Cultural Care Models, Transcultural Assessment, Genetics, and Health Disparities Flashcards

Comprehensive vocabulary flashcards covering cultural care modalities, Parse's human becoming theory, transcultural assessment, genetics/genomics, biocultural variations, and Healthy People 2030 SDOH domains from the lecture notes.

Cultural Care Preservation/Maintenance

Supporting a beneficial or neutral cultural practice, such as facilitating a safe spiritual practice that is important to the patient.

Cultural Care Accommodation/Negotiation

Adapting or negotiating care so cultural preferences and therapeutic goals can coexist, such as adjusting the timing of care or meals when clinically safe.

Cultural Care Repatterning/Restructuring

Collaboratively modifying a harmful practice while respecting its cultural meaning to find a safer alternative rather than simply prohibiting it.

Meaning (Parse's Framework)

A major concept in Parse's framework where humans construct personal realities through their unique choices and possibilities.

Rhythmicity (Parse's Framework)

Human-universe patterns of relating, which include paired patterns such as revealing-concealing, enabling-limiting, and connecting-separating.

Transcendence (Parse's Framework)

A major concept in Parse's framework describing how humans continually change and move toward possibilities, hopes, and dreams.

Bearing Witness

A nursing action that demonstrates human dignity by listening, being present, and staying with the patient.

Nurses and Shalom

A holistic framework of care requiring nurses to provide food with love and kindness, water with peace, truth, justice, and love, clothing with human dignity, shelter with a caring heart, and nursing for the body, mind, and spirit.

Subjective Data

Data collected during the health history consisting of the patient's report, story, and self-reported background.

Objective Data

Data collected during the physical examination consisting of observed or measured physical findings.

Open-Ended Question

An interview question designed to encourage narrative or fuller descriptions, especially useful at the beginning of an interview or when exploring symptoms.

Closed-Ended Question

An interview question used to obtain, narrow, or confirm specific information after the patient's general narrative is established.

Genetics

The study of inherited characteristics.

Genomics

The study of the interrelationship of genes and their influence on growth, development, and health.

Genome

An organism's complete set of DNA.

Epigenetics

The study of how gene expression is influenced by factors such as environment, obesity, or medications.

Pharmacogenomics

The study of inherited and acquired genetic variation in medication response.

Cultural Competence

An approach to healthcare that emphasizes knowledge and skills regarding specific cultural practices and groups.

Cultural Humility

An ongoing commitment to self-reflection, openness, and learning from the patient rather than claiming mastery of another person's culture.

SCN5A Allele Y1102

A genetic variation associated with arrhythmias in Black populations (present in $13\%$ of Blacks and $19\%$ of West Africans/Caribbeans, and not identified in Whites or Asians).

Tegretol (carbamazepine)

A medication highlighted in genetic screening for drug sensitivity, noted to potentially cause different reactions in people of Asian descent.

Factor V Leiden

An autosomal dominant condition associated with increased thromboembolism risk (including with hormone replacement therapy), occurring most commonly in U.S./European White populations, Jordan, and Lebanon.

Tay-Sachs Disease

An enzyme deficiency condition highlighted in Ashkenazi Jewish populations where infants appear normal at birth and subsequently develop progressive neurodegenerative disease.

Alpha-Thalassemia

A genetic condition highlighted in Southeast Asian, Middle Eastern, and Mediterranean populations that may cause poor growth, jaundice, fatigue, and dyspnea.

Sickle Cell Disease

A recessive inherited condition highlighted in African, Mediterranean, Middle Eastern, Indian, Caribbean, and South American populations that can present with swelling, pain, or sepsis if not identified early.

BRCA1 and BRCA2

Genes associated with increased risk of breast cancer, highlighted in Ashkenazi Jewish women, requiring counseling and genetic testing for first-degree relatives.

Ancestry

A lineage and genomic background concept that provides more precise biomedical information than broad social or clinical race/ethnicity categories.

Population-Health Measures

The five measures listed to evaluate group health: life expectancy, morbidity/mortality, access to healthcare, health behaviors, and disability.

Determinants of Health

The three broad categories influencing health outcomes: social, environmental, and genetic determinants.

Medication Documentation Requirements

The four required details collected during medication assessment: name, dose, route, and schedule.

Economic Stability (Healthy People 2030)

An SDOH domain aimed at helping people earn steady incomes to meet health needs, encompassing employment, income, expenses, debt, medical bills, and hunger/food deserts.

Education Access and Quality (Healthy People 2030)

An SDOH domain aimed at increasing educational opportunities and academic success, encompassing literacy, language, early childhood education, vocational training, and higher education.

Social and Community Context (Healthy People 2030)

An SDOH domain aimed at increasing social and community support, encompassing stress, safety, support systems, community engagement, culture, and faith traditions.

Healthcare Access and Quality (Healthy People 2030)

An SDOH domain aimed at increasing access to comprehensive, high-quality healthcare, encompassing health coverage, provider availability, provider cultural competency, quality of care, and disease prevention.

Neighborhood and Built Environment (Healthy People 2030)

An SDOH domain aimed at creating health-promoting environments, encompassing housing, transportation, safety, parks/playgrounds, water quality, pollution, and walkability.

Health-Disparity Population

A group experiencing significant disparities in disease incidence/prevalence, morbidity/mortality, survival rates, or in healthcare quality, outcomes, access, cost, and satisfaction.

African American Infant Mortality Disparity

A specific health disparity where African American infants are $1.5\text{ to }3$ times more likely to die.

Gender Mortality Disparities

Disparities showing men are $4$ times more likely to die from suicide and $2\text{ to }3$ times more likely to die in motor vehicle accidents.