Chapter 15. Irma Matos: A 66-Year-Old Ecuadorian Woman with Type 2 Diabetes and Hypertension

  1. Lisa Hark PhD, RD Consultant4 and
  2. Horace DeLisser MD Associate Professor Assistant Dean5
  1. Edgar Maldonado MD Assistant Clinical Professor Medical Director1 and
  2. Debbie Salas-Lopez MD, MPH, FACP Associate Professor Vice Chair2,3

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch15

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

Maldonado, E. and Salas-Lopez, D. (2009) Irma Matos: A 66-Year-Old Ecuadorian Woman with Type 2 Diabetes and Hypertension, 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.ch15

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

    Centro de Salud Latino Americano and Diabetes Institute, Lehigh Valley Hospital and Health Network, Allentown, PA, USA

  2. 2

    Division of General Internal Medicine, Allentown, PA, USA

  3. 3

    Lehigh Valley Hospital and Health Network, Allentown, 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:

  • Ecuadorian woman with type 2 diabetes and hypertension;
  • suffering due to “dual residency”;
  • patterns and impact of travel;
  • oral hypoglycemic and an angiotensin converting enzyme (ACE) inhibitor;
  • polydypsia, polyuria, blurred vision, and fatigue;
  • process for obtaining medication refills

Summary

This chapter contains sections titled:

  • How does this patient's social situation impact the care provided by Dr. Bowman?

  • What additional social history is needed about Mrs. Matos' travel schedule to best manage her medical condition?

  • What might be done to prevent Mrs. Matos from running out of her medications during future trips to Ecuador?

  • What are some of the reasons for why these tests may have been ordered?

  • What might Dr. Bowman do to minimize the likelihood that Mrs. Matos will seek unnecessary diagnostic studies while abroad?

  • How do changes in the diet and lifestyle of Mrs. Matos while in Ecuador affect her diabetes and hypertension management?

  • How should Dr. Bowman approach Mrs. Matos' request to prescribe a steroid combination pill for her back pain which she self-prescribed in Ecuador?

  • How can the medical care of patients living in the U.S. and abroad, such as Mrs. Matos, be improved?

  • References