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Culturally Responsive Assessment

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Culturally Responsive Assessment Questions: 1.Describe the applicant’s Physiotherapist ability to plan and implement an efficient, effective, culturally responsive and client centred physiotherapy assessment and treatment, with relevance to their working environment. 2.Please comment on applicants Physiotherapist ability to deal effectively with conflict, manage their own physical and mental health resilience, advocate for their patients and the profession, and their commit ment to professional development.   Answers: Culturally responsive assessment and treatment with an inclusion of client-centered care ensures attention to the cultural and social factors during physiotherapy session. Firstly, as a physiotherapist, I need to develop non-verbal communication skills like greetings, handshakes, simple gestures and small talk to engage the clients in the assessment and treatment program. This would help me to build rapport with the client drawing their attention towards the presenting program. LEARN model can be used to overcome cultural and communication barriers for successful physiotherapy session. L-listen, E-explain, A-acknowledge, R-recommend and N-negotiate for cross-cultural healthcare practice. In this context, cross-cultural communication needs to be improved by me using plain and simple language for conversation. Drawing or graphics can be displayed and I should provide little amount of information at a time so that client can understand assessment and treatment process. Moreover, teach-back method can help to explain the client in nonthreatening way explaining or showing what they have understood. In case, if I face communication barrier, an interpreter can be hired highlighting the culturally responsive behaviors during the interview. Secondly, clients need to be familiarized with the procedures of assessment and treatment. For this, I need to be culturally responsive as they are new to treatment language. In my physiotherapy session, I need to reflect not only my own culture, but also takes client’s cultural beliefs into consideration engaging them relevant to cultural safety. Thirdly, clients are unfamiliar with the assessment and treatment planning and ways to participate in it. Collaboration can be encouraged by emphasizing on input and interpretations of clients through client feedback. This can be helpful for me in interpreting results and identifying the cultural issues that may affect evaluation of my clients. Fourthly, there should be integration of culturally relevant information in my physiotherapy session so that I can understand my clients and identify their strengths and challenges. In the fifth step, for assessment and treatment, I need to gather culturally relevant information regarding patient past medical history, cultural identity, practices that shape their health beliefs. I need to make the assessment appropriate aligning with the cultural ways of the client so that they feel secured and included. Motivational interviewing is a method that helps to prepare clients from diverse backgrounds in making them engaged in the physiotherapy session. Client-centered and non-conformational approach helps to create a welcoming relationship. Cultural competence is required, as I need to be aware of the responses of how culture shapes beliefs and attitude of clients belonging to diverse backgrounds. By undertaking these steps, I can help to inculcate culturally appropriate and client-centered approach to assessment and treatment.   In physiotherapy, I witnessed that conflicts may arise where services are provided to people with complex needs. If case of conflict, a proactive approach is required for managing it. Effective interpersonal communication skills can help to resolve conflict that can arise during physiotherapy session. Negative interaction is the major reason for conflict and therefore, it is important for me to take time from the situation so that I calm down and help myself to prepare for discussing the issue. Effective listening and speaking skills can help to overcome major roadblock in communication. For this, I allow the client to share their feelings or concerns and accurately express their thoughts. Active listening skills also ensure that client is being heard and respected. In this way, I can resolve conflict by understanding what my client wants. I adapt many strategies to bolster my mental and physical resilience. I have to interact with people with varying challenging needs and that might affect their ability to deal with adversity and discomfort. For this, I try to pump up their positivity by reflecting and appreciating their positive experiences wherever and whenever it occurs. This makes them to be optimally positive and uplift their confidence. I also appreciate kindness from others whenever they receive, as gratitude helps them gain resilience mentally. For physical resilience, I maintain a regular routine of hygienic habits and good health so that I develop the ability to solve problems and respond to them. I also spend time outdoors and socialize with others as it helps me to combat depression and anxiety. In my physiotherapy profession, I promote advocacy within my scope of practice by ensuring that every client has appropriate access to physiotherapy services as I have a commitment towards my profession as a part of professional life or entry-to-practice. Attributes like communication, collaboration, management, scholarly practice, perseverance, passion and humility are viewed as excellent skills for advocacy. Moreover, these attributes help me to understand competence in advocacy for my clients as well as in my professional development. In this way, I can be successful in advocating for my clients and effective in changing the physiotherapy landscape.

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