The following is a recent submission I made for my Management class this semester (for those that don’t know I’m going back to school online to get my Doctorate in Physical Therapy (PT)).  Even if you are not a PT, I think you can relate.  For me, it makes me ask myself:  What are my preconceived ideas, or boxes, that prevent me from fully relating to those I am serving and working with? How can I more effectively relate, understand, and know them? The methods for you may be different, but I hope it encourages you to think about how you relate to others.  We don’t all approach things the same way, but we can, with effort, still effectively communicate, relate and appreciate one another.

I will never forget my first medical mission trip.  One of our first patients had a recent musculoskeletal injury with significant pain and inflammation. Confidently, I recommended the use of ice, Advil, and a few simple exercises. The treatment recommendations were correct, but I missed something important.  We were working in a village in Mexico.  My patient did not have a refrigerator, let alone electricity.

Since then, I have worked in a variety of settings in the US and around the world, sometimes with access to modern technology, and other times having nothing more than a log to sit on. Through these experiences I have discovered something.  I am still tempted to stay in my preconceived boxes. I must consciously think not only about what will help the patient, but will they be able to do it. If not, the best treatment plan is like the ice in Mexico, an effective, but inaccessible option for the patient.

Here are some things I try to consider in working with my patients and family members:

1.  Cultural background (Remember, even in the same cultures there are differences.)

2.  Living/home situation

3.  Family support

4.  Ability to read and write (English or other language?)

5.  Lifestyle and values

6.  Family resources (Financial, time, support systems, etc.)

7.  Communication style (Not only words, but also body language – mine and theirs)

Here are some resources I have found helpful:

1. Stories on how culture impacts patient care – http://inmed.us/news.asp

2.   Foreign to Familiar is an easy to read book on the differences between warm and cold cultures.

3. Resources for creating simple toys, assistive devices, and more with local materials, plus resources for working with children with visual or auditory deficits – Hesperian Health Guides

What experiences do you have?  What resources or tools have used with your patients and their families?