Abstract
An 84-year-old American Indian woman is brought to the emergency department at a tertiary care hospital by Advanced Life Support ambulance from an Indian Health Services clinic on a Pueblo approximately 2 hours away. She is accompanied by her daughter, who brought her to the clinic from home due to cough and fever. She is a frail-appearing older woman in a hospital gown, lying under a traditional blanket. She is on oxygen by non-rebreather. The patient is somnolent but easily arousable to voice. She speaks some English, but Navajo is her primary language. The resident has difficulty understanding her responses and is not certain that the patient understands her questions.
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References
US Commission on Civil Rights. Broken promises: evaluating the Native American health care system. Washington, DC: US Commission on Civil Rights; 2004.
The Emergency Medicine Milestone Project [Internet]. Chicago: The Accreditation Council for Graduate Medical Education and the American Board for Emergency Medicine; c 2012. Available from: http://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/EmergencyMedicineMilestones.pdf
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Rimple, D. (2016). Case 11: American Indian. In: Martin, M., Heron, S., Moreno-Walton, L., Jones, A. (eds) Diversity and Inclusion in Quality Patient Care. Springer, Cham. https://doi.org/10.1007/978-3-319-22840-2_29
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DOI: https://doi.org/10.1007/978-3-319-22840-2_29
Publisher Name: Springer, Cham
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