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Geriatrics

Geriatrics

Ethnogeriatrics

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  • Culture Med
    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
      • Fund of Knowledge
      • Assessment
      • Delivery of Care
    • Glossary
    • Interview Strategies
  • Ethno Med
    • Background
    • African American
    • Alaska Native
    • American Indian
    • Asian Indian American
    • Chinese American
    • Filipino American
    • Hawaiian and Pacific Islander
    • Hispanic / Latino American
    • Hmong American
    • Japanese American
    • Korean American
    • Pakistani American
    • Vietnamese American
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    • Microlectures
    • Partnering with medical interpreter
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Health Care Provider Role

The basic concepts of treating patients with respect, compassion, and honesty are still what are most important to patients, regardless of cultural/ethnic background. A better understanding of a person’s cultural beliefs can improve patient compliance and the relationship.

There may be a conflict with Western concept of patient-physician relationship of partnership vs. the doctor as authority. Patients may hesitate to make direct eye contact, may hesitate to ask questions or voice opinions so as not to inconvenience others or appear disrespectful.

Physicians are expected to make decisions and give instructions. They must be viewed as trustworthy, caring and willing to help. To put the elder patient at ease, it is important to take a little time to “talk story” before beginning the clinical interview, to address patients with respect (Mr. or Mrs.), and to try to pronounce names correctly. It is appropriate to ask the patient how to pronounce his/her name. (Elliot, Di Minno, Lam, & Mei , 1996)

Some older adults may feel uncomfortable with physical contact during conversations. Health care providers must be aware of their own stereotypes toward the Chinese and degree of acculturation of their patients.

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Chinese American

  • Description
  • Learning Objectives
  • Introduction and Overview
    • Current Population
    • Religion
    • Language
  • Patterns of Health Risk
    • Role of Western Society
    • Depression
    • Alcoholism
    • Dementia
    • Infectious Disease
    • Cancer
      • Liver Cancer
      • NPC
      • Breast Cancer
      • Prostate Cancer
      • Colon Cancer
      • Lung Cancer
    • Smoking
    • Cardiovascular Disease
    • Diabetes
    • ESRD

Culturally Appropriate Care

  • Fund of Knowledge
    • Beliefs and Practices
      • Confucianism
      • Other Influences
      • Conflicts with Western Autonomy
    • Cohort Analysis
      • Historical Influence
      • Significant Dates and Periods
    • Acculturation
  • Assessment
    • Heterogeneity vs. Homogeneity
    • Degree of Acculturation and Traditional Beliefs
  • Delivery of Care
    • Health Care Provider Role
    • Traditional Chinese Medicine
    • Psychotherapy
    • Advance Directives/End of Life Issues
    • Medications
  • Cancer Care

Access & Utilization

  • Health Care Utilization
  • Long Term Care

Learning Resources

  • Instructional Strategies
    • Case Study 1
    • Case Study 2
  • Student Evaluation
  • Links
  • List of References
  • Searchable Reference Database
  • Glossary
  • Interview Strategies
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