-R-E-E-T the Individual

    4.2 Guide the Interview

    4.3 L-I-S-T-E-N for the
         Clinical History




                            www.InterCulturalAdvantage.com   25
Cultural Competency &
the Latino Patient: Review
         Module 4 Learning Objectives:


    At the end of this module you will be able to:


   Use the G-R-E-E-T method for characterizing Latino
    patients.
   Describe the two main difficulties in getting an accurate
    patient history.
   Explain six steps to guiding an interview.
   Use the L-I-S-T-E-N method for obtaining a Latino
    patient's clinical history.


                    www.InterCulturalAdvantage.com          26
Cultural Competency &
    the Latino Patient: Preview
         Module 5:
       The Culturally
          Competent
      Patient Evaluation

    5.1 The Physical Exam

    5.2 Examine your Patient
         with C-A-R-E

    5.3 A C-A-R-E-ful Mental
         Health Evaluation


                       www.InterCulturalAdvantage.com   27
Cultural Competency &
the Latino Patient: Preview
         Module 5 Learning Objectives:

     At the end of this module you will be able to:

   Identify components of a culturally competent physical
    exam.

   Describe the C-A-R-E method for conducting physical
    exams on children, adolescents, adults, & the elderly.

   Describe the C-A-R-E method for conducting a mental
    health evaluation.


                    www.InterCulturalAdvantage.com           28
Cultural Competency &
    the Latino Patient: Preview
         Module 6:
       The Culturally
         Competent
       Treatment Plan

    6.1 Further Tests &
     Negotiating Consent

    6.2 Developing a
        T-R-E-A-T-ment Plan

    6.3 Developing Patient
         Loyalty

                        www.InterCulturalAdvantage.com   29
Cultural Competency &
the Latino Patient: Preview
         Module 6 Learning Objectives:

     At the end of this module you will be able to:
   Identify the roles folk healers play in developing a
    therapeutic plan

   Describe how to use the T-R-E-A-T method for
    negotiating consent

   Describe three ways to build patient confidence

   Name the elements of the effective farewell



                     www.InterCulturalAdvantage.com        30

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Seminar Previews

  • 1. Click to preview a selection of cultural competency seminars offered by Michael Caudill & InterCultural Advantage www.InterCulturalAdvantage.com
  • 2. Curanderismo: Latino Folk Medicine as a Therapeutic Bridge Michael Caudill, MA, RN 2 www.InterCulturalAdvantage.com
  • 3. Part 1: Open the door Approach: Beginnings & Grounding Part 2: Threshold: Culture & Character Part 3: Passage: Practical Practice Part 4: New Tools for New Paths: The Way Forward Latino Folk Medicine: Curanderismo 4 www.InterCulturalAdvantage.com
  • 4. You can learn more about curanderismo and other seminars I offer by visiting: www.InterCulturalAdvantage.com Latino Folk Medicine: Curanderismo 5 www.InterCulturalAdvantage.com
  • 5. 12TH Annual IMI Conference on Intercultural Relations School of International Service American University, Washington DC Culture, Therapy & Healing: Practicing Competence in Calamity Michael Caudill, MA, RN InterCultural Advantage Consulting & Western Carolina University
  • 6. Culture, Therapy & Healing: Practicing Competence in Calamity Main ideas:  Diverse patients affected by disasters or extreme stress have different needs, strengths, expectations, & ways of healing  We need to extend our care to include community & cultural approaches to healing extreme stress www.InterCulturalAdvantage.com 7
  • 7. Culture, Therapy & Healing: Focus on Burundi Michael Caudill, MA, RN InterCultural Advantage Consulting
  • 8. Focus on Burundi Questions: Who are the Burundians? Why are they here? What are their beliefs? How can I better communicate? What do I need to know to provide effective care? www.InterCulturalAdvantage.com 9
  • 9. Folkmoot 2011 Burundi Dancers in Waynesville, NC www.InterCulturalAdvantage.com 10
  • 10. Cultural Competency & the Latino Patient www.InterCulturalAdvantage.com 11
  • 11. Cultural Competency and the Latino Patient: Overview  Seminar Description • Providers & staff develop skills needed to deliver culturally competent health care to Latinos.  Presentation style • Video, lecture, simulation s and vignettes build essential skills that will be used every day. • Content can be modified to fit training and scheduling needs of the client. www.InterCulturalAdvantage.com 12
  • 12. Cultural Competency and the Latino Patient: Overview  Seminar objectives: • Prepare providers for demographic changes already underway • Decrease frustration & dissatisfaction of patients & providers • Increase staff retention • Better medical outcomes www.InterCulturalAdvantage.com 13
  • 13. Cultural Competency and the Latino Patient: Overview  Who will benefit? • Physicians • Supervisors • Nurses • CNA's • Allied Health Staff • Clerical Staff • Administrators • Firefighters • Police & Security • EMT's • Paramedics www.InterCulturalAdvantage.com 14
  • 14. Cultural Competency & the Latino Patient: Overview  My motivation: • Prepare staff & providers for demographic changes already underway • Decrease frustration, dissatisfaction, & misunderstanding • Just plain interesting…. www.InterCulturalAdvantage.com 15
  • 15. Cultural Competency and the Latino Patient: Overview  What is Cultural Competency? • Cultural Competency is a set of behaviors, attitudes and policies that enable health care providers to work effectively in cross-cultural situations. • Cultural competency provides staff with the tools necessary to provide effective, compassionate care for your diverse patient population. www.InterCulturalAdvantage.com 16
  • 16. Culture, Communication, & Health Care Cultural Awareness  Culturally competent health care requires + more than just Cultural Knowledge knowledge about various ethnic or + cultural groups. Cultural Skills  It is the combination + of accurate Ongoing Learning knowledge, attitudes & skills, with policies = supporting their Cultural Competence application. (3) www.InterCulturalAdvantage.com 17
  • 17. Cultural Competency & the Latino Patient: Overview  Module 1:  Module 4: “Why Cultural Your Patient's Competency?” Clinical History  Module 2:  Module 5: Latino Snapshot The Culturally Competent Patient Evaluation  Module 3:  Module 6: Latino Health Practices The Culturally Competent Treatment Plan www.InterCulturalAdvantage.com 18
  • 18. Cultural Competency & the Latino Patient: Preview Module 1: “Why Cultural Competency?”  1.1 Culture, Communication, & Health Care  1.2 American Cultural Assumptions  1.3 Why Cultural Competency? www.InterCulturalAdvantage.com 19
  • 19. Cultural Competency & the Latino Patient: Preview Module 1 Learning Objectives: At the end of this module you will be able to: • Define cultural competence & explain six reasons why it is needed. • Identify the critical differences between an effective & ineffective patient interaction. • Describe the roles that culture plays in determining health, wellness, & healing. • Recognize four American cultural assumptions. • Describe the four sequential steps to achieving cultural competency. www.InterCulturalAdvantage.com 20
  • 20. Cultural Competency & the Latino Patient: Preview Module 2: Latino Snapshot  2.1 Latino Snapshot  2.2 Health Facts  2.3 Cultural Values www.InterCulturalAdvantage.com 21
  • 21. Cultural Competency & the Latino Patient: Preview Module 2 Learning Objectives: At the end of this module you will be able to:  Recognize the likely health care consequences of our growing Latino population.  Describe the effect acculturation has on health care.  Define the “healthy migrant effect”.  Name the seven major health problems affecting Latinos.  List eight Latino cultural values affecting health care. www.InterCulturalAdvantage.com 22
  • 22. Cultural Competency & the Latino Patient: Preview Module 3: Latino Health Practices  3.1 Health Attitudes & Beliefs  3.2 Folk Medicine & Traditional Healers  3.3 Communicating Health Information www.InterCulturalAdvantage.com 23
  • 23. Cultural Competency & the Latino Patient: Preview Module 3 Learning Objectives: At the end of this module you will be able to:  Identify the three primary perceived causes of folk illnesses.  Describe two folk illnesses that may be acute emergencies.  Recognize the four types of traditional healers used by Latinos.  List five compelling symptoms that prompt most Latinos to seek medical care.  Identify four cultural values that are critical in teaching Latinos about health. www.InterCulturalAdvantage.com 24
  • 24. Cultural Competency & the Latino Patient: Preview Module 4: The Competent Clinical History  4.1 G-R-E-E-T the Individual  4.2 Guide the Interview  4.3 L-I-S-T-E-N for the Clinical History www.InterCulturalAdvantage.com 25
  • 25. Cultural Competency & the Latino Patient: Review Module 4 Learning Objectives: At the end of this module you will be able to:  Use the G-R-E-E-T method for characterizing Latino patients.  Describe the two main difficulties in getting an accurate patient history.  Explain six steps to guiding an interview.  Use the L-I-S-T-E-N method for obtaining a Latino patient's clinical history. www.InterCulturalAdvantage.com 26
  • 26. Cultural Competency & the Latino Patient: Preview Module 5: The Culturally Competent Patient Evaluation  5.1 The Physical Exam  5.2 Examine your Patient with C-A-R-E  5.3 A C-A-R-E-ful Mental Health Evaluation www.InterCulturalAdvantage.com 27
  • 27. Cultural Competency & the Latino Patient: Preview Module 5 Learning Objectives: At the end of this module you will be able to:  Identify components of a culturally competent physical exam.  Describe the C-A-R-E method for conducting physical exams on children, adolescents, adults, & the elderly.  Describe the C-A-R-E method for conducting a mental health evaluation. www.InterCulturalAdvantage.com 28
  • 28. Cultural Competency & the Latino Patient: Preview Module 6: The Culturally Competent Treatment Plan  6.1 Further Tests & Negotiating Consent  6.2 Developing a T-R-E-A-T-ment Plan  6.3 Developing Patient Loyalty www.InterCulturalAdvantage.com 29
  • 29. Cultural Competency & the Latino Patient: Preview Module 6 Learning Objectives: At the end of this module you will be able to:  Identify the roles folk healers play in developing a therapeutic plan  Describe how to use the T-R-E-A-T method for negotiating consent  Describe three ways to build patient confidence  Name the elements of the effective farewell www.InterCulturalAdvantage.com 30