Diversity - ANS-the condition of having or being composed of differing elements
Microaggressions - ANS-commonplace, subtle, and often automatic "put downs" and
insults directed at (black americans)
- more than just blacks now
-nearly invisible until brought up
3 types - ANS-Microassault: most likely conscious/ deliberate
- "old fashioned"
Microinsult: communications that convey rudeness/insensitivity that demean a person's
identity
-most likely unconscious
Microinvalidation: communications that exclude, negate, or nullify the
psychological thoughts, feelings or experiential reality of a person
-often invisible to majority group
-unconscious
Examples:
1) people of color won't understand explanations of what's wrong with them and you are
surprised
2)poor people bring about their healthcare problems. surprised that one poor patient
doesn't smoke
3) when a person of color calls a (white) doctor that you respect "racist" and you dismiss
it.
4) little to no representation of "diversity" on staff to patient of minority groups - ANS-1)
microinsult
2)microinsult
3)microinvalidation
4) microassault?
Implicit Bias - ANS-if we make decisions or take actions based upon assumptions or
biases, we are implicit;y biased
-likely unaware
, contradict our stated beliefs
-thoughts
-grounded in the human tendency to divide people into groups
Examples of Implicit Bias - ANS-1) the women entering the hospital room is a nurse
instead of a doctor because of her sex
2) you will have to teach an older adult how to use tech products therefore, you don't
use it in therapy as you do with the younger patients
3) someone that is overweight/ obese won't exercise therefore, you don't give them a
home program
Explicit Bias - ANS--expressed directly
-aware/ operates consciously
Ex) sign in the window of an apartment build-" we don't rent to"
Implicit Bias - ANS-- expressed indirectly
- unaware of bias/ operates subconsciously
Ex)a property manager doing more criminal background checks on an African American
than a whites
PT Examples of Implicit bias - ANS-Implicit: unknowingly provide different treatments to
people with the same diagnosis/ injury
Explicit: refuse to treat certain races/ethnicities
Cultural - ANS-the integrated patterns of human behavior that include thoughts,
communications, actions, beliefs, actions, beliefs, customs as well as institutions of
raciall, ethnic, religious or social groups
Cultural Competence - ANS-cultural differences are accepted and respected. there is
continuous expansion of cultural knowledge, and resources and services are
continuously adapted. there is constant vigilance regarding the dynamic of cultural
differences
five essential elements of cultural competence: - ANS-1. value diversity
2. have the capacity
3. be conscious of the dynamic inherent when the cultures interact
4. institutionalize cultural knowledge
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