Advertisement

Culture and Clinical Assessment

To perform a competent, relevant, and thorough assessment of a patient, cultural issues must be taken into account. The components of clinical assessment, including observation of the patient, history-taking, physical examination, and laboratory testing, all may be influenced by cultural factors. The cultural issues are most obvious if the patient has a distinctly different background from the healthcare provider. The patient may have very different beliefs and understanding of a particular illness. Symptoms and complaints related to a given condition may be presented very differently, and the patient’s attitude about being examined and tested may vary substantially. If the patient speaks a different language from that of the clinician, an interpreter will be needed for translation. This involves special considerations and skills on the part of both the interpreter and the clinician.

Keywords

Healthcare Provider Cultural Psychiatry Personal Distance Fire Elevation Traditional Chinese Medicine Doctor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Carpenter V, Colwell B (1995) Cancer knowledge, self-efficacy, and cancer screening behaviors among Mexican-American women. Journal of Cancer Education 10(4):217–222PubMedGoogle Scholar
  2. Chavez LR, Hubbell FA, McMullin JM, Martinez RG, Mishra SI (1995) Archives of Family Medicine 4(2):145–152PubMedCrossRefGoogle Scholar
  3. Dancy B (1996) What African-American women know, do, and feel about AIDS: A function of age and education. AIDS Education and Prevention 8(1):26–36PubMedGoogle Scholar
  4. Fernandez ES, South-Paul JE, Matheny SC (2003) Culture, race, and ethnicity issues in healthcare. In: Taylor RB (ed) Family Medicine: Principles and Practice. Springer, New York, (pp 17–23Google Scholar
  5. Friedman LC, Webb JA, Weinberg AD, Lane M, Cooper HP, Woodruff A (1995) Breast cancer screening: Racial/ethic differences in behaviors and beliefs. Journal of Cancer Education 10(4):213–216PubMedGoogle Scholar
  6. Hodes RM, Teferedegne B (1996) Traditional beliefs and disease practices of Ethiopian Jews. Israel Journal of Medical Science 32(7):561–567Google Scholar
  7. Hubbell FA, Chavez LR, Mishra SI, Valdez RB (1996) Beliefs about sexual behavior and other predictors of Papanicolaou smear screening among Latinas and Anglo women. Archives of Internal Medicine 156(20):2353–2358PubMedCrossRefGoogle Scholar
  8. Lee E (1997) Cross-cultural communication: Therapeutic use of interpreters. In: Lee E (ed) Working with Asian Americans: A Guide for Clinicians. Guiford, New York, pp 477–489Google Scholar
  9. Luk S (2006) Overcoming language barriers in psychiatric practice: Culturally-sensitive and effective use of interpreters. In: The Proceedings of the First World Congress of Cultural Psychiatry. S-III-30Google Scholar
  10. Matsumoto D, Pun KK, Nakatani M, Kadowaki D, Weissman M, McCarter L, Fletcher D, Takeuchi S (1995) Cultural differences in attitudes, values, and beliefs about osteoporosis in first and second generation Japanese-American women. Women Health 23:39–56PubMedGoogle Scholar
  11. Morgan C, Park E, Cortes DE (1995) Beliefs, knowledge, and behavior about cancer among urban Hispanic women. In: National Cancer Institute Monographs. (18):57–63Google Scholar
  12. Streltzer J (2004) Culture and consultation-liaison psychiatry. In: Tseng WS, Streltzer J (eds) Clinical Competence in Cultural Psychiatry. American Psychiatric Press, Washington D.C., pp 73–75Google Scholar
  13. Tseng WS (2001) Handbook of Cultural Psychiatry. Academic Press, San Diego, 113Google Scholar
  14. Woollet A, Dosanjh N, Nicolson P, Marshall H, Djhanbakhch O, Hadlow J (1995) The ideas and experiences of pregnancy and childbirth of Asian and non-Asian women in east London. British Journal of Medical Psychology 68(1):65–84Google Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Personalised recommendations