Chapter 18. Juana Caban: A 21-Year-Old Puerto Rican Woman who is Pregnant and HIV-Positive
- Lisa Hark PhD, RD Consultant3 and
- Horace DeLisser MD Associate Professor Assistant Dean4
Published Online: 27 APR 2009
Copyright © 2009 Blackwell Publishing Ltd
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
Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA
Cultural Competency and Spirituality, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
- Published Online: 27 APR 2009
- Published Print: 10 APR 2009
Print ISBN: 9781405180726
Online ISBN: 9781444311686
- 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)
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?