The second key practice principle when caring for Aboriginal people is to communicate with the individual, their family and community and Aboriginal Health Workers in a sensitive way that values cultural safety. 
Such communication can require you to:
- Ensure that the right information is being shared with the right people 
- Identify the nationhood of the Aboriginal individual
- Check with the individual and their family about what is appropriate to talk about
- Consider culturally safe communication strategies relevant to the individual and their family (eg, teleconferences, family meetings and translators)
- Allocate an appropriate amount of time to facilitate meaningful discussions
- Start interactions simply ‘having a yarn’ and allow the conversation to progress slowly to the point at hand and at the same time incorporate patient and family education
- Confirm that information has been understood.
- Avoid using medical jargon
- Complete a comprehensive, holistic clinical assessment
- Identify, respond to and document specific cultural and spiritual needs, ceremonies or practices, including post death
- Support families who have large numbers of visitors. Consider moving the individual to a larger room near the ward entrance. [1, 2, 3]
- ‘ Yarning’ allows the longer narrative to be told
- What is your understanding of ‘yarning’?
- What is its relevance in end-of-life care?
- Access the CareSearch Talking Together page. Outline specific strategies you might use to apply these principles in practice.
- Commonwealth of Australia. (2004). Providing culturally appropriate palliative care to Aboriginal and Torres Strait Islander Peoples Resource Kit. Retrieved 9 December 2011, from www.health.gov.au/internet/main/publishing.nsf/Content/palliativecare-pubs-indig-resource.htm
- McGrath, P. (2010). The Living Model: An Australian model for Aboriginal palliative care service delivery with international implications. Journal of Palliative Care, 26(1), 59-64.
- Taylor, K., Guerin, P. (2010). Health Care and Indigenous Australians: Cultural safety in practice. Melbourne, VIC: Palgrave Macmillan.