Creating a Culturally Safe Hospital for Indigenous Healthcare

This report examines the resources and services necessary to create a culturally safe hospital environment for Indigenous patients, focusing on a case study of a 58-year-old Aboriginal man with poorly controlled diabetes. It emphasizes the importance of staff education on cultural competence, community engagement to understand specific patient needs, and surveys to identify factors related to disease. The report also highlights the need for comprehensive diabetes management, including dietary recommendations, regular check-ups, and access to necessary vaccinations. Furthermore, it advocates for home care facilities to provide personalized support, medication management, and continuous monitoring, ensuring better patient outcomes and culturally sensitive care. The availability of skilled nursing staff and advanced medical technologies is also crucial for addressing emergency situations and promoting effective communication with patients.

Indigenous health and wellbeing

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Table of Contents
Introduction................................................................................................................................2
Staff education........................................................................................................................2
Survey of all the factors related to disease.............................................................................2
Community engagement.........................................................................................................3
Home care facility..................................................................................................................3
Conclusion..................................................................................................................................5
References..................................................................................................................................6

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Introduction
In this report a case study of 58 year old aboriginal man with poorly controlled
diabetes has been considered. In which four appropriate services and resources that should
be present in hospital to keep the environment culturally safe is discussed.
Staff education
Working with community feedback and survey data, the hospital or care system
educates staff on the importance of cultural competence and the particular cultural needs of
patients that staff interacts with each day. The cultural environment can be maintained by a
proper care will be provided to the patient suffering from diabetes, it is necessary that
hospital should have a highly skilled nursing staff. The nurse’s staff should be well educated
so that no proper insulin is applied and they understand all the hospital regarding setting. A
part from a plan regarding prevention protocol is designed that helps in dealing with all the
medical records. Apart from that a specialist team need t designed so that they can deal with
all the critical and emergency cases. Nurses should have a friendly behaviour so that they
could understand the problem of the patients and take a proper decision1. It is necessary to
plan an appropriate discharge plans and self-management of diabetes guidelines should be
provided. Thus guidelines are designed to help the patients so that a proper role is followed
by the nurses. A healthy communication with the patients helps in better understanding of all
the abnormalities. The staffs at the hospital are the many components that help in betterment
of the health. If the nurses are well educated it will be easy for the patient to communicate
their problem as well as establishing better treatment goals. They promote self-management
strategy in the hospital among patient to develop physical skills and self-monitoring skills2.
Thus if nurses are educated the environment of office would be maintained by keeping the
culture safe and maintaining the hospital environment.
Survey of all the factors related to disease
The hospital or health care system communicates survey findings to community
members and determines priorities. This information serves as the basis for staff education. In
this report the analyses is done for the patient suffering from diabetes thus high blood
1 Salas-Salvadó, Jordi, et al. "Prevention of diabetes with Mediterranean diets: a subgroup analysis of
a randomized trial.(" Annals of internal medicine 160,2014)
2 American Diabetes Association. "Standards of medical care in diabetes—2015 abridged for primary
care providers." (Clinical diabetes: a publication of the American Diabetes Association33.2 2015)

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pressure can damage the blood vessels. It is important in a hospital that tools and advanced
machines are used to control the concern of people so that no worse damage occurs. The
proper control heck regarding all the measures that might impact the diabetes of a person is
checked3. A proper healthy diet is recommended for patients suffering from diabetes as it
reduce the fat and balances the impact of insulin. The hospital should have a proper place
where all the nutritious food as well as activity related to controlling blood pressure as well as
cholesterol. The hospital should have a facility regarding regular check-ups so that all the
complications related to diabetes are analysed. Diabetes of a person is affected by blood
pressure, cholesterol level as well as other factors. Thus hospital management should keep
track of all the factors so that it does not cause any future damage. Thus it is important to
control such factors so that body do not respond in terms of other factors. The hospital should
also have an area to exercise so that it controls the balance of various factors. Thus hospital
not only focuses on the medication facility but they offer ways to lose weight and remain fit.
Community engagement
It is generally recommended that a god hospital should have all the medication facility
in the premises itself.4. Considering the case of diabetes there are few basic vaccines that
need to be kept up to date to assure the illness does not become sever. The hospital should
have availability of flu vaccine, pneumonia vaccine, hepatitis B vaccine and all the other
vaccines that are necessary. Flu vaccine is a yearly flu that helps patients to stay healthy and
also prevent the chances of serious complications. Apart from that diabetes is mostly seen
among people of age above 65 thus pneumonia vaccine is required to deal with the
emergency condition. It helps patients in recovering from diabetes in one shot. Apart from
that mostly Hepatitis B vaccine is recommended for adults to stay up to date with technology.
The hospital should have all the technologies that need for the recovery of patients health.
While treating patient of diabetes they require various subcutaneous insulin treatment thus
hospital should have all the tools and technology that is required ta the time of
treatment5.Thus to assure that hospital in urban area will be culturally safe for the disease
there should be availability of all the necessary medications so that in case of emergency
3 Koivusalo, Saila B., et al. "Gestational diabetes mellitus can be prevented by lifestyle intervention:
the Finnish Gestational Diabetes Prevention Study (RADIEL): a randomized controlled trial.
(" Diabetes Care 39.1 2016)
4 Koivusalo, Saila B., et al. "Gestational diabetes mellitus can be prevented by lifestyle intervention:
the Finnish Gestational Diabetes Prevention Study (RADIEL): a randomized controlled trial.
(" Diabetes Care 39.1 2016)
5 Kim, Catherine, et al. "Response to Letter to the Editor:“Androgens, Irregular Menses, and Risk of
Diabetes and Coronary Artery Calcification in the Diabetes Prevention Program”." (The Journal of
Clinical Endocrinology & Metabolism 103.5 2018)

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situations could be handled. If hospital have all the experts and tools to deal with every
situation then patients gets comfortable due to the best supervision.
Home care facility
The hospital should offer home care nurses facility to offer unique opportunity to
patients. It helps in recording all the inventory of patients by offering them proper medication
facility. Home care facility helps in providing better support system and can also deliver
service at cost-effective. It also offer better healing to patients and offer better comfort with
making sure that recovery would be faster6. If a hospital has home care facility available it
would make things easy as it offers individualised service that offer better care needs. It is
also easy for patient’s family as well as friends. Home care nurses directly take the
responsibility and liability of the patients by providing them care7. Home care facilities make
sure that there would be control on patient for twenty four hours. The high technology tool
makes the work easy as they allow nurses to access the patients at home. A proper medication
management can also be done at home which removes the efforts of family members and also
offer flexibility to patient8.
6 Coppola, Adriana, et al. (The role of patient education in the prevention and management of type 2
diabetes: an overview." Endocrine 53.1 2016)
7 Rubin, Daniel J. "Hospital readmission of patients with diabetes.( Current diabetes reports 15.4
2015)
8 Fox, Caroline S., et al. (Update on prevention of cardiovascular disease in adults with type 2
diabetes mellitus in light of recent evidence: a scientific statement from the American Heart
Association and the American Diabetes Association." Circulation 132.8 2015)

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Conclusion
It can be concluded that hospital should have a skilled nursing facility, availability of the
medication facility, providing home care facility and also make sure that blood pressure and other
factors are maintained.

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References
American Diabetes Association. "14. (Diabetes Care in the Hospital: Standards of Medical
Care in Diabetes—2018." Diabetes care 41.Supplement 1 2018)
Coppola, Adriana, et al. (The role of patient education in the prevention and management of
type 2 diabetes: an overview." Endocrine 53.1 2016)
Fox, Caroline S., et al. (Update on prevention of cardiovascular disease in adults with type 2
diabetes mellitus in light of recent evidence: a scientific statement from the American Heart
Association and the American Diabetes Association." Circulation 132.8 2015)
Kim, Catherine, et al. "Response to Letter to the Editor:“Androgens, Irregular Menses, and
Risk of Diabetes and Coronary Artery Calcification in the Diabetes Prevention Program”.
(The Journal of Clinical Endocrinology & Metabolism 103.5 2018)
Koivusalo, Saila B., et al. "Gestational diabetes mellitus can be prevented by lifestyle
intervention: the Finnish Gestational Diabetes Prevention Study (RADIEL): a randomized
controlled trial.(" Diabetes Care 39.1 2016)
Rubin, Daniel J. "Hospital readmission of patients with diabetes.( Current diabetes
reports 15.4 2015)
Salas-Salvadó, Jordi, et al. "Prevention of diabetes with Mediterranean diets: a subgroup
analysis of a randomized trial.(" Annals of internal medicine 160,2014)