Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals

Contributors viii

CME Disclosure Information xii

Preface xv

Foreword xvii

Acknowledgments xx

Introduction xxi

Tools to Assess Cultural Competency Training (TACCT) xxxii

Case 1 Ruth Franklin: A 40-year-old African American woman with heart failure 1
Susan E. Wiegers and Horace DeLisser MD

Case 2 Carl Jones: A 48-year-old homeless Caucasian man with chest pain and lung cancer 10
Lisa Bellini

Case 3 Maria Morales: A 57-year-old Mexican woman with type 2 diabetes 17
Desiree Lie and Charles Vega

Case 4 Maya Mohammed: A 15-year-old Arab American teenager with leukemia 25
Amal Mohamed Osman Khidir Alexander Chou and Lyuba Konopasek

Case 5 Jon Le: A 48-year-old Korean man with cerebral hemorrhage 37
Scott Kasner and Horace DeLisser

Case 6 Nadia Rosenberg: A 53-year-old Russian woman with drug-resistant tuberculosis 45
Elena N. Atochina-Vasserman and Helen Abramova

Case 7 Isabel Delgado: A 47-year-old Dominican woman with hypertension 55
Debbie Salas-Lopez and Eric Gertner

Case 8 George Dennis: A 35-year-old African American man with AIDS 62
Ronald G. Collman

Case 9 Mary Jones: A 2-year-old Caucasian girl with delayed speech development 71
Dodi Meyer Hetty Cunningham Rica Mauricio and Alexandra Schieber

Case 10 Priya Krishnamurthy: A 73-year-old South Asian Indian woman with a stroke 84
Scott Kasner Roy Hamilton Steven Mess´e and Sashank Prasad

Case 11 Carlos Cruz: A 34-year-old Mexican man with sleep apnea and metabolic syndrome 94
Indira Gurubhagavatula Lisa Hark and Sharon L. Drozdowsky

Case 12 Denise Smith: A 41-year-old Caucasian woman with asthma 104
John Paul Sánchez Nelson Felix Sánchez and Ana Núñez MD

Case 13 Mae Ling Chung: A 22-year-old Chinese woman in an arranged marriage 116
Elizabeth Lee-Rey and Nereida Correa

Case 14 Earl Collins: A 73-year-old African American man with lung cancer 127
Mitchell L. Margolis and Lisa Bellini

Case 15 Irma Matos: A 66-year-old Ecuadorian woman with type 2 diabetes and hypertension 133
Edgar Maldonado and Debbie Salas-Lopez

Case 16 Eileen Clark: An 82-year-old African American woman with a stroke 142
Scott Kasner and Horace DeLisser

Case 17 Leslie O’Malley: A 66-year-old Irish American man with breast cancer 149
J. Eric Russell

Case 18 Juana Caban: A 21-year-old Puerto Rican woman who is pregnant and HIV-positive 155
Lisa Rucker Nadine T. Katz and Nicholas E.S. Sibinga

Case 19 Alice Gregory: A 71-year-old African American woman with aortic stenosis 163
Susan E. Wiegers and Horace DeLisser MD

Case 20 Sunil Guha: A 32-year-old South Asian Indian man with metabolic syndrome 169
Fran Burke and Lisa Hark

Case 21 Pepper Hawthorne: A 19-year-old Caucasian woman with a stroke 179
Scott Kasner

Case 22 Alika Nkuutu: A 24-year-old African woman with sickle cell disease 186
J. Eric Russell

Case 23 Miguel Cortez: A 9-year-old Mexican boy with asthma 192
Noel B. Rosales

Case 24 Naomi Fulton: A 49-year-old African American woman with metabolic syndrome 199
Gail Marion and Lisa Hark

Case 25 Bobby Napier: A 68-year-old Caucasian Appalachian man with type 2 diabetes 207
Elizabeth Lee-Rey Sonia Crandall and Thomas A. Arcury

Appendix 1: Positioning the Interpreter 216

Appendix 2: Kleinman’s Explanatory Model of Illness 217

Multiple Choice Questions 220

Answers 262

Index 267