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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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Question 1: lack of interprtation due to langauge differences

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Question 1: lack of interprtation due to langauge differences

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did not want to loose face. it is the dr's responsibility

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Patient was hurry and possibly anxious due to langauge differenace. its the doctor responsibility to make sure the patients knows and understands 

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Patient was hurry and possibly anxious due to langauge differenace. its the doctor responsibility to make sure the patients knows and understands 

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He didn't have an understanding of the medication prescribed, and the first doctor was not culturally sensitive to the natural remedies he believes in

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Most likely, he did not grasp the benefit/working of the medication from the previous doctor.

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Most likely, he did not grasp the benefit/working of the medication from the previous doctor.

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For the father to listen to the dr and allow her to provide the treatment needed for her daughter

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Micro - Have an open mind and not stereotype

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Micro - Have an open mind and not stereotype

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I would make sure paitent understands the langaue i am speaking and the context and gravity of the information. i would make sure he leaves this time informed of his treatment.

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I would make sure paitent understands the langaue i am speaking and the context and gravity of the information. i would make sure he leaves this time informed of his treatment.

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he doesn't understand the benefits of modern day medicine

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to be culturally sensitive and not stereotype

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to be culturally sensitive and not stereotype

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Agree

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Patient understating treatment and why it's important and have any of his questions answered.

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Patient understating treatment and why it's important and have any of his questions answered.

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after explaining to the pt, he should have asked him to repeat what was said to ensure that he understood what was said to him so he could adhere to his meds

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after explaining to the pt, he should have asked him to repeat what was said to ensure that he understood what was said to him so he could adhere to his meds

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I would permit a professional translator for the patient to better understand information provided

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I would permit a professional translator for the patient to better understand information provided

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Effective communication between doctor and patient is essential to patient's health, doctor should be more aware of indirect cues epically when addressing patients from high context cultures.

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Effective communication between doctor and patient is essential to patient's health, doctor should be more aware of indirect cues epically when addressing patients from high context cultures.

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To seek understanding patient and her family views instead of stereotyping

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To seek understanding patient and her family views instead of stereotyping

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Never treat your patients as a child who doesn't know what is best for them and never disregard their current beliefs. Instead, you should communicate effectively and make sure there is a good relationship between patient and dr to allow for better treatment adherence and compliance

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Never treat your patients as a child who doesn't know what is best for them and never disregard their current beliefs. Instead, you should communicate effectively and make sure there is a good relationship between patient and dr to allow for better treatment adherence and compliance

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While it's easy to gain confirmation from patients about their understanding, a healthcare professional should be vigilant in taking extra precautions and steps to ensure that there's a complete understanding of the situation at hand.

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While it's easy to gain confirmation from patients about their understanding, a healthcare professional should be vigilant in taking extra precautions and steps to ensure that there's a complete understanding of the situation at hand.

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understanding patient's beliefs is important and can help to convince the patient to use medication

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Meso - Medical students and HCPs should be made aware about cross-cultural conflicts and how to resolve them

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Meso - Medical students and HCPs should be made aware about cross-cultural conflicts and how to resolve them

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Macro - Council should ensure hospitals should have professional translators who can advise doctors on how to correspond based on cultural differences. 

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Macro - Council should ensure hospitals should have professional translators who can advise doctors on how to correspond based on cultural differences. 

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Q 2: b) the dr knows if patient think other remedies are good then they should be integrated as it will help him get better

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Q 2: b) the dr knows if patient think other remedies are good then they should be integrated as it will help him get better

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Since patient is from  a  high power distance index 

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Since patient is from  a  high power distance index 

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Doctor needs to speak in a clear and authoritative manner