Chapter 21. Pepper Hawthorne: A 19-Year-Old Caucasian Woman with a Stroke
- Lisa Hark PhD, RD Consultant2 and
- Horace DeLisser MD Associate Professor Assistant Dean3
Published Online: 27 APR 2009
Copyright © 2009 Blackwell Publishing Ltd
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
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
- 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
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?