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Geriatrics

Geriatrics

Ethnogeriatrics

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Case Study 4

Case Study 1

A 65 year-old Marshallese woman comes in your office with complaints of not feeling well and abdominal pain. She is accompanied by a man who sits in the room and answers questions for the patient. The patient speaks little English. Her companion speaks some English and tries to translate your questions to the patient. When you ask a question about childbirth, whether there has been any vaginal bleeding, etc. he does not convey the question to the patient nor does he answer you.

 

Questions for Discussion What might the geriatrician do?
Answer: You should realize that the companion is the spokesperson for your patient, and that she will not answer any questions without his permission. Very personal questions will usually not be answered. In this case, you may try to ask if there is another female that could help to translate for your patient.

You want to examine the patient, but as you approach she is sitting up and holding onto her abdomen. What should you do?

Questions for Discussion What might the geriatrician do?
Answer: You need to ask permission to look at and feel the patient’s abdomen from the patient as well as the male in the room, who is there as her guardian. The abdomen is a very private area and is not something commonly shared with others, even doctors. Sometimes there will be a female family member with the patient, but usually the patient is accompanied by a male family member.

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Native Hawaiian and Pacific Islander

  • Description
  • Learning Objectives
  • Introduction and Overview
    • Demographics
    • Background
  • Patterns of Health Risk
    • Life Expectancy and Mortality
    • Morbidity
      • General Health Status
      • Cardiovascular and cerebrovascular disease
      • Dyslipidemia
      • Hypertension
      • Diabetes Mellitus
      • Chronic Kidney Disease and End Stage Renal Disease
      • Arthritis, Gout & Hyperuricemia
      • Cancer
      • Mental Health
      • Substance Abuse
      • Infectious Diseases
      • Asthma

Culturally Appropriate Care

  • Fund of Knowledge
    • Historical Background
      • Westernization of Hawaiian Islands
      • Colonization of Pacific Islands
    • Traditional Health Beliefs
      • Native Hawaiian Values
      • Values of Other Pacific Islanders
      • Theories of Illness
    • Traditional Health Practicies
  • Assessment
    • Population Diversity
    • Important Cultural Issues
    • Eliciting the Patient’s Perspective
  • Delivery of Care
    • Preventive Care
    • Compliance/Healthcare Utilization
    • Use of Traditional Healers
    • Community Based Health Initiatives
    • End of Life Preferences
    • Caregiver Stress
  • Cancer Care

Learning Resources

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