The Social Context of Illness: Treating the Whole Person
Exploring the various dimensions of healthcare through Rita's case study, focusing on psychosocial, cultural, and bioanatomical aspects. Reflecting on cultural humility, patient-centered care, and ecosystemic frameworks to enhance patient well-being.
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The Social Context of Illness: Treating the Whole Person Cameron Kiely Froude, PhD LMFT Randall, Reitz, PhD LMFT St. Mary s Family Medicine Residency
Meet Rita What are the critical questions we asked to guide Rita s care?
Please read each of the following statements about Rita and circle the response that best reflects your beliefs or clinical wonderings about this case. Please only circle one response. Don t write your name on this paper, as we would like to maintain your anonymity. 1 2 3 4 A. Is the source of Rita s health complaints: B. Who would have the most to offer Rita in her efforts to improve her health? C. How would you advise Rita s primary care doctor? Mostly Psychosocial / Cultural Purely Purely Mostly Bioanatomical Psychosocial / Cultural Bioanatomical Spiritual leader or healer Behavioral health clinician Physician Family and friends See her more frequently due to the complexity of the case Stop seeing her due to potential liability Continue visits as normal Refer her to a specialist
Reflections Among Us What was predictable about this activity? What was surprising about this activity How do you make sense of the answers? Did the activity inspire thoughts/questions? How do we relate to cultural context in healthcare?
Cultural Humility What does cultural humility look like in practice?
Patient Centered Care How do our patients know we are attending to these dimensions?
Ecosystemic Framework Individuals and systems develop in relation, over time Transactions among individuals, families, and systems What s going on with the individual in the context of all these systems?
Meaning Making Framework Individual meaning making (Park & Folkman, 1997) How would you use these perspectives to inform Rita s care?
Reflections Among Us How do you envision your practice of cultural humility in healthcare? What do you suspect might prevent you from engaging with a culturally humble mindset? Who is part of your cultural humility advocacy network?
