• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
Geriatrics

Geriatrics

Healthy Aging and Ethnogeriatrics

  • Facebook
  • Twitter
  • YouTube
  • Home
  • 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
  • Medical Interpreters
    • Microlectures
    • Partnering with medical interpreter
  • Training
    • Longevity and Healthy Aging Mini-fellowship
    • Dementia Curriculum
  • Media Coverage
  • About Us
    • Contact Us

Case Study 3

Case Study of Mrs. P

Mrs. Romero, an 85-year-old widowed Filipino female who still has the capacity to make her own decisions, was accompanied by her daughter for a follow-up visit. A few days earlier, the daughter had received a message from the doctor’s office regarding Mrs. Romero’s bronchoscopy results and was advised to return to the office with her mother as soon as possible. The purpose of this appointment was to discuss the test results and plan of care. The physician approached the daughter before meeting with the patient, and told her about the results, which were positive for metastatic non-small-cell cancer non-responsive to any treatment.

After learning this, the daughter requested that the physician not disclose the results to her mother in order to protect the older woman, prevent despair, and maintain hope. The daughter maintained that her mother had a delicate emotionally-labile personality and would be unable to handle such sensitive information. Mrs. Romero would definitely be devastated and might become severely depressed. The daughter, having understood that there was no treatment option available to prolong her mother’s life, decided to take her mother home with hospice.

As the healthcare provider, you are not quite sure what to do. You feel very uncomfortable not sharing such information with the patient, whom you feel has the right to know, and yet the daughter is adamant that you not tell her mother the diagnosis.


Topics for Discussion

Discussion Topics

1. How can cultural beliefs and practices influence rules for disclosing or truth-telling regarding terminal health diagnoses?

2. List some interventions that could foster and improve communication between the healthcare provider and the family members when dealing with requests for non-disclosure of serious health conditions to the patient.

    Pages:
  • <
  • 1
  • 2
  • 3
  • >

Primary Sidebar

Culturemed Image

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 Illness
      • 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

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
© 2019 Stanford Medicine
Privacy Policy • Terms of Use