For example: It may be culturally inappropriate for a biological mother to administer antibiotics to her young daughter with bronchiectasis, as this may be the responsibility of a biological auntie or grandmother. Family-assisted treatments may also be the responsibility of an extended family member, rather than an immediate next-of-kin. It is important to consider that medical decisions may need to be made in the presence of multiple family members, rather than one next-of-kin – particularly if the patient is a young child. You may be able to ask whom they would like to help make decisions, and who they would like to be present when receiving healthcare information. To ensure that your patients are treated with respect, you should meet with the individual person and ask if you can listen to their family story. Understanding family roles is essential when identifying an appropriate next of kin – this may not be a spouse or immediate family member, but alternatively, an extended family member or community elder. In other cultures the roles are defined through social relationships. In some traditions the roles are determined by matriarchal or patriarchal lineage. The acknowledgement of family roles varies between regions and cultural traditions. If they are unable to provide support, they may be able to recommend an appropriate service. To ensure that you are providing culturally safe and sensitive care, liaise in person with your Aboriginal or Torres Strait Islander healthcare professional and discuss the patient case before proceeding. It may be inappropriate for a healthcare worker to meet with a certain patient or family based upon geographical, traditional or social factors. In many circumstances care is focused towards a particular region or cultural area. When working with an Aboriginal and Torres Strait Islander healthcare professionals, it is vital that the organisation acknowledges the relationship to country of the individual professional. These roles vary in terms of clinical scope, and may include communication assistance, community advocacy and clinical procedural work. These include Aboriginal and Torres Strait Islander Health Workers, Aboriginal and Torres Strait Islander Liaison Officers, Aboriginal and Torres Strait Islander Healthcare Practitioners, and Language Interpreters. There are various roles across acute and community care settings for Aboriginal and Torres Strait Islander Healthcare Professionals.
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