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Geriatrics

Geriatrics

Ethnogeriatrics

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Patterns of Decision-Making

Filipino culture fosters values that enhance group harmony and smooth interpersonal relationships. Family cohesiveness serves as a driving force for shared decision making among family members in accordance with the patient’s needs. Clinicians could develop a family decision-making tree or algorithm.

A primary decision maker may not be designated prior to a health crisis. Decisions may be delegated to family members living outside the US, or birth order may be used to designate the decision maker (McBride, 2006; Tompar – Tiu & Sustento – Seneriches, 1995).

The clinician should ask questions such as: “Who should we talk to?” or “Who can help in making decisions about your treatment in the future?” Family members are often expected to make decisions or speak for older adults; those without any close relatives may rely on friends, clergy, or a trusted service provider.

In complicated situations, a “go-between,” such as a trusted friend (compadre/comadre), cleric or member of a faith organization, who is usually not a family member, may facilitate the interaction or dialogue.

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Filipino American

  • Description
  • Learning Objectives
  • Introduction and Overview
    • Demographics
    • Language
    • Religion
  • Partners of Health RIsk
    • Health Status
    • Functional Status
    • Social Support
    • Health Care Disparities

Culturally Appropriate Care

  • Fund of Knowledge
    • Cohort Experiences
    • Immigration History
    • Health Beliefs and Behaviors
      • Indigenous Health Beliefs
      • Theories of Illness
      • Basic Logic of Health and Ilness
      • Treatment Concepts
      • Health Behaviors
    • Health Promotion and Disease Prevention
    • Cultural Values
  • Assessment
    • Preparatory Considerations
    • Verbal Communication
    • Nonverbal Communication
    • Standardized Assessment Instruments
    • Ethnogeriatric Assessment
    • Patterns of Decision-Making
    • Clinical Assessment Domains
      • Health and Social History
      • Physical Examination and Screening Test
    • Family and Community Assessment
  • Delivery of Care
    • End-of Life Preferences
    • Problem-Specific Data
  • Cancer Care

Learning Resources

  • Instructional Strategies
    • Case Study 1
    • Case Study 2
    • Case Study 3
    • Case Study 4
  • List of References
  • Searchable Reference Database
  • Glossary
  • Interview Strategies
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