Speaker: Amparo Gonzalez, MPH, RN, CDE, FAADE
Culturally Relevant Diabetes Management in Latinos
Webinar Description: Multicultural societies exist worldwide, and culture can greatly impact the success of self-managed treatment plans. Diabetes management requires that people engage in multiple healthy behaviors that are shaped by an individual’s culture, and culturally appropriate diabetes care requires practitioners to have competencies in specific areas of cultural knowledge. Amparo Gonzalez, MPH, RN, CDE, FAADE presents on culturally relevant diabetes care for the Latino population.
How to Use a Medical Interpreter
More than 25 million people living in the US define their English proficiency as "less than very well"- Census data 2010
This population has decreased access to healthcare and has an increased risk of adverse effects.
The Civil Rights Act mandates that interpreter services be provided to patients with Limited English Proficiency (LEP).
Tips when using an interpreter
- clinician should address the patient directly
- the interpreter should sit next or slightly behind the patient
- statement should be short
- discussion limited to 3 major points
- the interpreter may serve as a cultural liaison
Phone interpretation or the use of bilingual staff members as an alternate when professional interpreter is not available.
A Physician’s Practical Guide to Culturally Competent Care
Certification Commission for Healthcare Interpreters
Cross Cultural Health Care Program
How to Communicate Effectively Through Interpreters: A Guide for Leaders
National Board of Certification for Medical Interpreters
National Council on Interpreting in Health Care
National Standards for Culturally and Linguistically Appropriate Services in Health Care
Registry of Interpreters for the Deaf
Telephone Interpreter Services (fee-based)
CyraCom Language Solutions: http://www.cyracom.com
Speaker: Paul Stang, PhD
Health Literacy and Numeracy in Diabetes
Webinar Description: Low health literacy and numeracy are common and are associated with poor health outcomes across chronic disease states. In diabetes, health literacy and numeracy are related to diabetes knowledge, self-efficacy, self-care behaviors, and glucose control. Health literacy and numeracy are important to diabetes self-care behaviors, which include glucose monitoring, healthy eating, and taking medication.
Questions and Answers
Are there more materials like your metformin slide that help present information more clearly and in a positive manner?
That is work that my team is doing, and that approach has been used in a number of risk communication projects. Our idea was to customize the message based on real data that you may have available to you if you work in a large system that can produce that type of data.
What advice do you have for ground level physicians while managing people with diabetes on a daily basis?
Patients need patience. All of the communication skills that I outlined require just as much practice and attention as any other medical skills, but may actually have a bigger impact. The ‘teachback method’ seems to be the most useful to clinicians, but it will take time and energy. Maybe you can engage others to help or link to resources in the community that have something to offer your patients as well. Keep expectations realistic and congratulate on even small, incremental steps.
People are often overwhelmed when they are first told they have diabetes. They are overwhelmed with the diagnosis and the amount of learning that needs to done. How do we put a positive spin on it?
First, I think you need to recognize that they will not nearly grasp everything in the first visit. You will need to break the information and the goals down into smaller pieces and provide them with just the material for each visit. Most people I have spoken to have found videos of other patients talking about their own experience to be the most helpful. Many of these videos can be found by searching on YouTube or diabetes education sites. You should view them first to make sure that the information is consistent with the messages that you want to convey. Your main goal is to turn that surprise/fear into commitment and action.
Can you please include the website you referenced with health literacy and numeracy assessment tools?
The following white paper from the American Association of Diabetes Educators has links in it: https://www.diabeteseducator.org/docs/default-source/legacy-docs/_resources/pdf/research/aade_health_literacy_and_numeracy_white_paper_final.pdf?sfvrsn=2
Speaker: Mohamed Hassanein MB CHB, FRCP, FRCP, MPhil
Diabetes and Ramadan fasting; a challenge or an opportunity
Webinar Description: Considered one of the Five Pillars of Islam, Ramadan is the ninth month of the Islamic calendar that is observed by Muslims as a time of fasting. Muslims with diabetes may be exempted from fasting during this period, but many choose to fast. Patients should be assessed beforehand, as dawn to dusk fasting could put them at risk for hypoglycemia, hyperglycemia, and dehydration. How can care best be individualized to meet the needs of this patient during this critical period?