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Amira Faroud was a three-year-old Middle Eastern patient, newly diagnosed with type 1 diabetes. Understanding the importance of involving the entire family in the patient’s care, Lisa tried to get the patient’s father, Mr. Faroud, to participate. She had seen other fathers being the “heads” of families and believed involving him was the best thing to do because Lisa the doctor in this case believes that all Middle-Eastern Culture people defer to male authority for ALL desicions. But in this case Mr. Faroud would not even consider her suggestions. 

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Amira Faroud was a three-year-old Middle Eastern patient, newly diagnosed with type 1 diabetes. Understanding the importance of involving the entire family in the patient’s care, Lisa tried to get the patient’s father, Mr. Faroud, to participate. She had seen other fathers being the “heads” of families and believed involving him was the best thing to do because Lisa the doctor in this case believes that all Middle-Eastern Culture people defer to male authority for ALL desicions. But in this case Mr. Faroud would not even consider her suggestions. 

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Dr Jones is part of a healthcare team helping a newly diagnosed Chinese diabetic patient to understand & manage his diet and insulin levels. He has just explained to the patient how to take his medication. Dr: “Have you understood how & when to take your insulin Mr Chang? Do you have any questions ?”Patient: “I understand Doctor, thank you for your time” (Patient leaves in a hurry)Some weeks later Mr Chang returns & is very unwell, his insulin levels are elevated & when interviewed by the Medical team it is clear that he had not clearly understood how & when to take his Insulin 

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Dr Jones is part of a healthcare team helping a newly diagnosed Chinese diabetic patient to understand & manage his diet and insulin levels. He has just explained to the patient how to take his medication. Dr: “Have you understood how & when to take your insulin Mr Chang? Do you have any questions ?”Patient: “I understand Doctor, thank you for your time” (Patient leaves in a hurry)Some weeks later Mr Chang returns & is very unwell, his insulin levels are elevated & when interviewed by the Medical team it is clear that he had not clearly understood how & when to take his Insulin 

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An American doctor enquires about the type of medication a Latin American patient (P) took against his hypertension symptoms: D: In order to help you with your current complaint as well as possible, we would like to know what kind of medication you take on a regular basis or that you have taken recently.P:  I do not take any medication on a regular basis but  The doctor I went to a week ago suggested I take something. But I didn’t do it. I do not think it is good for me.D: Can you tell me more about this, what do you feel you should do or take ? P: Yes, look, the doctor I went to wanted to give me something. But I do not think this medicine is good for me. I am not sure this is the right one. We say that when one feels like I do one should take something which contrasts the symptoms.D: “one should take something which contrasts the symptoms’? What do you mean exactly? Do you mean that in your country patients are given other remedies against the symptoms?you should do? P: Yes, exactly, , they give some teas and I believe they are very good.D: We will see what we can do. If you would you like to continue to drink these teas adding to another form of medication which we would suggest & I will explain to you now, I think you will benefit from both.P : Oh that would be great doctor! Thank you very much. 

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An American doctor enquires about the type of medication a Latin American patient (P) took against his hypertension symptoms: D: In order to help you with your current complaint as well as possible, we would like to know what kind of medication you take on a regular basis or that you have taken recently.P:  I do not take any medication on a regular basis but  The doctor I went to a week ago suggested I take something. But I didn’t do it. I do not think it is good for me.D: Can you tell me more about this, what do you feel you should do or take ? P: Yes, look, the doctor I went to wanted to give me something. But I do not think this medicine is good for me. I am not sure this is the right one. We say that when one feels like I do one should take something which contrasts the symptoms.D: “one should take something which contrasts the symptoms’? What do you mean exactly? Do you mean that in your country patients are given other remedies against the symptoms?you should do? P: Yes, exactly, , they give some teas and I believe they are very good.D: We will see what we can do. If you would you like to continue to drink these teas adding to another form of medication which we would suggest & I will explain to you now, I think you will benefit from both.P : Oh that would be great doctor! Thank you very much. 

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the problem is in lack of cultural sensitivity. it was wrong for the doctor to assume that the father was the figure of authority based on a stereotype. perhaps she should have communicated with the parents to get a better understanding of who delivers most of the care for the patient.

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the problem is in lack of cultural sensitivity. it was wrong for the doctor to assume that the father was the figure of authority based on a stereotype. perhaps she should have communicated with the parents to get a better understanding of who delivers most of the care for the patient.

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we should involve both parents and ask them how they want to approach the care of the patient. asking who would be available to take care of the patient. 

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we should involve both parents and ask them how they want to approach the care of the patient. asking who would be available to take care of the patient. 

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the parents understanding and collaborate with us

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the parents understanding and collaborate with us

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we shouldn't stereotype and make assumption in general when treating patients

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we shouldn't stereotype and make assumption in general when treating patients

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perhaps they thought asking questions would be a display of ignorance which would "lose them face"

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perhaps they thought asking questions would be a display of ignorance which would "lose them face"

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lack of cultural awareness, the fact that the patients might be shy to admit ignorance,  and perhaps language barriers that impeded proper communication

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lack of cultural awareness, the fact that the patients might be shy to admit ignorance,  and perhaps language barriers that impeded proper communication

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i would ask the patient to explain it back to me to make sure they fully understand. also an interpreter might be used to ensure good understanding of the doctors direction. 

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i would ask the patient to explain it back to me to make sure they fully understand. also an interpreter might be used to ensure good understanding of the doctors direction. 

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ask if there is support at home to make sure they help him take his medicine 

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ask if there is support at home to make sure they help him take his medicine 

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it would be better communication respecting cultural differences and that the docotr make sure that the patient understands fully

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it would be better communication respecting cultural differences and that the docotr make sure that the patient understands fully

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on individual: improving the doctor-patient communication making sure it is culturally sensitive and void of stereotyping.  / on institutional level: train the physician of this matter and set systems to address these challenges / campaigns to decrease to decrease stereotyping and to raise awareness regarding cultural differences  

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on individual: improving the doctor-patient communication making sure it is culturally sensitive and void of stereotyping.  / on institutional level: train the physician of this matter and set systems to address these challenges / campaigns to decrease to decrease stereotyping and to raise awareness regarding cultural differences  

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C: based on how patient thought the medication worked by contrasting his symptoms

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C: based on how patient thought the medication worked by contrasting his symptoms

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C: based on what the patients said about how the medication contrasts his symptoms

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C: based on what the patients said about how the medication contrasts his symptoms

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c

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it is about getting to the patients and showing them that you respect their culture and understand them. ultimately making them have trust in your management plan

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it is about getting to the patients and showing them that you respect their culture and understand them. ultimately making them have trust in your management plan

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they would feel disrespected judged, but more importantly they would lose trust in the doctor and healthcare in general  as they disagree with their core beliefs. the desired outcome was reached as the patients seems satisfied and willing to adhere to the instruction given.

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they would feel disrespected judged, but more importantly they would lose trust in the doctor and healthcare in general  as they disagree with their core beliefs. the desired outcome was reached as the patients seems satisfied and willing to adhere to the instruction given.