Case Study: Cultural Safety and Awareness in the Care of

this is a conversation between a dr and a patient. Sorry to keep you waiting. It’s been a busy day today. Alright James, I haven’t seen you before but I can see that you have seen another doctor here. Can I just check you are still taking the antidepressant and period? I see that Dr Kelly prescribed you period last time. Have you been taking that? Are you still getting heartburn? Yeah. So the period isn’t helping? Are you taking it at night after dinner? Taking what? The period for your heartburn. No. So when do you take it? I don’t know. But sorry, did you say you’re still taking it? I don’t take anything. Okay, so can I just have your arm? Thanks. I was just taking your blood pressure. See this part, it goes around your arm, it goes up tight so that the machine can measure the pressure in your arteries. It is a bit uncomfortable, but it’s not for long, only a minute and then it stops. We can try it a bit later. So what brings you here today? Mum brought me in. She said I get too angry. I’ve been getting angry at her and all that. And sometimes… Sometimes you lose your temper? Yeah. I see your antidepressant dosage hasn’t changed in years. Are you still seeing Dr Mackay? Who is that? The psychiatrist. I don’t know. I used to see the other doctor. But I can’t… Get you anymore. Auntie used to drive me, but she can’t anymore. I have to take the bus, but I got lost and my stomach hurts. I’m going to get you to do a blood test. Can you manage that? Because of my pressure? No, this is just to see how your thyroid is going. When did your auntie stop driving you? Okay, so I want to see you again. after you get the blood test done but I want you to start taking the period every day it’s best to take it with your evening meal can you do that? Okay Use supporting evidenced based academic references published after January 2022, to address the following. 1. Describe the interaction in the video and identify your key concerns. Support your discussion with evidenced based academic references published after January 2022. 2. Discuss two strategies to promote shared decision making and person-centred care using specific examples from the video. Support your discussion with evidenced based academic references published after January 2022. 3. Discuss the impact that this interaction could have on James’ specific chronic health condition. Support your discussion with evidenced based academic references published after January 2022. Evidenced based academic references include journal articles, textbooks, consensus statements, clinical tools and reports relevant to the case study topic published after January 2022.

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