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Unformatted text preview: lite any broad gesture that uses the full arm.
Prefer greater social distance and less touching.
Same-sex hugging or handholding is common.
Careful of head touching: Belief that the spirit can be released from the orifices of the head,
t hereby resulting in serious illness or death (esp. Laotians).
Beckoning with upward curl of one finger is serious insult in SE Asia.
Eye contact considered rude and confrontational (esp. Koreans, Filipinos)
Prefer a more dignified, formal demeanor.
Prefer less social distance and appreciate some appropriate touching during medical visits
( "high touch culture").
Same-sex hugging or hand-holding is common.
"OK" sign is obscenity.
Avoid mal de Ojo b y lightly touching the Mexican-American patient's child or children in the
examining room as you acknowledge them.
Prefer less social distance.
Middle east ern
Same-sex hugging or hand-holding is common in Arab cultures.
"High-touch culture" (along with Hispanics)
Nigerians and Aust ralians
"Thumbs up" is insulting. CHAPTER 4: LEARNING THE
Lecture: Learning the Patient's
Why do people seek medical
help? (iatrotropic stimulus) Thursday, August 25, 2005 1. Relief of pain
2. Specific treatment (e.g., antibiotics)
3. The level of anxiety exceeds the limit of tolerance
4. Need for information, reassurance
5. Permission or approval
6. Loneliness, confession
7. Family pressures
8. Current events/news items/other's illness
10.Need for sick role
Describe the trajectory of an
1. Onset of illness: meaning of illness, uncertainty about impact of symptoms
2. Reaction to diagnosis: impact of disease, anticipatory grief, making sense, new
c ommunication patterns, possible guilt, anger, fear, vulnerability
3. Major therapeutic efforts: new roles within family
4. Early adjustment to outcomes
a. Recovery: patterns of dependence, reactive depression, negotiating
5. Adjustment to permanency of outcome: living with disability, new equilibrium, share the
burdens associated with illness with other family members
What are the 3 components of the 1. Body
1. More comprehensive/accurate (not ignoring diagnostic possibilities)
3 reasons t o use BPS model.
2. More effective (not ignoring therapeutic possibilities)
3. Identify patient strengths, resources (supports more effective partnership)
Providing care that is respectful of and responsive to individual patient preferences needs,
"pat ient -cent ered"
and values and ensuring that patient values guide all clinical decisions.
effect on Function
Expectations (symptoms, visit)
List 6 logical extensions of
1. Emphasis on function and quality of life
2. Relief of suffering equal with cure of disease
3. Failure to relieve pain when it's possible is medical erro...
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- Fall '12