Chapter 3. Maria Morales: A 57-Year-Old Mexican Woman with Type 2 Diabetes

  1. Lisa Hark PhD, RD Consultant3 and
  2. Horace DeLisser MD Associate Professor Assistant Dean4
  1. Desiree Lie MD, MSEd Clinical Professor1 and
  2. Charles Vega MD, FAAFP Associate Clinical Professor Director2

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch3

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

Lie, D. and Vega, C. (2009) Maria Morales: A 57-Year-Old Mexican Woman with Type 2 Diabetes, 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.ch3

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

    Department of Family Medicine, University of California at Irvine, Orange, CA, USA

  2. 2

    Program in Medical Education for the Latino Community, University of California at Irvine, Irving, CA, 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:

  • Mexican woman with type 2 diabetes;
  • prevalence of type 2 diabetes among Latinos and other ethnic groups of patients;
  • prevalent health beliefs associated with diabetes care;
  • effective dietary change - patient's food preferences, work and family schedule;
  • diabetes - cause - poor diet, lack of exercise and family history;
  • Complementary and alternative medicine (CAM) treatments;
  • Psychosocial factors and ethnic disparities in diabetes diagnosis and treatment

Summary

This chapter contains sections titled:

  • Why has Dr. Morris' approach been ineffective in helping Mrs. Morales lose weight and reduce her A1c levels?

  • What other information could Dr. Morris elicit to better understand Mrs. Morales' perception of her diabetes?

  • What role might Mrs. Morales' family play in helping her to improve her diet and lifestyle?

  • Why might Mrs. Morales have been reluctant to make an appointment with the dietitian after an initial conversation?

  • How can Dr. Morris best address Mrs. Morales' perceptions and fear of insulin therapy, and are there particular health beliefs that may impact Mrs. Morales' future diabetes care?

  • What assumptions did Dr. Morris make in responding to Mrs. Morales' request regarding her family's risk of developing diabetes?

  • References