1. a. Using current statistical information, discuss the inequality between Indigenous and non-Indigenous mortality rates in Australia?
b. Discuss the factors that influence Indigenous mortality. Include the following in your discussion?
Historical and cultural influences such as ‘stolen generation’, self determination
2. a. Discuss effective communication strategies a nurse would use in a client admission interview. In your answer, consider effective verbal and non-verbal communication and the use of empathy?
b. Explain the adjustments a nurse would make to their communication strategies with an Indigenous client?
3. Discuss the strategies that could be implemented to acknowledge this cultural difference in time when trying to organise health appointments for a group of people who followed Koori time?
1. a. In this topic we have to discuss the inequality between indigenous and non-indigenous mortality rates in Australia. Let us discuss this inequality step by step given below:
Indigenous mortality rate for neoplasm’s, Diabetes, Ischaemic Heart, Strokes, Respiratory ,Digestive and External causes are more than the non-indigenous mortality rate for neoplasm’s, Diabetes, Ischaemic Heart, Strokes, Respiratory ,Digestive and External causes respectively. Following diagram gives the comparison in terms of numbers and graph.
b. Here, we have to discuss some factors which influence indigenous mortality. Some social factors are responsible for the indigenous health. There are some external causes which impact on indigenous health. These causes include transport accidents, accidental falls, accidental poisoning, assault, intentional self arm or suicide etc. From the data given for all deaths, about 6.2% of registered deaths are due to external causes. The median age for these types of death is given as 56 years. The percentage for deaths due to transport accidents is given as 1.1%. Also there are some historical and cultural influences such as stolen generation and self determination is responsible for the indigenous health. It has been observed that there are some genetic reasons which are responsible for the indigenous health. Also due to some cultural influences, the impact on the indigenous health or mortality rate is observed according to the given data.
2. a. A nurse should use the following effective communication strategies use in a client admission interview:
Use language that is easily understood.
Sharing personal information is important.
Do not expect about all information about client regarding families, culture and local history.
Asking direct questions is important for data collection.
Be sensitive while collecting information.
b. A nurse should adjust the some situations for the effective communication while collecting the information about the client. She should be polite and sensitive while gathering data regarding the client. Identification of the mentality and other factors about the client is important. Do not ask the questions which will not be answered. Avoid asking some factors which will very sensitive in terms of social situation.
3. Here, we have to discuss the strategies that could be implemented to acknowledge the cultural difference in time. In some cultures, there is a social pressure on some individuals which affects the mortality rates. For example, the pressure was put on the mother by older relatives who claimed regarding milk meant for her baby. There are some social frustrations which are indirectly responsible for the overall mortality rate and social health. The statistical data also shows this difference in terms of number of deaths. There are changes over time for the variation in the cultural difference for the group of people who followed the Koori time.
- Australian Bureau of Statistics (2013) LEADING CAUSES OF ABORIGINAL AND TORRES STRAIT ISLANDER DEATHS
- Australian Government, Department of Health and Ageing, (2013) The Australian Indigenous HealthInfoNet: The Context of Indigenous Health
- Australian Council for Safety and Quality in Health Care (n.d.). Sharing the True Stories, Improving communication in Indigenous health care: guidelines for health staff
- School of Social Sciences, Flinders University, South Australia, O'Brien, G. and Plooij, D. (1973) Nelson, H.(ed.)(1995)