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

by Hark, Lisa; DeLisser, Horace

• ISBN13: 9781405180726
• ISBN10: 1405180722
• Edition: 1st
• Format: Paperback
• Copyright: 2009-04-27
• Publisher: Wiley-Blackwell

Summary

Why did my patient not return for follow-up?

Author Biography

Horace DeLisser, MD: After receiving his medical degree from the University of Pennsylvania in 1985, he remained at the University to complete his internal medicine residency and pulmonary medicine fellowship, as well as post-doctoral research training. He is currently a pulmonary and critical care specialist and an Associate Professor of Medicine at the University of Pennsylvania, School of Medicine. Scientifically, Dr. DeLisser has a program of independently funded research that is focused on the cells that line blood vessels (endothelial cells) and their activity during inflammation and the formation of new vessels. Dr. DeLisser has been also been very active in medical education with a particular interest in cultural competency. He is a course director of the first year medical student course, “Culture and Communication” and is the Co- investigator for the NIH, NHLBI funded grant “Cultural Competence Health Disparities Training Program”. He precepts and teaches in several of the medical school’s courses on humanism and professional. Additionally, Dr. DeLisser helped to develop the course, Spirituality in Medicine. In recognition of his contributions to medical education, he earned the Leonard Berwick Memorial Teaching Award, a First Year Medical School, Class, Outstanding Teacher Award, a Penn Pearls Teaching Award and the 2005 Robert L. Mayock – Alfred P. Fishman Teaching Award.

Lisa Hark, PhD, RD is a renowned family nutrition expert with over 20 years of experience in nutrition counseling and promoting the benefits of healthy eating in children and adults. As Director of the Nutrition Education and Prevention Program at the University of Pennsylvania School of Medicine in Philadelphia for the past 18 years, she is a leading nutrition educator of medical students and doctors. She is currently Project Director for the Cultural Competence Health Disparities Training Program”, a five-year grant funded by the NIH, National Heart, Lung, and Blood Institute. Recently, she was the host for season one of the new television series "Honey, We're Killing the Kids", which airs on TLC. Dr. Hark is the editor-in-chief of numerous books including Medical Nutrition and Disease: A Case-Based Approach (Blackwell Publishing), which is now in its 3rd edition and used in many medical schools, physician assistant, nursing and dietetic programs in the US and around the world. In 2004, she edited Cardiovascular Nutrition: Disease Management and Prevention (American Dietetic Association). In 2005 and 2006 she co-authored Nutrition For Life and The Whole Grain Miracle Diet (DK Publishing). Her current book, The Complete Guide to Nutrition in Primary Care, (Blackwell Publishing), will be released in 2007 and is aimed at primary care clinicians, nurses, physician assistants, and nutritionists.

Table of Contents

Contributors	p. viii
CME Disclosure Information	p. xii
Preface	p. xv
Foreword	p. xvii
Acknowledgments	p. xx
Introduction	p. xxi
Tools to Assess Cultural Competency Training (TACCT)	p. xxxii
Ruth Franklin: A 40-year-old African American woman with heart failure	p. 1
Carl Jones: A 48-year-old homeless Caucasian man with chest pain and lung cancer	p. 10
Maria Morales: A 57-year-old Mexican woman with type 2 diabetes	p. 17
Maya Mohammed: A 15-year-old Arab American teenager with leukemia	p. 25
Jon Le: A 48-year-old Korean man with cerebral hemorrhage	p. 37
Nadia Rosenberg: A 53-year-old Russian woman with drug-resistant tuberculosis	p. 45
Isabel Delgado: A 47-year-old Dominican woman with hypertension	p. 55
George Dennis: A 35-year-old African American man with AIDS	p. 62
Mary Jones: A 2-year-old Caucasian girl with delayed speech development	p. 71
Priya Krishnamurthy: A 73-year-old South Asian Indian woman with a stroke	p. 84
Carlos Cruz: A 34-year-old Mexican man with sleep apnea and metabolic syndrome	p. 94
Denise Smith: A 41-year-old Caucasian woman with asthma	p. 104
Mae Ling Chung: A 22-year-old Chinese woman in an arranged marriage	p. 116
Earl Collins: A 73-year-old African American man with lung cancer	p. 127
Irma Matos: A 66-year-old Ecuadorian woman with type 2 diabetes and hypertension	p. 133
Eileen Clark: An 82-year-old African American woman with a stroke	p. 142
Leslie O'Malley: A 66-year-old Irish American man with breast cancer	p. 149
Juana Caban: A 21-year-old Puerto Rican woman who is pregnant and HIV-positive	p. 155
Alice Gregory: A 71-year-old African American woman with aortic stenosis	p. 163
Sunil Guha: A 32-year-old South Asian Indian man with metabolic syndrome	p. 169
Pepper Hawthorne: A 19-year-old Caucasian woman with a stroke	p. 179
Alika Nkuutu: A 24-year-old African woman with sickle cell disease	p. 186
Miguel Cortez: A 9-year-old Mexican boy with asthma	p. 192
Naomi Fulton: A 49-year-old African American woman with metabolic syndrome	p. 199
Bobby Napier: A 68-year-old Caucasian Appalachian man with type 2 diabetes	p. 207
Positioning the Interpreter	p. 216
Kleinman's Explanatory Model of Illness	p. 217
Multiple Choice Questions	p. 220
Answers	p. 262
Index	p. 267
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