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Diversity in Health Care

and Life

Embracing Diversity of Populations Served: Staff, Residents/Patients, and Families

Presenter: Brenda E. Lewis, LNHA, MSM, CDP, FACHCA

Administrator, Covington Care Center

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America is the Most Diverse Nation in the World

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Why I Care About Diversity

Let me introduce you

to my family & friends.

Photo of Grandmother,

Maude Mae McConnehey,

daughter of Irish Immigrants

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Sister and husband, who is a native of Taiwan

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Son and wife, who is a native of Hong Kong

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Extended Family

Cousin’s son and new wife from the

Philippines

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Spouse’s Family

Sister-in-law, who is a native of Germany

Mother in law, who is of German descent

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Husband’s Extended Family

Brother’s daughter, Erin and her husband, Alexander Telalight, M.D., who is a native of Chechnya

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My Church Members: Include blended families

Hispanic and German Descent celebrating Family events

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Blended Families – living diversity to the fullest

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Embrace Diversity of Fellow Care Givers

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D.O.N. and AdministratorTeam Served inTwo FacilitiesTogether

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Diversity in Colleagues: Nun/AdministratorWho Free Falls & Parachutes from 14,000 Feet for Stress Reduction

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Resource on Diversity

Josepha Campinha-Bacote, PhD, MAR, APRN, BC, CNS, CTN, FAANPresident, Transcultural C.A.R.E. Associates11108 Huntwicke PlaceCincinnati, Ohio 45241

www.transculturalcare.net/ref_health.htm

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Accurately Assess your Resident/Patient

for Greater Satisfaction with Care

Some residents/patients are goal oriented and

physically fit

Some are just hanging in there hoping for magic cure

Get to know your resident/patient to improve satisfaction

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Diversity of Life Stylesincludes Housing,

Resources, & Relationships,

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Diversity in Support Systems

Going it alone!Team that works together

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Resident Support Systems

Functional families are a constructive and

listening part of the team Dysfunctional families are hurting, angry or

absent even in crises times

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Inter Generational Sharing Brings Balance to Life

and Brings Healing

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Diversity in Interests is Great for the Healing Process

Nurture the inner being – spiritual life is enhanced through music

Senior Choir bonds people together and gives purpose

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Diversity in Clinical Diagnoses

TBI - Traumatic Brain Injury

CVA – Cerebral Vascular Accident

MI – Myocardial Infarction

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Diagnoses most common in LTC Admission at

Care and Rehab Centers

CVACancerCardiacDecubitis Ulcer/WoundsDementiaGastro-intestinalGenito-urinaryOrthopedicsOtherRespiratory-Related

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Disability Rating Scale

Total DR Score – measurable levels of disability

0 None 1 Mild 2-3 Partial 4-6 Moderate 7-11 Moderately Severe 12-16 Severe 17-21 Extremely Severe 22-24 Vegetative State 25-29 Extreme Vegetative State

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Rehabilitation Programs for

Diverse Needs

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Persons with Diversity in Physical Function can Still Enjoy Life

Wheel Chair Bound Computer Programmer

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Recognize the Psychological Aspect of Healing

Develop Strategies for coping

Recognizing depression Stages of Grief (Kubler-

Ross) Balancing dependency

with independence Choosing to find

meaning/hope

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Diverse Levels of Mental Functioning

Glasgow Coma Scale: eye opening, verbal responses, motor responses

Ranchos Los Amigos Scale: 0 – 8

After Lunch!

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Dancing can bring Healing too

Learning

To Dance

Again

Recreational Therapy enhances recovery

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Happiness is Being Open to Persons of other Cultures

or life Circumstances