Cultural Safety in Healthcare for Aboriginal and Torres Strait Islander People

This case study explores the concept of cultural safety in healthcare for Aboriginal and Torres Strait Islander people. It discusses the impact of colonization, loss of land and culture, and the significance of the Mabo case. The study also provides strategies to ensure effective communication and culturally safe care. It emphasizes the importance of understanding Indigenous Australian culture and history in shaping their interaction with non-Indigenous society.

CASE STUDY

Table of Contents
REFERENCES................................................................................................................................6

SR. QUESTION RESPONSE
1 Briefly discuss Rheumatic Heart
Disease and the cause, including
factors that may have led to Shakira
contracting the disease.
 Identify and explain two social
determinants of health that may
have made Shakira more susceptible
to the disease.
 Explain how one of these
determinants may have affected
Shakira’s family’s decision- making
around her care.
 Include the standard treatment
required
 Include relevant Indigenous
statistics for RHD compared to the
mainstream population(Price 2017).
Rheumatic heart disease is a situation as per this
the heart valves are permanently damaged by the
fever which is associated with the rheumatic fever.
This is caused by the rheumatic fever. This is a
inflammatory disease which affect various
connective tissue. There are such organ are heart,
joint and brain.
 Income level and food insecurity and
inaccessibility of the nutritious food
choices.
 As per this, Shakira is from low income
level family and this create hindrance in
their treatment and this change the decision
making of family.
 Need surgery to replace the damaged
valves.
 At December 2017 there are 4255 people
living with RHD recorded in state and 87
percent were indigenous Australian such as
3687 diagnose.
2 Explain how you will provide
culturally safe care as an Enrolled
Nurse by defining and giving one
example of the following terms:
(a) Cultural awareness
(b) Cultural sensitivity
 Cultural awareness provide the organic
behaviour in term of disease and this
usually help health care team to provide
their best outcome.
 The cultural sensitivity is use to defined as
the raise conflict.
3 By acknowledging the impact of
events and issues throughout the
history of Australian and Torres
As per this mental and physical health is use in
such a way which help them to know more and
more. There are various function which is stated in
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Strait islander people it helps the
Enrolled Nurse gain insight into the
current physical, mental, social,
economic and political situations
affecting Australian and Torres
Strait islander people and their
engagement with community
services and health systems.
the Australian and Torres Strait islander. As per
this, the quality of health and quality of healthcare
is used to provide in this.
3A Use this link to complete your
research:
https://www.legislation.gov.au/Deta
ils/C2012C00258 In your own
words briefly explain the objectives
of The Aboriginal and Torres Strait
Islander Act 2005.
The main objective of this is to provide the quality
of health and quality of health care to the people of
Aboriginal and Torres Strait Islander.
3B Considering the health generally of
Aboriginal and/or Torres Strait
Islander people, provide an
explanation in your own words of
the significance of one of the
following and briefly explain how
they may be affecting the day to day
health and wellbeing of these
people (Kerr 2017).
(a) The impact of European
settlement/colonisation
(b) Loss of land and culture
(c) Kinship/skin system
(d) Mabo case/ Terra Nullius
(e) Forced removal of children
 The most immediate consequence of
colonisation which is create the wave of
epidemic disease which include small pox,
measles and influenza. The spread ahead of
the frontier and create the indigenous
communities.
 For number of people which is related with
the all aspect of existence such as culture,
spirituality, language, law and identity.
 The aboriginal Australian kinship which is
used to comprise the various system of
aboriginal customary which is used to law
governing social interaction relating to
kinship in traditional aboriginal cultures.
 Mabo v queensland is an vital decision
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(‘Stolen Generations’) which is taken in the high court of
Australia. The decision is notable for the
proprietary right to land in the legal in land.
There is legal form of the ownership which
is known as the native title.
4 Successfully working in partnership
with Australian and Torres Strait
islander people requires effective
communication. Gaining their full
participation by consulting with
them and involving the individual
and at times the community in their
health care decisions is essential to
providing culturally safe nursing
care. Select one of the following
strategies and discuss how this
strategy can assist the Enrolled
Nurse to improve communication
and build a rapport to provide
culturally safe care.
(a) Consultation with community
representatives
(b) Community participation in
decision making
(c) Health clinics built in such a
way that male and female areas are
separate and have separate
entrances. Both male and female
health professionals are present.
(d) Kinship
 This approach is useful in order to nurse for
providing better quality of health.
 This is used to provide the quality of health
while making decision and approach in
order to generate the function which is
important for places.
 As per this, it is necessary for the personal
space. In context with this, they are used to
create number of function for the male and
female prospect.
 This is type of anthropology which is used
in the lives of all human in all societies
which is exact meaning (Leke 2017).
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5 Considering Shakira, briefly discuss
two ways that an Enrolled Nurse
could ensure effective
communication when consulting
with her and her family.
This is usually help shakira for their approach in
the determination of various aspect such as they
used to provide the essential factor such as they
provide quality of health.
6 A culturally safe organisation
consults with Indigenous Australian
community leaders and workers.
Health services should develop
culturally appropriate policies and
procedures that provide direction
for workers dealing with Indigenous
Australian individuals Choose one
of the strategies below and briefly
explain how this would ensure that
Shakira and her family would feel
comfortable accessing the service.
(a) Employing culturally and
linguistically diverse staff
throughout the health organisation.
(b) Choose one accessible resource
related to a Shakira’s health issues
that if available to health employees
would assist.
(c) Displaying Aboriginal or Torres
Strait Islander art and posters that
are clearly visible from the entrance
to the building.
 As per this the employing nature which is
create the spectrum of health belief which
is connected with the organisation, the main
motive of the organisation is to provide
quality of health.
 Shakira facing rheumatic heart disease
which is taking under control by proper
medication and proper caring.
Art and the poster of aboriginal or Torres strait
islander people.
7 By regularly reflecting on situations
you encounter in your work practice
 As per this the indigenous people interact
with non-indigenous people to know the
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you will develop your own cultural
safety practices.
How well do you integrate cultural
safety into your practice as a student
Enrolled Nurse? Briefly discuss one
of the following questions:
(a) Do you understand how
Indigenous Australian culture and
history shapes Indigenous
Australian people’s interaction with
non-Indigenous society?
(b) Do you show you are prepared
to re-shape your own values and
perceptions to accommodate the
needs of Indigenous Australian
individuals and co- workers?
reflect of their culture and as per this, they
try to know the factor and other living
standard which is living by the people.
 As per this, some the art and poster which
is analysed in such a way which show that
that they live in proper traditional method
and follow the ritual of their god and
ancestor.
8 To evaluate the extent to which
cultural safety is integrated in your
own work and in your workplace, it
is a good idea to put yourself in the
shoes of an Aboriginal or Torres
Strait Islander individual.
There is also a traditional conflict between society
and their own workplace due to their religion belief
(Schwartz and et. al., 2017).
8A List two questions an Aboriginal or
Torres Strait Islander may ask
themselves when considering if they
will access the health service
What are the criteria which is usually follow in
term of this?
How many person are affected and how they are
facing issue in health services?
8B List two indicators of a culturally
unsafe service.
Cultural identity and well being of individual.
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REFERENCES
Books and Journals
Price, W.R., 2017. Overcoming the myth of extinction: The path toward heritage rights for the
Tasmanian Aboriginals. Heritage & Society, 10(1), pp.68-90.
Kerr, E.A., 2017. Pierre Trudeau’s White Paper and the Struggle for Aboriginal Rights in
Canada: An Analysis of the Extent to which the White Paper was a Turning Point in the
Struggle for Aboriginal Rights and Land Claims in Canada. The Great Lakes Journal of
Undergraduate History, 5(1), pp.50-61.
Leke, I.J., 2017. Residential Schools and the Productivity of the Aboriginal Population in
Canada: Issues, Intergenerational Impact and Solutions. Intergenerational Impact and
Solutions (December 13, 2017).
Schwartz and et. al., 2017. The Civil and Family Law Needs of Indigenous People Forty Years
After Sackville: The findings of the Indigenous Legal Needs Project. Law and Poverty:
40 Years after the Commission of Inquiry into Poverty.
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