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CASE 4: Journeying Together—Unlearning is the New Learning
Get PDFImmigration plays an integral part in the development of multiculturalism within Canada, with the majority of immigrants representing visible minority communities. Research shows Canada’s newest settlers are more likely to experience health disparities and inequalities compared to non-indigenous and Canadian-born residents. Research further indicates that the access and quality of health services is commonly compromised when health care and/or service providers do not respond appropriately to language and cultural factors impacting newcomer health. Communities vary in culture, traditions, and language, however, are often grouped together. One approach will not fit all with the cultural and ethnic differences within these communities. Ellie is faced with the challenging task to develop a project curriculum that promotes newcomers’ sense of belonging to the community. This teaching case highlights the importance of intersectionality, addresses stigma, and discusses the need for providers to apply antioppressive and antiracist practices when working with diverse communities. The case introduces strategies that can be employed as living processes by which newcomers may contribute as active stakeholders to the overall culture of learning and community well-being
CASE 10: Lost in Translation: Developing Strategies for Indigenous People who have Cancer, Limited English Proficiency, and Limited Health Literacy
Get PDFStudies have documented that people who have limited health literacy and limited English proficiency often have challenges with all aspects of health care, including difficulties accessing health care, understanding medical information, making treatment decisions, taking prescriptions properly, and communicating with health care workers. People who have limited health literacy often have an overall negative outlook about health care, and they are less likely to seek help from health care providers or health programs, which can negatively affect their overall long-term health and lead to poorer health outcomes than those with high health literacy. The main goals of this case are for the reader to understand limited English proficiency and health literacy in the context of health care for Indigenous populations, and to define and apply strategies to effectively communicate with these populations in a health care setting. This case provides the reader with an array of information regarding Indigenous health issues and perspectives. It gives the reader the opportunity to assess a health care problem and identify the social and cultural determinants of health within it. Through the use of concept mapping, the reader will be pushed to explore the relationships between limited English proficiency, health literacy, and Indigenous knowledge and beliefs in a healthcare setting. It will challenge the reader to think critically about the situation and propose strategic interventions to break down communication barriers
