Chapter 14. Earl Collins: A 73-Year-Old African American Man with Lung Cancer

  1. Lisa Hark PhD, RD Consultant3 and
  2. Horace DeLisser MD Associate Professor Assistant Dean4
  1. Mitchell L. Margolis MD Director1 and
  2. Lisa Bellini MD Professor2

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch14

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

Margolis, M. L. and Bellini, L. (2009) Earl Collins: A 73-Year-Old African American Man with Lung Cancer, 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.ch14

Editor Information

  1. 3

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

  2. 4

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

Author Information

  1. 1

    Veterans Affairs Medical Center of Philadelphia, Philadelphia, PA, USA

  2. 2

    University of Pennsylvania School 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:

  • African American man with lung cancer;
  • shortness of breath with exertion;
  • reinforcement of personal and anecdotal experiences by patients;
  • stimulation of metastatic tumor foci by postsurgical inflammation;
  • accelerated metastatic tumor growth due to loss of inhibitory factors;
  • clinical lessons from anthropological and cross-cultural research

Summary

This chapter contains sections titled:

  • How should lay or folk beliefs that pertain to important medical decisions be addressed?

  • How should the physician respond to this specific folk belief about air causing tumor growth or spread?

  • How should Dr. Jones respond to the use of alternative medicine approaches by Mr. Collins?

  • How should the physician respond to this religiously based refusal to accept potentially beneficial therapy?

  • References