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Geriatrics

Geriatrics

Ethnogeriatrics

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Tips for Clinicians: Eliciting the Patient’s Perspective

 In these sections, we highlight several aspects that can help clinicians promote culturally responsive care in working with Hmong American older adults.

Eliciting the patient’s perspective is a key aspect to crosscultural understanding. Without asking, providers are only guided by their assumptions. Since assumptions are based on generalities and stereotypes, they invariably will be incorrect.

Asking and Listening

Asking questions and listening to responses requires patient-centered communication skills.

Examples of questions that can be used to elicit patient’s thoughts, beliefs, desires and reactions to health care providers’ recommendations include (Kleinman, Eisenberg. & Good, 1978):

  1. What do you think is wrong?
  2. What do you think has caused the problem?
  3. What are you afraid this might be?
  4. What have you done to relieve the problem? Have you tried traditional Hmong treatments?
  5. Have you seen other health care professionals?
  6. What do you think would help you? How can I help you?
  7. What do you think about what I have recommended? Do you think it will help? What problems do you see in doing it?
  8. Who will help you make a decision? Do you want me to talk with those people?

An increased understanding of the patient’s perception can facilitate communication for the establishment of a plan of care. These interactions may be straightforward or they may become complex. In the latter, nurses may need negotiation skills to identify the key points of disagreement, find common ground, propose alternative approaches, and identify a plan that both parties can agree to.

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Hmong American

  • Hmong American Older Adults
  • Learning Objectives
  • Introduction & Overview
    • History
    • Demographics
    • Spirituality/Cosmology
    • Family/Clan Structure
    • Aging Process
    • Laotian Vs. US Perception
  • Patterns of Health Risk
    • Older Adult Health Issues
      • Cancer
      • Mental Health
  • Adult Health Issues
    • Cardiovascular Disease: Experience
    • Cardiovascular Diseases: Epidemiology
    • Other Concerns

Culturally Appropriate Care

  • Fund of Knowledge
    • Traditional Health Beliefs
    • Traditional Healing Modalities
    • Herbal Medicine
    • Spiritual Illnesses
      • Shaman
      • Ritual Healers
  • Promoting Cross-Cultural Understanding
    • Nine Aspects that Promote Cross-Cultural Understanding
    • Tips for Clinicians
      • Communication
      • Establishing Rapport and Trust
      • Eliciting the Patient’s Perspective
      • Decision Making and Disclosure
      • Patient and Family Education
    • End-of-Life Care
      • Relaying a Terminal Illness
      • Advance Directives
      • Care of the Dying Person
      • Post-Mortem Care
  • Cancer Care

Learning Resources

  • Instructional Strategies: Case Study
    • Case Study: Part 1
    • Case Study: Part 2
    • Reset the Case
      • Subsequent Care: Part I
      • Subsequent Care: Part 2
      • Subsequent Care: Part 3
      • Subsequent Care: Part 4
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