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
ƒ
ƒ
ƒ
ƒ
What’
What’s a Hispanic?
What’
What’s a Latino?
Which term do I use?
Is there a difference?
5
Who’s Who
Hispanic:
ƒ Used by US Government
since 1978
ƒ From the Latin word for
Spain “Hispania”
Hispania”
ƒ 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)
ƒ Racially neutral
ƒ Gaining in usage
ƒ Preserves national origin
ƒ “New World” term
Use either Hispanic or Latino.
Both are correct!
8
Our Majority Minority
Over 32.2 million speak
Spanish at home
ƒ Majority minority 44.3m
ƒ One in every 7 people in
the US is Hispanic
ƒ 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
ƒ Due to local economic
conditions
ƒ Hurricanes and natural
disasters
ƒ 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
ƒ 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”
ƒ 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
ƒForeign born vs. US born
ƒCountry of origin
ƒDegree of acculturation
ƒSocioeconomic 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…
ƒ Share the same five vowels
ƒ Many words are the same
in both languages
ƒ You don’t have to speak
perfectly to communicate!
ƒ “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!
ƒ Say what you know—
know—
even if it’
it’s not a
complete sentence
ƒ Have fun and go at
your own speed!
ƒ 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.