Chapter 21. Pepper Hawthorne: A 19-Year-Old Caucasian Woman with a Stroke

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

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch21

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

Kasner, S. (2009) Pepper Hawthorne: A 19-Year-Old Caucasian Woman with a Stroke, 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.ch21

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. Comprehensive Stroke Center, 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:

  • old Caucasian woman with a stroke;
  • evidence of active disease - hysterical or psychogenic;
  • motor and/or sensory dysfunction without a neurological explanation;
  • CT scan showing early signs of a right frontal lobe infarction;
  • usage of illicit drug, particularly cocaine and amphetamines;
  • stroke-limiting thrombolytic therapy

Summary

This chapter contains sections titled:

  • What factors may have contributed to the nurse and the physician minimizing the significance of her symptoms?

  • What other approaches could have been used to discuss the issue of illicit drug use with the patient?

  • What is the basis for the team's paternalistic approach to this patient's treatment, excluding her from the decision-making process?

  • In what way does this case illustrate how a physician's belief or assumption could lead to health-related disparities?

  • References