Chapter 2. Carl Jones: A 48-Year-Old Homeless Caucasian Man with Chest Pain and Lung Cancer

  1. Lisa Hark PhD, RD Consultant2 and
  2. Horace DeLisser MD Associate Professor Assistant Dean3
  1. Lisa Bellini MD Professor

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch2

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

Bellini, L. (2009) Carl Jones: A 48-Year-Old Homeless Caucasian Man with Chest Pain and 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.ch2

Editor Information

  1. 2

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

  2. 3

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

Author Information

  1. 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:

  • Caucasian man with chest pain and lung cancer;
  • socioeconomic status influencing clinical decisions and ultimate patient care;
  • patient homelessness impacts - physician attitudes and disease management;
  • posttraumatic stress disorder and mild schizophrenia;
  • poor adherence - significant worsening of disease, death, and increased health care costs;
  • homelessness and health

Summary

This chapter contains sections titled:

  • What issues does this patient encounter raise and what additional information might be helpful in caring for Mr. Jones?

  • Did Mr. Jones receive the “standard of care” for new-onset chest pain in the ED?

  • Was it sufficient to assume that the patient was capable of achieving follow-up care on his own?

  • What barriers to adherence (compliance) are illustrated in this case?

  • If this patient were a lawyer and had missed several appointments because of conflicts with court dates but had called the office to have the pain medications renewed, should he have been treated differently?

  • What role might the patient's low socioeconomic status have played in the recommendation of the team to pursue comfort care or the patient's resistance to this approach?

  • References