Chapter 7. Isabel Delgado: A 47-Year-Old Dominican Woman with Hypertension

  1. Lisa Hark PhD, RD Consultant3 and
  2. Horace DeLisser MD Associate Professor Assistant Dean4
  1. Debbie Salas-Lopez MD, MPH, FACP Associate Professor Vice Chair1,2 and
  2. Eric Gertner MD, MPH Associate Professor2

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch7

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

Salas-Lopez, D. and Gertner, E. (2009) Isabel Delgado: A 47-Year-Old Dominican Woman with Hypertension, 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.ch7

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

    Division of General Internal Medicine, Allentown, PA, USA

  2. 2

    Lehigh Valley Hospital and Health Network, Allentown, 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:

  • Dominican woman with hypertension;
  • previous cultural and life experiences;
  • framework for providing cross-cultural communication;
  • chronic hypertension;
  • high blood pressure - to be treated every day, even in absence of symptoms;
  • anti-hypertensive medications, natural supplements and vitamins

Summary

This chapter contains sections titled:

  • Is the resident's response likely to motivate Mrs. Delgado to take her medication on a regular basis?

  • What other influences might affect Mrs. Delgado's decision to take her medication?

  • What other social factors should be considered for Mrs. Delgado that might impact her adherence?

  • In what way could the patient's cultural background be playing a role in her poor adherence?

  • In what way does a system of seeing a different resident at each visit adversely affecting Mrs. Delgado's health?

  • Was it helpful for the medical resident to call the pharmacy to speak to Carlos?

  • References