|Case studies of provider to patient encounters covering cultural gaps in gender, age, health literacy, trust and other socio-ethnic barriers. Cases also cover intra-ethnic variations among immigrants and the need to avoid stereotyping in one's approach to care and treatment.|
|The following are chosen from the AETC-NMC collection of case studies and focus on scenarios involving immigrants:|
|Case Study 8||Tala is a 26 year old Filipino woman who got tested at a community based clinic after reading about the multicultural staff in a local newspaper. She reported that her husband has been seeing commercial sex workers for several years, has been in and out of drug treatment programs, and has been physically abusive toward her while intoxicated. Read more...|
|Case Study 9||
A middle-aged Chinese patient refused pain medication following cataract surgery. When asked, he replied his discomfort was bearable and he could survive without any medication. Later the nurse found him restless and uncomfortable. Read more...
|Case Study 10||
A Vietnamese woman was rushed to the hospital by her adult children. The emergency room personnel discovered dark red welts running up her arms, shoulders and chest, yet the only presenting complaint was dizziness. When questioned, her son explained that he had rubbed her body with a quarter. Read more...
|Case Study 11||
Maria, a 42-year-old Latina, reported for the results of her HIV test a month after being tested. Maria is not fluent in English so she brought her two teenage sons, Miguel and Javier, to help translate for her. Read more...
|Case Study 13||
Alex is a 26-year-old Latino who has been married for eight years. He has a wife and three young children. He is returning to the clinic for his first follow-up visit after receiving an HIV diagnosis the previous week. Read more...
|Case Study 14||
Antonio is a 32-year-old Latino who has been living with HIV for the past 6 years. Antonio has lived in the United States for 17 years, although all of his family still lives in Guatemala. When he shows up for treatment, his health care provider realizes that Antonio has not been adhering to his HIV treatment regimen and that his viral load is increasing. Read more...
|Case Study 16||
Gloria, a 39 year old monolingual Spanish speaking Latina woman was referred for HIV testing at your health center after she had contracted Chlamydia. Gloria previously explained to her health care provider that her only partner was her husband to whom she has been married to for the past 19 years. Read more...
|Case Study 20||
Sharon is a 31-year-old woman of Caribbean origin. She was diagnosed with HIV in 1994 and has adhered to her care recommendations only sporadically. She attended one clinic visit two years ago and one visit last year, prior to this pregnancy. She presents to the practice in her second trimester of pregnancy. Read more...
|Case Study 24||
Maria is a 32-year-old Hispanic woman who reports to a rural clinic for her HIV test results. Maria’s primary language is Spanish, and she does not speak or read English. During the initial appointment, Maria met with Melissa, an HIV counselor, and Ana, the only certified interpreter at the clinic. Read more...
|Case Study 28||
Archina, a 55-year-old East Indian woman, is brought to her OB/GYN appointment by her husband. Her native language is Hindi, but she speaks and understands English. She complains of vaginal irritation for the past three months and pain during sexual intercourse for one month. Read more...
|Case Study 35||
Ms. Adeyemi is a 33 year-old Nigerian woman who recently returned to the US from Africa after a six month vacation. She is 3 ½ months pregnant. She has an 8-year-old son from a previous marriage. She was diagnosed with HIV 3 years ago. She has no income and she is living with friends who are unaware of her HIV status. Read more...
|Case Study 41||
Angela is a 22 year old Chinese transgender male to female person. She seems nervous and does not make eye contact. English is not her first language. She is currently going through estrogen hormone therapy. Read more...
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