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