The Latino Patient

by Chong, Nilda

• ISBN13: 9781877864957
• ISBN10: 1877864951
• Format: Paperback
• Copyright: 2002-06-02
• Publisher: HACHETTE

Summary

Latinos are dramatically changing the demographic profile of the United States. Developing a strong command of the Spanish language is not a realistic goal for most health care providers wishing to establish rapport with their Latino patients. Yet, growing numbers of health professionals are realizing the importance of understanding Latino cultural values as they impact the clinical encounter. Such knowledge can enhance their ability to communicate with and treat Latino patients effectively and respectfully. The Latino Patient provides an in-depth exploration of Latino diversity; relevant cultural values; health status, beliefs and practices; and effective communication strategies. The author has developed an original, practice-oriented model that leads the health practitioner from greeting the patient to ultimately negotiating treatment. The book is hands-on, providing numerous illustrative vignettes gleaned from the author's experience.

Author Biography

Nilda Chong, MD, DrPH, MPH, has more than twenty years of experience in practice, in training providers in cultural competence, and in leading public health education campaigns in Latin America. She holds a doctoral degree in public health with a multicultural health specialty from the University of California at Berkeley. Dr. Chong has consulted for the Pan American Health Organization/World Health Organization, directed national health programs for the Ministry of Health in Panama, and taught at the School of Medicine, University of Panama, and at Florida State University. She is the national director of Kaiser Permanente's Institute for Culturally Competent Care

Table of Contents

Preface	xi
Acknowledgments	xiii
Introduction	xvii
Part I: Defining the Latino Patient
Defining the Latino Patient	3	(18)
Who Are Latinos? Snapshot of a Diverse Population	3	(2)
Latino versus Hispanic	5	(1)
Latino Diversity	6	(5)
Health Status of the U.S. Latino Population	11	(2)
Health Facts	13	(3)
Factors in the Decision to Seek Health Care	16	(5)
Cultural Values of the Latino Patient	21	(24)
Relevant Latino Culture Values	23	(5)
Latino Communication Styles and Preferences	28	(2)
Illustrative Vignettes	30	(15)
Health Attitudes, Beliefs, and Practices	45	(22)
Historical Influences on Attitudes, Beliefs, and Practices	45	(2)
Other Influences on the Latino Perception of Health	47	(8)
Latino Definitions of the Causes of Illness	55	(3)
Latino Health Care Practices	58	(9)
Communicating Effectively with the Latino Patient	67	(12)
Risk Factors and Acculturation	68	(1)
Conveying Health Messages Successfully	69	(4)
Sharing: A Key Element in Reaching Latinos	73	(1)
Motivating the Latino Patient to Adopt Healthy Habits	74	(5)
Achieving Cultural Competence with the Latino Patient	79	(14)
Cultural Competence	80	(3)
Latino Cultural Competence Self-Assessment Tool	83	(2)
Cultural Competence with Latino Patients	85	(5)
Dos and Don'ts with Latino Patients	90	(3)
Part II: A Culturally Competent Care Model for Lations
Greet: Characterizing Your Latino Patient	93	(22)
The Clinical Encounter	94	(8)
Greet: Five Steps to Characterize Your Latino Patient	102	(4)
Greet in Practice	106	(9)
Listen: Gaining Access to Your Patient's Clinical History	115	(26)
The Clinical History	117	(7)
Listen: Six Key Elements	124	(6)
Listen in Practice	130	(11)
Care: Performing a Culturally Sensitive Patient Evaluation	141	(30)
The Culturally Competent Physical Examination	141	(5)
Care and the Physical Examination	146	(3)
Care in Practice: The Physical Examination	149	(8)
The Culturally Competent Mental Health Evaluation	157	(3)
Care and the Mental Health Evaluation	160	(3)
Care in Practice: The Mental Health Evaluation	163	(8)
Treat: Providing Culturally Competent Treatment	171	(28)
Anticipating Patient Reactions to Further Tests	172	(2)
Three Considerations Prior to Suggesting a Therapeutic Plan	174	(2)
Negotating Consent for Diagnostic and Surgical Procedures	176	(2)
Three Health-Associated Latino Fears	178	(4)
Treat: Developing a Culturally Competent Treatment Plan	182	(5)
Treat in Practice	187	(12)
Developing Patient Loyalty and the Effective Farewell	199	(14)
What Is Patient Loyalty?	200	(3)
A Caring Provider: The Patient's Perspective	203	(5)
A Caring Provider: The Provider's Perspective	208	(1)
The Effective Farewell Pyramid	209	(4)
Bibliography	213