Chapter 12. Denise Smith: A 41-Year-Old Caucasian Woman with Asthma

  1. Lisa Hark PhD, RD Consultant4 and
  2. Horace DeLisser MD Associate Professor Assistant Dean5
  1. John Paul Sánchez MD, MPH1,
  2. Nelson Felix Sánchez MD Instructor2 and
  3. Ana Núñez MD Director Associate Professor3

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch12

Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals

Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals

How to Cite

Sánchez, J. P., Sánchez, N. F. and Núñez, A. (2009) Denise Smith: A 41-Year-Old Caucasian Woman with Asthma, in Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals (eds L. Hark and H. DeLisser), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444311686.ch12

Editor Information

  1. 4

    Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA

  2. 5

    Cultural Competency and Spirituality, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

Author Information

  1. 1

    Emergency Medicine Resident, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA

  2. 2

    Department of Internal Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

  3. 3

    Drexel University College of Medicine, Philadelphia, PA, USA

Publication History

  1. Published Online: 27 APR 2009
  2. Published Print: 10 APR 2009

ISBN Information

Print ISBN: 9781405180726

Online ISBN: 9781444311686

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Keywords:

  • Caucasian woman with asthma;
  • behavior modification - smoking cessation, among marginalized groups;
  • shortness of breath and wheezing;
  • prevalence - homophobia and presumed heterosexism;
  • Efficacy of smoking cessation intervention among special populations

Summary

This chapter contains sections titled:

  • What are the issues surrounding the misidentification of this patient?

  • What are the implications of misidentification on development of rapport with a patient and a perceived sense of safety in a health care setting?

  • How should the office staff have responded to rectify this problem?

  • What is important to understand about Ms. Smith's community?

  • Why does Ms. Smith feel like she is being “judged?”

  • What are some of the challenges that may make it more difficult for Ms. Smith, as a lesbian woman, to quit smoking?

  • What can Ms. Smith do and how can the physicians help motivate her behavior change?

  • References