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Pernell’s Community Conceptual

Model

Presented by
Faith Vaughn RN, BSN, MSN

Overview of The Model  .

and group interventions  Can guide data collection  Valuable resource for the study of cultural practices .  Guide the development of assessment tools. Relevance of the Model to Community/Aggregate Population Care  Relevant for all health care providers. in a diverse environmental contexts. planning strategies. and educators.

Definition of the Concepts  Global society: Includes the ability for people to travel around the world and to interact with diverse societies  Community: Is a group of people having a common interest or identity and living in a specified locality  Family: Is two or more people who are emotionally involved with each other  Person: Is a bio-psychosociocultural human being who is constantly adapting .

Relationship of the Major Concepts  Family roles and organization: can affect health care decisions  Economic and political conditions: may affect one’s reason for migration  Education: is usually interrelated with employment choices  Sociopolitical and socioeconomic conditions: influence individual behavioral responses to health and illness .

and has limited knowledge of its link with asthma . he has been coughing and wheezing every time he gets a cold.  He was diagnosed with mild persistent asthma. and albuterol 2-4 puffs as needed for asthma symptoms and prior to exercise.  Both parents revealed smoking 1-2 packs of cigarettes a day x 2yrs. The physician ordered Flovent 44mcg 2 puffs BID. She c/o her son having a bothersome persistent dry cough for the past 3 months. (increase to 4 puffs BID in yellow zones X2 weeks). accompanied by her parents. Application/Scenario  A teenage mother brings her 3 year old son to the clinic. Within the past year.

Purnell’s Model for Cultural Competence  Communication  Family roles and organization  Education  High-risk behaviors  Health care practices  Health care practitioners .

Objectives Clinician can utilize communication skills to:  Identify family concerns  Improve teaching effectiveness  Promote patient self-confidence .

ethnic. and socioeconomic background  The asthma regimen needed  The families ability to implement the plan. Disparity Considerations Work with each family to develop an action plan that takes into consideration:  The families cultural. physically. socially and economically  The families high-risk behaviors that may sabotage the plan .

asking parent/patient to do it with you. Communication Tips for Explaining Asthma  Makeit simple and use pictures of airways  Usethe “fist” example.  Convey the dynamic of open/shut airways .

and the benefits of not smoking  Seek help from primary MD. regarding FDA . Explain role modeling. Emphasize not to share child’s treatment with others  Educational level appropriate to client/family. Emphasize to call 911. if there’s no improvement in wheezing or breathing  Explain the problems associated with smoking and second hand smoking. Interventions  Provide written instructions in client’s preferred language Implement some of their cultural practices into the plan of care  Provide explanations for all Rx and OTC products at family in teaching.

Teachable Moments  Officevisits  Checking in  Rooming  Phone calls  Grocery Store  Health fairs  Mentoring .

Parents can ask…  Does my child need a "quick-relief inhaler" more than TWO TIMES A WEEK?  Does my child wake up at night with asthma more than TWO TIMES A MONTH?  Do we refill the "quick-relief inhaler" more than TWO TIMES A YEAR?  Do I smoke EARLY IN THE MORNING or EVENING?  If yes. the asthma OR SMOKING may not be control .

Transcultural health care: A culturally competent approach.E. L.A. OH: Transcultural C..). B. . A.Washington DC: Veterans Health Association Management Support Office. Associates. Cincinnati. & Paulanka. Davis. References  Association for the Advancement of Health Education.R. Philadelphia: F. J. Cultural Awareness and sensitivity: Guidelines for Health Educators. (1998).  Diversity in the workplace (1996). The process of cultural competence in the delivery of health care services: A culturally competent Model of care (3rd ed. (1999).  Campinha-Bacote.  Purnell.