Cross-cultural aspect

Turkey 

-In Turkey, patients are pleased to be greeted warmly and sincerely when they go to a physiotherapist for a session.

-The physiotherapist must have a positive mindset from the first moment she communicates with the patient, and she makes the patient feel this by reflecting it in her attitudes, behaviors, speech, gestures, and facial expressions. This action will not only help the patient get rid of the depressive state but will also help her overcome any shyness or fear towards the treatment.

-The therapist should warn the patient about the course of the visit, what tests/examinations will be carried out, and for what purpose. Especially if the therapist must touch the patient for the purpose of examination, he/she should warn about this, and the patient must give her consent.

-If the pregnant woman does not come to the physiotherapy session with her husband, there is an expectation that communication will be established and an environment of trust will be created, even if the individual is alone and without family.

There are some practical suggestions for the physiotherapist to overcome communication barriers and ensure respectful physical contact while discussing low back pain with a pregnant patient in

Pre-Consultation:

• –  Offer the option to have a chaperone present during the examination, especially if the patient feels more comfortable.
• –  Provide appropriate draping to ensure the patient feels covered and respected throughout the assessment.
• –  If you are a male physiotherapist, consider offering a female colleague to perform the assessment if the patient expresses discomfort.

During the Consultation:

• –  Use respectful language and address the patient by their preferred title (e.g., Hanım for a woman, followed by her first name).
• –  Pay close attention to the patient’s description of her back pain and any concerns she may have.
• –  Frame the discussion around alleviating pain and improving comfort during pregnancy.
• – Clearly explain the purpose of any physical examination and the areas that may require contact.
• –  Always obtain verbal consent before any physical touch. Explain exactly where and how you will be making contact.
• –  Use a gentle, non-invasive touch when assessing the back or other relevant areas. Focus on essential areas only.
• –  Offer the patient options for positioning that maintains comfort and privacy. For example, they might sit upright or lie on their side with strategically placed pillows.

Cultural Considerations (Turkish Context):

• –  Turkish culture can be indirect in communication. Be patient and allow the patient / client to express herself comfortably.
• –  Physiotherapists are considered healthcare professionals and deserve respect. The patient may initially be hesitant to express discomfort directly. Be encouraging and approachable.
• –  Respecting boundaries of physical contact is particularly important in Turkey. Be mindful of gender and avoid any unnecessary touch.

-In Turkey, patients are pleased to be greeted warmly and sincerely when they go to a physiotherapist for a session. 

-The physiotherapist must have a positive mindset from the first moment he communicates with the patient, and he makes the patient feel this by reflecting it in his attitudes, behaviours, speech, gestures, and facial expressions. This action will not only help the patient get rid of the depressive state but will also help him overcome any shyness or fear towards the treatment. 

-The therapist should warn the patient about the course of the visit, what tests/examinations will be carried out, and for what purpose. Especially if the therapist must touch the patient for the purpose of examination, he/she should warn about this, and the patient must give his/her consent. 

-If the pregnant woman does not come to the physiotherapy session with her husband, there is an expectation that communication will be established and an environment of trust will be created, even if the individual is alone and without family. 

By following these suggestions, the physiotherapist can create a safe and respectful environment for the patient to discuss her low back pain. Remember, clear communication, informed consent, and sensitive touch are crucial for building trust and promoting successful treatment during pregnancy.

1. What similarities have you noticed in your culture?

2. What differences have you noticed in your culture?

3. What should you pay attention to when caring for a patient with different cultural values?