Cross cultural aspect

Here are some suggestions for the physiotherapist to overcome communication problems and conduct a body balance assessment with a patient who is provocative or aggressive:

De-escalation Techniques:

• –  Maintain a calm and professional demeanour, even if provoked. Avoid mirroring the patient’s aggression.
• –  Practice active listening skills, acknowledging the patient’s emotions and concerns without judgment.
• –  Validate their frustration but reiterate the importance of a calm environment for the assessment.
• –  Clearly and calmly set boundaries regarding acceptable behaviour. Explain how their behaviour hinders the assessment.

Communication Strategies:

• – Use clear and concise language, avoiding medical jargon. Repeat key information if needed.
• –  Keep the focus on the objective of the body balance assessment and its benefits for their health.
• – When possible, offer the patient choices to regain some sense of control, e.g., choosing the order of exercises.

Anticipating and Recognizing Temper Tantrums:

• –  Be mindful of the patient’s nonverbal cues. Watch for clenched fists, increased muscle tension, or changes in facial expressions.
• –  Listen for rising voice tones, threats, or insults as potential indicators of an impending outburst.

Handling Temper Tantrums:

• –  If a tantrum occurs, calmly explain that you cannot continue the assessment unless they can regain composure. Offer to reschedule.
• –  Suggest a short break to allow the patient to calm down in a private space, if available.
• –  If the situation escalates, seek help from a colleague or security personnel to ensure your own safety and the safety of the patient.

Communicating with a Low-Educated Patient:

• –  Use simple, short sentences with familiar words. Avoid complex medical terminology.
• –  Repeat key information in different ways to ensure understanding.
• –  Encourage the patient to ask questions and provide feedback throughout the assessment.

Cultural Considerations (Hungarian Context):

• – Hungarians can be both indirect and direct in communication. Listen for underlying concerns and use open-ended questions to encourage elaboration. However, directness can also be effective when setting boundaries.
• –  Hungarians value respect. Address the patient with a polite title (Úr/Asszony + last name) and maintain a respectful tone.

By following these tips, the physiotherapist can create a less confrontational environment and potentially complete the body balance assessment. Remember, remaining calm, setting boundaries, and using clear communication are crucial for managing a provocative or aggressive patient.

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?