Survival Spanish for Pharmacists Presented by: Myelita Melton, President, SpeakEasy Communications, Inc. 1:30 p.m. - 3:00 p.m., Saturday, October 13, 2007 Anaheim, California
Evaluation # 07-123-P
This program is approved by NCPA for 0.15 CEUs (1.5 contact hours) of continuing education credit. NCPA is approved by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
Educational Objectives
Program: Survival Spanish for Pharmacists Presenter: Myelita Melton, President, SpeakEasy Communications, Inc. Objectives: 1. 2. 3. 4. 5. 6.
Describe the diversity found in the growing US Hispanic population. Identify cultural and socioeconomic differences in Hispanics as they relate to attitudes on healthcare and medication. Explain the importance of homeopathic and herbal remedies in Hispanic culture. Use the Spanish sound system to pronounce words and phrases. Describe the four parts of a Hispanic person’s name to start a client record. Identify major diseases, such as type 2 diabetes, that often affect Hispanic patients.
Introduction
Myelita Melton Please read as written
Myelita (my-LEE-ta) Melton, “America’s Favorite Spanish Teacher,” is a linguist, broadcaster, former TV producer, and the author of over 30 books and CD’s, in SpeakEasy’s Survival Spanish™ series. Many say Myelita is the most high-energy, results-oriented speaker they have ever seen.
Her corporate experience includes serving as a former NBC staffer and in various executive positions. She has also received numerous awards including “Who’s Who among Outstanding Americans” and a Rockefeller Scholarship.
To offer you wit, motivation, and a content-rich presentation that will engage your mind, touch your life, and foster a climate for building relationships with your Hispanic customers –ladies and gentlemen, please welcome Myelita Melton.
Survival Spanish and Cultural Issues for the Community Pharmacist Myelita Melton, MA October 13, 2007
America’s Favorite Teacher
Myelita appearing in the SBA’ SBA’s 50th anniversary video
• Author of 13 industryindustry-specific Spanish books and CDs
Myelita Melton, MA
• Former NBC staffer • Rockefeller Scholar 2
Learning Objectives • Describe the diversity found in the growing US Hispanic population • Identify cultural and socioeconomic differences in Hispanics as they relate to attitudes on healthcare and medication • Explain the importance of homeopathic and herbal remedies in Hispanic culture 3
1
Learning Objectives • Use the Spanish sound system to pronounce words and phrases • Describe the four parts of a Hispanic patient’ patient’s name to start a client record
4
Who’s Who
What’ What’s a Hispanic? What’ What’s a Latino? Which term do I use? Is there a difference? 5
Who’s Who Hispanic: Used by US Government since 1978 From the Latin word for Spain “Hispania” Hispania” People who speak Spanish and trace their family origin to Spain. 6
2
Who’s Who Latino/Latina: People from 20 Latin America countries, who speak Spanish and trace family origin to the Western Hemisphere
7
Latino (m)
Latina (f)
Racially neutral Gaining in usage Preserves national origin “New World” term
Use either Hispanic or Latino. Both are correct!
8
Our Majority Minority Over 32.2 million speak Spanish at home Majority minority 44.3m One in every 7 people in the US is Hispanic Projected to be 24% of US population by 2050-102.6m. Numbers rise because of higher birth rate and immigration
9
3
Our Majority Minority • Are: – Hard working – Family centered – Hard-working
• Want: – Better lives – Education for children – Better healthcare 10
Startling Statistics – During the 1990s the Hispanic population grew more than 63% – 18% of the nation’s school children are Hispanic Is she your future customer? 11
Economic Power Latinos are very loyal customers Many prefer cash over checks and credit cards Spending power expected to increase to 926 billion in 2007 12
4
Movimiento in the US Latinos live in all 50 states Migration from within the US affects every state Due to local economic conditions Hurricanes and natural disasters Immigration primarily affects border states and large metro areas 13
US Demographics Four Primary Groups of Latinos
9
Mexican
4
Central & South American Puerto Rican
18
67
Cuban
14
10 Southern States… have the fastest growing Latino populations 1. Georgia
6. Virginia
2. North Carolina
7. Kentucky
3. Arkansas
8. Alabama
4. Tennessee
9. Mississippi
5. South Carolina
10. Louisiana 15
5
The New Latino South Hypergrowth Destinations 1. Raleigh
6. Las Vegas
2. Greensboro 7. Nashville 3. Charlotte
8. Ft. Lauderdale
4. Atlanta
9. Sarasota
5. Orlando
10.Portland
16
Our Southern Neighbors Average Minimum Wage Mexico: $1.78/hour Cuba:
$14.00/ month
Many have NO electricity or clean water
Send “home” home” $20 billion each year
17
Our Southern Neighbors Leave school to get jobs – Limited healthcare – Live in poverty – Have poor nutrition – Have “necessities” – Limited opportunity In many countries education is a luxury not a necessity! 18
6
Latinos and Healthcare Attitudes Shaped By: English Proficiency Education Acculturation Limited Access to Services Legal status
19
Culture and Medical Issues Lack of preventive healthcare Misconceptions about nutrition and weight Seek care only in a crisis Fatalistic view of illness Many symptoms are self-treated 20
Dangerous Tienda Drugs Dipyrone (Metamizol (Metamizol)) Taken off the US market in 1977 Street name: “Aspirina Mexicana” Uses: Alleviating pain or fever Risks: Depletion of white blood cells leading to extreme infection 21
7
Dangerous Tienda Drugs Lincomycin (Lincocin) Lincocin) Uses: Severe bacterial infections Risks: Required to carry warnings for severe side effects 22
Dangerous Tienda Drugs Phenylbutazone (Butazolidin) Butazolidin) Uses:
Anti-inflammatory
Regulation: Allowed for use in horses and dogs in the US but not people Risks:
Ulcers, liver and blood disorders 23
Dangerous Tienda Drugs Between 1998 and 2001 almost 1/3 of 79 “tiendas” in NC were selling pills, syrup for infants and the injectable form of “Aspirina Mexicana” It’s estimated that 2/3’s of US tiendas sell prescription medicines under the counter 24
8
Latinos and Heart Disease Heart disease is the leading cause of death
29% of Mexican-American adults have cardiovascular disease Mexican-American men more likely to have high cholesterol 25
Latinos and Cancer Annually 20% of Hispanic deaths attributed to cancer Cancer risk is different for Foreign born vs. US born Country of origin Degree of acculturation Socioeconomic status 26
Latinos and Diabetes Diabetes is the 6th leading cause of death 2 Million or more Latinos age 20+ Twice as likely to develop serious complications 25-30% of Latinos over age 50 have diabetes “Epidemic” proportions
27
9
Education and Training Hispanics have the highest rate of illiteracy of any minority in the US 27% of Hispanics over the age of 25 have only a 9th grade education 28
Learning English 53% speak English fluently 43% have Limited English Proficiency (LEP) Need understanding, help, and our patience
29
English is Harder!
As an adult, 7 Years+ to full fluency There’s Always an Exception! English Is Full of Slang 30
10
Tips & Techniques No Slang Speak Slowly Get to the Point Don’t Yell! Eye Contact – Body Language 31
Keep in Mind Españ Español and inglé inglés… Share the same five vowels Many words are the same in both languages You don’t have to speak perfectly to communicate! “Poco español” goes a long way! 32
Spanish vowels make essentially the same sounds In English, vowels can be said 27 different ways! Spanish vowels are never silent. The consonants sound about the same as in English
33
11
34
12
Inglés Siesta Tortilla Paciente Identificación Información 37
13
4 Extra Letters CH – Nacho, Macho Ñ
– Niño, Español
LL – Tortilla, Relleno RR – Burrito, Zorro 40
H
= Always silent
J
= The Sound of H
GE
=H
GI
=G
Urgente Agíte 41
14
Start Here! The Most Important Words Are the Ones You Already Know! Please
Por favor
Thank you
Gracias
Sir
Señor
Ma’ Ma’am
Señora
Miss
Señorita
Building trust is the key to successful tratamiento! tratamiento!
43
Spanish Sounds Rápido Learn These Phrases First I don’ don’t understand.
No comprendo.
I speak a little Spanish. Hablo poco español. Do you speak English? ¿Habla inglés? Repeat, please.
Repita, por favor.
Speak more slowly.
Habla más despacio.
Thank you.
Gracias. 44
Introducing Yourself ¡Hola! Soy + (your name) Soy farmacé farmacéutico. utico. (a (a f.) f.) or Soy droguista. droguista. Hablo poco españ español. ¿ Habla inglé inglés? Habla más despacio. despacio. Gracias. ¿Puedo servirle? servirle?
45
15
Understanding Names Spanish Names Have 4 Parts Primer nombre
Carlos
First name
Segundo nombre
Juan
Middle name
Apellido paterno Santana
Father’ Father’s surname
Apellido materno Rodriguez
Mother’ Mother’s surname
46
A Señorita Has 4 Names Primer nombre
Carmen
First name
Segundo nombre
Juanita
Middle name
Apellido paterno
Miranda
Father’ Father’s surname
Apellido materno
Rivera
Mother’ Mother’s surname
47
Tying the Knot Is she Señ Señora Miranda - Santana or Miranda - Rodriguez?
Carmen Juanita Miranda - Santana 48
16
Esposo y Esposa Carmen Drops her apellido materno
Adds his apellido paterno 49
When el niño arrives…. Primer nombre: nombre:
José José
Segundo nombre: nombre:
Carlos
Apellido paterno: paterno:
???
Apellido materno: materno:
??? 50
When el niño arrives…. José José Carlos Santana Miranda
Nació Nació el 3 de julio 2002 51
17
52
18
Set Sail and Explore! Keep talking! Say what you know— know— even if it’ it’s not a complete sentence Have fun and go at your own speed! Never give up!! 55
Changing Attitudes & Abilities Adíos ¡Muchas Gracias!
56
19
Learning Assessment Questions
Program: Survival Spanish and Cultural Issues for the Community Pharmacist Presenter: Myelita Melton
Questions: 1. True or False: Hispanics are an ethnic group made up of many races. 2. Name two factors which impact Hispanic attitudes on healthcare? a. b. 3. What are “tienda drugs” and what are their dangers to Hispanics? 4. Name the five Spanish vowels. a. b. c. d. e. 5. 5. Between the Hispanic surnames “apellido paterno” and “appelido materno” which is considered to be the “last” name?
Learning Assessment Answers
Program: Survival Spanish and Cultural Issues for the Community Pharmacist Presenter: Myelita Melton
Answers: 1. True: Hispanics are considered to be an ethnic group made up of many races. Most Hispanics have some degree of indigenous heritage. 2. Factors which impact Hispanic attitudes on healthcare are: education, acculturation and limited access to services. 3. Many Hispanics are able to purchase medications at Hispanic owned and operated stores which have been taken off the market for safety reasons by the FDA. Even though these medications are still available in Mexico and other Latin American countries, they pose a significant risk to a patient’s health because of the possibility of drug interaction. 4. The Spanish vowels are the same as the five primary vowels in English: A, E, I, O, and U. 5. The apellido paterno or “paternal surname” is considered to be the “last” name.
