Client Diversity in Health Sciences

Completion of this competency requires complete and thoughtful answers to the questions for each case study. Several sentences are sufficient for each item.

 Justine
1. Why does the family not want the surgery initially recommended for Justine?
2. What non-western medicine actions are taken by the family?  Are there recommended ways to work with patients/clients who hold to traditional healing practices?
3. Identify one aspect of quality care in this case.
4. Identify one aspect where the quality of care could be improved.
5. The video clip just ends; if you were working with the family as a healthcare professional what might say to Justine’s mother as follow up to the comments made by the physician?  G
Nguyen Thi Lien
1.	What is going on here? What are the difficulties that Lisa Nguyen, Mrs. Lien, and Dr. Rivera each face in the case?
2.	What reaction do you have to Lisa Nguyen’s struggle to interpret for her grandmother? How do you react to the neighbor’s interpretation?
3.	 What troubles you the most? Who is having the most difficult time in the case: Lisa Nguyen, Mrs. Lien, or Dr. Rivera?
4.	What is the patient’s perspective? Why does Mrs. Lien choose not to seek treatment from Dr. Rivera?
5. How could a situation like this be managed in a culturally competent manner?  Locate a professional standard that addresses limited English proficiency in healthcare situations.
Geraldine Williams
1. What is going on here? How is Mrs. Williams approaching her illness? How is Dr. Brown approaching Mrs. Williams’ illness? What is the result of their different approaches?
2. Identify two cultural competency issues in this case
3. Identify one aspect of quality care in this case.
4. Identify one aspect where the quality of care could be improved.
5. What is the patient’s perspective? Is Mrs. Williams demonstrating health literacy issues? What could be done to improve communication between this provider and patient?
Arturo
1. What is going on here? How are Arturo Gonzalez’s medical issues clouded by cultural misunderstanding or miscommunication?
2. Identify two cultural competency issues in this case
3. Identify one aspect of quality care in this case.
4. Identify one aspect where the quality of care could be improved.
5. What could have improved the initial medical encounter?