Hauora Maori Reflection Template

A) Meihana Model 1) Demographics: - Age: 62 - Gender: Female - Iwi: Ngāti Porou - Others present in the consult: Daughter 2) Kaupapa: - Presenting complaint/issue: Patient presents with increasing shortness of breath and fatigue over the past 3 months. - Brief overview of case: A 62-year-old Māori woman with a history of hypertension and type 2 diabetes presents with worsening respiratory symptoms. The consultation explored her current health concerns, family history, and cultural context. 3) Waka Hourua: - Which elements of the Waka Hourua did you explore? (Tinana, Hinengaro, Iwi Katoa, Wairua, Taiao): Explored Tinana (physical health), Hinengaro (mental health), and Wairua (spiritual health). - In what way was this information relevant and how did this influence your history or management plan?: Understanding her physical symptoms (Tinana), the impact on her mental wellbeing (Hinengaro), and her spiritual beliefs (Wairua) helped tailor a holistic management plan. 4) Ngā Hau e Whā: - Which determinants of health did you explore or were most relevant to your patient/their whānau? (Colonisation: Housing, employment, education/financial barriers, Racism: negative experiences in health care/Life, Migration: supports current Marginalisation data for Māori): Explored housing and financial barriers. - How did this influence your history or management plan?: Identified that the patient was struggling to afford her medications and lived in damp housing, which was exacerbating her respiratory symptoms. This influenced the management plan by including a referral to social services for financial assistance and housing support. 5) Ngā Roma Moana (NRM): - What influence have NRM currents had with your patient, their history or been incorporated into their management plan? (Their connectedness to traditional whenua/Their roles and responsibilities? Ahua and role of tikanga to them and their wellbeing): The patient's connection to her marae and involvement in cultural activities were discussed. - Could any of them be utilised to try to positively influence health outcomes now and/or in the future?: Encouraging her to participate in marae activities and connect with her whānau to improve her overall wellbeing. B) Whakatere 1) Management plan: - What was the management plan that emerged from the consultation?: The management plan included medication review, referral to a respiratory specialist, referral to social services, and encouragement to connect with her marae. - Is it aligned with best practice recommendations?: Yes, the plan aligns with best practice guidelines for managing hypertension, diabetes, and respiratory symptoms, while also addressing social determinants of health. - How did the information gathered using Hui Process & Meihana Model influence your plan?: The information gathered through the Hui Process and Meihana Model helped to create a patient-centred plan that considered her cultural context and social needs. 2) Hui Process: - How successful do you think you were with utilising the Hui process?: I believe the Hui process was successful in building rapport and understanding the patient's needs. - What could’ve been improved?: More time could have been allocated to discuss her spiritual beliefs in more detail. - How do you think using the Hui Process may have enhanced the quality of the consultation?: The Hui Process enhanced the quality of the consultation by creating a safe space for the patient to share her concerns and allowing for a more holistic approach to her care. - Do you think that the consultation promoted equity of health outcomes for your patient? If so, how? If not, how could this have been improved?: Yes, the consultation promoted equity by addressing her social determinants of health and providing culturally appropriate care. C) Cultural safety 1) Self reflection: - Reflect and comment on any personal factors or power imbalance that may have influenced this interaction. (Your culture, thoughts, feelings, beliefs, assumptions, language or biases etc.): As a non-Māori GP, I am aware of the potential for power imbalances. I ensured I was respectful of her cultural beliefs and used clear, non-technical language. - What steps did you take, or could you have taken to mitigate any negative impact(s) from these personal factors or any power imbalance?: I actively listened to the patient, acknowledged her cultural values, and involved her daughter in the consultation to ensure understanding and support.