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9781877864957

The Latino Patient

by
  • ISBN13:

    9781877864957

  • ISBN10:

    1877864951

  • Format: Paperback
  • Copyright: 2002-06-02
  • Publisher: HACHETTE

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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

Supplemental Materials

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

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