CASE STUDY – 5 Scenarios

In examining these you will:

Identify possible cultural aspect(s) presented

If necessary research these to better understand and fully explain them

Identify how these should be addressed

What major concerns arise as a result of the situation

Create a list of questions related to cultural & cultural needs

Both to present to patients and others in scenario, as well as other healthcare professionals

What curative methods have they already tried, how would they be defined from a ‘western’ viewpoint?
Identify how the information can be provided to other healthcare workers

Each of these should be explained in sufficient detail to express understanding of situation. Provide a full explanation of the situation and your assessments. You should be able to produce at least 1 full page per scenario.

Use APA formating: 
(Typed, double spaced, 12pt font, Times New Roman, no cover page, correct references as necessary from research)

Scenario 1:
Family of Asian descent is in hospital, with youngest child having flu like symptoms for several days and possible dehydration and is heavily bundled in clothing. The parents speak very little English and rely on the eldest child to relay information, informing you that the ill child has hot-wind that has not dissipated. As this occurs they rarely add comment as the child relays information from you, simply standing quietly; any time the same questions are asked again they seem to become perturbed. Upon examination of the child there seem to be large lines of red welts running down the length of the back and limbs consistent with repeated abrasion. It appears the parents have some form of small flat paddle or porcelain spoon in their possession.
Scenario 2:
Individual of Latino descent is in hospital after severe accident with possible cranial trauma, currently in coma. A large number of extended relatives arrive in the hospital waiting area, demanding information. Additionally the grandmother insists on the patient wearing a necklace with several metal pendants and a crucifix at all times. The relatives allowed into the patients room bring a number of candles in glass and begin lighting them in various places around the room, including next to the patients hospital bed. In order to rule out potential inter-cranial damage the patient needs to be given a Magnetic Resonance Image, but the family insists on remaining with the patient until a Priest arrives.
Scenario 3:
An individual arrives with severe symptoms of flu and exhaustion. Throughout the appointment the patient seems evasive about any questions related to the reason for taking so long to seek medical help, diet, sleeping patterns, work load, and rest time. When a prognosis is provided and a script for medication is given, the patient asks if they are able to get several samples of the medication, what alternative methods there are to certain costly procedures/medication, and is insistent on getting a note for their job(s). When leaving the patient can be heard in the waiting room arguing over the bill and scoffing at the order to take time to rest. Records show the patient displays a recurring pattern of such visits every 6-8 months.
Scenario 4:
An individual is admitted, unconscious, as a pedestrian struck in an auto accident. The individual is very plainly dressed, and seems to have limited personal belongings. Soon after several older men of similarly plain dress with large beards arrive and insist on removing the patient as soon as they are conscious and no longer in need of lifesaving medical intervention. After waking the patient signs a consent form to be released without further treatment, then the group of men pay the balance of the medical bill in cash and the group leaves together.

Scenario 5:
An older patient of the opposite sex, that is Hasidic (Orthodox Jewish), arrives for an appointment. After the time needed to wait for the appointment, the patient meets with the doctor. During the appointment the doctor explains the medical condition, the patient seems to not be overly concerned with the explanation though listens respectfully to get certain aspects of the prognosis. As they are preparing to leave you reach to assist them in standing, they recoil with a look of deep concern about the prospect of contact. They slowly make their way out, ensuring they dont make contact, then talk of needing to go pray, see a “Rebbeh,” and “Mikvah.”