Chapter 18. Juana Caban: A 21-Year-Old Puerto Rican Woman who is Pregnant and HIV-Positive

  1. Lisa Hark PhD, RD Consultant3 and
  2. Horace DeLisser MD Associate Professor Assistant Dean4
  1. Lisa Rucker MD Associate Professor1,
  2. Nadine T. Katz MD Associate Dean Associate Professor Director2 and
  3. Nicholas E. S. Sibinga MD Associate Professor1

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch18

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

Rucker, L., Katz, N. T. and Sibinga, N. E. S. (2009) Juana Caban: A 21-Year-Old Puerto Rican Woman who is Pregnant and HIV-Positive, 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.ch18

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

    Albert Einstein College of Medicine, Bronx, NY, USA

  2. 2

    Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, New York, NY, 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:

  • Puerto Rican woman who is pregnant and HIV-positive;
  • expressing ethical precepts of veracity, autonomy, and beneficence;
  • HIV test - positive, and viral load - very high;
  • appropriate retroviral treatment;
  • Federal regulations Health Insurance Portability and Accountability Act (HIPPA)

Summary

This chapter contains sections titled:

  • What might we erroneously assume about Juana's social and economic network?

  • Describe how you would obtain information about Juana's support system for her pregnancy, birth, and care of the baby?

  • If Juana has HIV, does that mean her newborn baby will be born HIV-positive?

  • What are the concerns and fears Juana may have regarding her diagnosis? Is it acceptable for Juana to exercise autonomy by withholding information from her mother?

  • Is the obstetrics team being asked to lie? Is the obstetrician's recommendation for C-section in the best interest of Juana? Who is (or should be) the patient in this case?

  • What response might you make to Juana's request if you were the obstetrician or PCP?

  • References