Narith Pich& Chanta Chan

Narith Pich& Chanta Chan

1. Addressing trauma

   • Care
     • Screening
       • Depression
       • PTSD
       • Substance abuse
       • risky behavioe
     • consider questionnaires
     • nonjudgmental
   • Contain
     • model healthy, safe relationshops
     • limit history
   • Care
     • demonstrate compassion
     • de-stigmatize coping mechanisms
     • share supportive messages
   • Cope
     • counter negative self messages
     • emphasize resiliency
     • listen for patient's own wisdom

2. Cultural barriers

   • More likely to be....
     • employed
     • impoverished
     • w/o HS diploma
       • poor English literacy
     • living in multigenerational household
     • have a Ph.D
   • legal status/laws
   • Transition --> depression
   • Acculturation
     • intergenerational familal pressures

3. Assessing health literacy

   • Rapid Estimate of Adult's Literacy (REALM)
   • Test of Functional Health Literacy (TOFHLA)
   • Newest Vital Sign
   • Single-item, self-reported screening question
   • Screening NOT recommended

4. Khmer Rouge

   • Pol Pot
   • Genocide
     • 1.7 - 2.2 milion dead
   • Communism
     • Abolish private property
     • No religion
     • No currency
   • legacy of isolation

5. Medication interactions of anti-HTN and antimalarials

   • Nausea/vomiting
   • diarrhea
   • headache