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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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made an unsafe assumption based on her generalizing of a culture

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assumption was made without talking to the  patient 

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assumption was made without talking to the  patient 

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1. The Dr stereotyped the patient.
2. stereotyping is not professional under the code of conduct
3. Can never assume as a doctor.
4. the dr didnt ask for the patient's pov.
5. the patient generalized the patient as a culture than treating her as an individual

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step back and assess the situation again 

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step back and assess the situation again 

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treat family as individuals not on assuptions

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treat family as individuals not on assuptions

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inform the dr that I prefer to be perceived as an individual.

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Report the doctor or have another doctor take over

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Desired outcome is to ensure the patient and doctor maintain a good relationship and resolve the misunderstanding

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Desired outcome is to ensure the patient and doctor maintain a good relationship and resolve the misunderstanding

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To avoid any conflict between both parties

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To avoid any conflict between both parties

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clear the air not to mess up the treatment

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clear the air not to mess up the treatment

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Desired outcome is to ensure the patient and doctor maintain a good relationship and resolve the misunderstanding

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Desired outcome is to ensure the patient and doctor maintain a good relationship and resolve the misunderstanding

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Individual - check the bias not generalise and treat individual sperate case

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Individual - check the bias not generalise and treat individual sperate case

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Institutional: Should host cultural awareness sessions to reduce chances of stereotyping

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Institutional: Should host cultural awareness sessions to reduce chances of stereotyping

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Avoid assumptions

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take into account the cultural aspects where your working

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take into account the cultural aspects where your working

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educate yourself

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communication barrier

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Don't think there are any cultural issues, just a misunderstanding that can occur with any cultural background

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Don't think there are any cultural issues, just a misunderstanding that can occur with any cultural background

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language barrier if doctor used medical terms

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language barrier if doctor used medical terms

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Some patients, especially those from Asian countries, may not want to show that they have not understood a question or that they disagree with the medical staff. 

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Some patients, especially those from Asian countries, may not want to show that they have not understood a question or that they disagree with the medical staff. 

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unknown SES, education, access to medication

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unknown SES, education, access to medication

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didn't want to show that he didn't understand

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didn't want to show that he didn't understand

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Doctor should have asked the patient to repeat what he understood to ensure he got the information

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Doctor should have asked the patient to repeat what he understood to ensure he got the information

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he probably felt ashamed to ask questions or to put the dr in a situation where he/she feels unsuccessful explaining the instructions

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he probably felt ashamed to ask questions or to put the dr in a situation where he/she feels unsuccessful explaining the instructions

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might have been overwhelmed by information 

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might have been overwhelmed by information 

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the doctor should have made sure that the patient can fully explain back to the doctor what the steps are

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the doctor should have made sure that the patient can fully explain back to the doctor what the steps are

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it is vital that the physician makes sure the patient understood his/her disease, medications etc.

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it is vital that the physician makes sure the patient understood his/her disease, medications etc.

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try and find someone who can translate (family, friends)

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patient pov- try to ask more questions or say you didnt understand and ask doctor to repeat

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patient pov- try to ask more questions or say you didnt understand and ask doctor to repeat

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doctor pov- ask the patient to repeat to you what they understood

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doctor pov- ask the patient to repeat to you what they understood

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ask patient to explain what he understood

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ask patient to explain what he understood

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ask patient to regurgitate info back so assure understanding

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involve nursing, social workers, who have more time to spend

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involve nursing, social workers, who have more time to spend

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Have Mr. chang understand his condition and medication so that he lives

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Have Mr. chang understand his condition and medication so that he lives

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to have the patient take his medication properly whether by explaining to him again or providing him with a step by step guide 

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to have the patient take his medication properly whether by explaining to him again or providing him with a step by step guide 

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Ensuring the patients understanding is vital

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Ensuring the patients understanding is vital

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On the doctor to make sure the patient can speak their mind

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On the doctor to make sure the patient can speak their mind