The purpose of this week’s assignment is to review a case study and discuss the patient’s cultural background, perception of health, and ways to overcome overarching issues. The case study I chose involves a Latino patient who presents for a follow-up after knee surgery. The patient is still having a significant amount of pain and is requesting a refill on his pain medication. The surgeon refuses to refill his prescription and makes the assumption that the patient is drug seeking.
Cultural Background of Patient and Perception of Health and Illness Carlos is a middle-aged Latino male who works in construction. He has recently undergone knee surgery and has been experiencing more post-op pain than most individuals his age (U.S. Department of
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He believes that Carlos is drug seeking and is looking for a quick fix for his problem. A colleague suggests that the patient may truly be in pain due to a case study she reviewed involving the Latino culture. The case study suggested that Latino men show increased pain after surgery compared to men of other ethnicities (U.S. Department of Health and Human Services, 2016). The surgeon asks to review the case study and then reschedules another follow-up appointment for Carlos (U.S. Department of Health and Human Services, 2016). The overarching issue could have easily been resolved using three interventions. The first intervention would be for the physician to conduct a cultural self-assessment. He should first remove his prejudices and biases from his practice (Andrews & Boyle, 2016). The physician should then complete a physical examination to assess the type of pain Carlos is experiencing (Andrews & Boyle, 2016). Once the physical exam is complete, the physician and Carlos should set mutual goals, commence care planning, and implementation of care (Andrews & Boyle, 2016). The physician may also suggest other ways to manage pain such as ice packs, relaxation techniques, or even
The United States is a nation of immigrants; they have virtually every culture of the world within its borders. Due to this reason, there must be a certain level of cultural competency within its people. A comparison and contrast will be made to compare the Hispanic cultural views on medical care to the American cultural views toward medical care. I chose to explore Hispanic culture because of my background but most importantly due to its richness of unique characteristics. I will provide an overview on how heredity, culture, and environment can influence behavior in the medical office. Furthermore, I will express my opinion about why a medical assistant,
It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).
One of the conflicts that arise in health-care from a conflict perspective is the focus of the provider and is the provider functioning as a scientist or a care giver. Are there objective versus subjective concerns for the patient and is the health care provider treating the disease or is the provider treating the person? The conflict that arises between health-care provider and patient is vastly influenced by the patient’s cultural and social beliefs.
In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of
It is know that the patient’s community or cultural group can have significant impact on a person’s health. Therefore, health care practitioners are faced with more challenges that include outside sources and they need to be willing to change their treatments to address the other sources.
In the preparation of writing this paper, I reviewed several educational videos from the U.S. Department of Health and Human Services (n.d.) that show healthcare providers interacting with patients from different cultures. I chose the video that shows a Hispanic man interacting with his surgeon. I chose this video because all counties in Ohio except one are seeing increases in the Hispanic population. There has been a nine
The providers should not just ask a patient where do it hurt, they should also ask why, when, how and what next ( Kandula, 2013). I feel that my doctor, when he asked me what was my treatment plan was using the explanatory model. By doing so it empowered me to be proactive when it comes to my health. This way of thinking and practice will elicit a more complete picture of the individual and their problems. It will also help the provider to see how one’s culture ties into the picture. According to Kandula, 2013 the way a person perceives their life and health is deeply embedded in their culture and hold significant
Fadiman confronts another interviewing barrier when she works with the medical staff of Merced County Medical Center, the hospital where Lia Lee was taken and treated many times. Fadiman constantly reviewed Lia’s medical records, as well as consulted and interviewed many of the physicians and nurses who worked with Lia and her family. Fadiman had to alter her interviewing style and the way in which she planned the interviews while interviewing the staff of Merced County Medical Center. These individuals did not require an interpreter because they were native English speakers. Because of this, Fadiman had an easier time communicating with the interviewees, but had to remember the culture they were used to. The resident doctors and nurses Fadiman was discussing Lia’s case with worked at the Family Practice Residency, which receives most of its payment through government programs like Medi-Cal or Medicare (Fadiman 1997:24). Because of this, most patients this staff was used to seeing were low-income, and
Cultural, traditional, and religious values have an influence on health patterns and behaviors exhibited by the community. Hispanic culture is dominant due to the close proximity to the U.S.-Mexico border. Fifty-two percent of households use a language other than English at home (U.S. Census Bureau, 2015). Therefore, an understanding of Hispanic culture is necessary for health care workers to effectively care for patients in this community.
- One of the issues is the fact that Senator’s are appointed by the Prime Minister. In other words, senators are appointed to the Senate for being loyal to the Prime Minister’s party which is seen as undemocratic and gives the Senate an illegitimate image.
I chose this article because I find it interesting and of great help to any nursing and health care professional; I am Hispanic myself and constantly looking for better ways to help my community. I personally see my grandmother struggling whenever she needs to see her physician, as she sometimes does not understand what him and his staff are telling her. On another note nursing is an ever changing career and the Hispanic culture is growing at an enormous rate, becoming culturally competent does not only provide the patient with good care but can make the nurses’ job easier and more rewarding. I do feel that there should be more research on this subject; the best way to learn about a patient’s cultural beliefs is to ask the patient. I think that the population that the author intended to target is health care professionals; however, I know that any immigrant can benefit from reading this article.
Answer: In our judgement, PepsiCo did not have a moral obligation to divest itself of all its Burmese assets. The reason being:
Throughout this paper I will be pulling information from the Giger and Davidhizar Transcultural Assessment Model. It is pertinent for health care workers to be familiar with this model because of the growing affects that culture has on a patient’s view of disease prevention and health restoration. This model focuses on six cultural phenomena: communication, time, space, social organization, environmental control, and biological variations. It is important for nurses to utilize this tool while performing assessments on patients because of the substantial effects that each one has on a patient’s perspective. Every person is unique and knowing that no one perspective is universal will aid the nurse in treating each patient with culturally competent care.
For instance, “Hispanic women are more likely to be dissatisfied if they feel they have been treated badly by providers and staff and if they do not trust doctors” (Guendelman, Wagner 118). If the patient does not feel a sense of hospitality and see a welcoming smile, it discourages the patient to visit the physician because they feel they are not getting the right medical attention, and tend to be sicker. In addition, “the sicker individual risk exposure to more insults, and this leads them to pull back from the health care system” (119). In a physician/ patient relationship there needs to be a balance between actually caring and giving your patients the attention and satisfaction that they deserve. Some physicians take advantage of their patient’s vulnerability of being sick by pushing them aside, and worrying more about the fastest way to make money. However, the physician then loses another patient because of greed.
In reading the first article Coach Knight: The Will to Win, I found the article found Coach Knight to be very offensive and mean to his players. Coach Knight did not display good leadership skills. According to the article, Coach Knight’s drive and passion for excellence was not always received as well as his record of wins and losses Snook, Per low, Delacey, 2005).