Module 1: Professional Accountability and Prescribing
Which client population do you think has the most stigma?
Stigma is a form of social labeling, which affects one’s social identity and can impact health care delivery. Healthcare providers are not exempt from social constructions that stigmatize certain client populations, so self-awareness and understanding of stigma is important (Engebretson, 2013).
- This is a self-reflection exercise in which you will come to consensus within yourself. A consensus as applied in this activity is a voluntary agreement that you can live with. Consensus does not result from a vote, and in this exercise you must negotiate with yourself and come to a personal agreement.
- Please read the list of client populations. This list is in alphabetical order.
- Prioritize them in order with the client population you believe has the most stigma to the one with the least stigma. Note your rationale in the corresponding column.
|1.||Aboriginal person with alcohol odour.|
|2.||Adolescent using marijuana presenting with STI.|
|3.||Drug dealer with a gunshot wound.|
|4.||Female who has taken benzodiazepines for 15 years.|
|5.||Male with schizophrenia wanting sleep medication.|
|6.||Medical doctor with an addiction to fentanyl.|
|7.||Person with mental disorder and substance abuse.|
|8.||Transgendered person addicted to cocaine.|
|9.||Senior taking temazepam daily for insomnia.|
|10.||Street-involved youth addicted to multiple drugs.|
- Once you have completed this, consider what would happen if a client from each of these populations presented for care in your practice setting.
- How would stigma compromise their access to health care?
- How would you manage a situation requiring a psychoactive prescription for each of them?
- Engebretson, J. & Fred, J. (2013). Understanding stigma in chronic health conditions: Implications for nursing. Journal of the American Association of Nurse Practitioners. doi:10.1111/1745-7599.12009