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Case Studies:
Women

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 women 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 women:
Case Study 3

Kenny, a medical student, was filling out the medical record form for Mrs. Jones, a woman who appeared to be of African descent but who had an unfamiliar accent. Mrs. Jones will find out that she is HIV-positive when she meets with the physician in another 10 minutes. Read more...

Case Study 4

A 44-year-old woman of African descent came in alone to the clinic for her monthly visit for HIV management. She has not been in the clinic for six months. When questioned about her missed appointments the patient simply looks away and tells the healthcare professional she has been too busy to come in. Read more...

Case Study 8

Carol, a 35-year-old woman of African descent, comes to the clinic for a follow-up visit after having an HIV test. Upon receiving her results through the post-counseling interview, it is discovered that Carol is really Carl, a 35-year-old man who has recently been released from prison. Read more...

Case Study 10

Mr. J, a 43-year-old man of Caribbean descent, has been HIV-positive for the past five years. He has kept his diagnosis a secret from his family, including his wife and two sons, as well as his friends and co-workers. During his last visit three months ago, his physician explained that his viral load has continued to increase and his CD4 count has dropped from 550 to 300. Read more...

Case Study 11

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 15

John, an 18 year-old African American male, presents to his primary care physician (Dr. Beal) for enlarged lymph nodes. He reports swelling in his throat for the past two weeks and believes he is experiencing some continuing effects from a “really bad” case of the flu he had two weeks ago.  Read more...

Case Study 16

Sarah is a 17-year-old African American female who was diagnosed with HIV six months ago and is currently two months pregnant. At this visit, Dr. Patel, who is of East Indian descent, wishes to discuss Sarah’s decision to give birth and when to start antiretroviral therapy (ART). Read more...

Case Study 17

Jenice is a 25 year old African American transgender male to female person, presented to the hospital following an altercation with her new lover, Tony. She reported being thrown from the  third floor balcony by Tony who thought she was born female. During their tryst Tony found out that Jenice was transgendered. Read more...

Case Study 20

Eddie is a 28 year-old African American male, who was a former businessman and college graduate who fell on hard times. He was diagnosed with HIV five years ago at a mobile van. Due to denial, Eddie did not seek treatment at that time. After careful urging from his family, Eddie finally seeks treatment at a clinic. Read more...

Case Study 24 Emma is a homeless 35 year-old African American mother of 4 children between the age of 4 - 10, diagnosed with HIV three months ago. Her HIV last test was five years ago, and she did not return for the results. Emma has a 15 year history of intravenous drug abuse. She stated that her last use of drugs was12 hours ago. Read more...
Case Study 28

Peter is a 48 year-old African American male diagnosed with HIV 17 years ago.  He has a history of intravenous drug abuse and consistently adhered to antiretroviral therapy (ARTs) while incarcerated for vehicular manslaughter due to a drunk driving accident. He presents with a history of obesity, insulin-dependent diabetes mellitus, hypertension, and degenerative joint disease. He wants to restart ARVs. Read more..

Case Study 30

Joseph is a 58 year old African American man diagnosed with HIV five years ago and was newer prescribed antiretroviral medication (ARVs). He has no history of opportunistic infections but is diagnosed with hypertension, hyperlipidemia, and obesity. He presents with a 20 year history of crack cocaine addiction for which he received in patient treatment six times. Read more...

Case Study 34

Ms. Turner, an African American woman, has a triple diagnosis: HIV+, paranoid schizophrenia, and alcoholism. She was referred to you, the primary care physician, by her social worker. She is not taking any medications for either HIV or her mental diagnosis. She refused to take them. 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 40

Mary Smith is a 66 year old African American woman newly diagnosed with HIV presents for the first time at Clinic A. She approaches the receptionist’s desk and hands her the appointment slip. Read more...

Case Study 42

Jasmine, a 26 year old woman whose ancestry was a mixture of African American and multiple Southwestern tribes presented to a clinic for a same-day appointment with complaint of a sore throat. Read more...

 


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