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Doorway Thoughts: Cross-Cultural Health Care for Older Adults, Volume I

Author(s): American Geriatrics Society
Reva Adler, MD, MPH, FRCPC
Hosam Kamel, MB, BCH, FACP, FACN, CWS, CNS
Details:
  • ISBN-13: 9780763733384
  • ISBN-10:0763733385
  • Paperback    113 pages      © 2004
Price: International Sales $45.95 US List
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Overview

Doorway Thoughts:  Cross-Cultural Health Care for Older Adults addresses the role of ethnicity in health decision-making in America. This book focuses on how clinicians caring for older adults can develop an understanding of different ethnic groups in order to effectively care for their patients. Chapters in this volume, which is the first in a series, address cross-cultural health care for older adults who are from one or more minority groups, including:

  • African Americans
  • American Indians and Alaska Natives
  • Asian Indian Americans
  • Chinese Americans
  • Hispanic Americans
  • Japanese Americans
  • Vietnamese Americans

The key concepts discussed in this text are "doorway thoughts"--factors that the culturally competent practitioner reflects upon before walking through the doorway of any examining, consultation, or hospital room.  These factors can shape intercultural health care encounters and relationships for good or for ill. They may affect relations with individual patients and families and also patients' willingness or ability to understand, accept, and adhere to prescribed regimens.

This text covers preferred forms of address, nonverbal communication, history of immigration or migration, acculturation, culture-specific health risks, disclosure and consent, tradition and health beliefs, gender issues, approaches to decision-making, and use of advance directives. Case studies illustrate the application of concepts presented in the chapters.

 

 

ShowTable of Contents

Table of Contents

Chapter 1: Introduction to Cross-Cultural Health Care for Older Adults

Chapter 2: Older American Indians and Alaska Natives

Case Study 1:  Getting to Know You
Case Study 2:  Talking About Dying Without Talking about Death

Chapter 3: Older Hispanic Americans

Case Study I:  The Interplay of Faith and Healing
Case Study 2:  Permiso and Respeto

Chapter 4: Older African Americans

Case Study 1:  There's No Place Like Home
Case Study 2:  A Royal Pain in the Neck

Chapter 5: Older Vietnamese Americans

Case Study 1:  Solving the Headache Puzzle
Case Study 2:  One Little Vietnamese Lady in a Big American Nursing Home

Chapter 6: Older Asian Indian Americans 

Case Study 1:  Medication Adherence and the Ayurvedic Herb
Case Study 2:  Please Do Not Tell Her

Chapter 7: Older Japanese Americans

Case Study 1:  Filial Piety
Case Study 2:  End of Life--Beginning of a Trip

Chapter 8: Older Chinese Americans

Case Study 1:  Listen to Me; I Am the Patient
Case Study 2:  The Grateful Patient with Lotus Cakes

Index

Credits


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ShowAbout the Author(s)

American Geriatrics Society

The American Geriatrics Society is a nationwide, not-for-profit association of geriatric health care professionals dedicated to improving the health, independence, and quality of life for all older people. The AGS promotes high quality, comprehensive, and accessible care for America’s older population, including those who are chronically ill and disabled. The organization provides leadership to health care professionals, policy makers, and the public by developing, implementing, and advocating programs in patient care, research, professional and public education, and public policy.

Reva Adler-MD, MPH, FRCPC

Hosam Kamel-MB, BCH, FACP, FACN, CWS, CNS

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  • A review of the books in the Doorway Thoughts series was recently published in the Healthcare and Aging newsletter, a division of the American Society on Aging.  Read the complete review here.

     

    "Each chapter of Doorway Thoughts includes case studies that illustrate the unique challenges and opportunities that arise during interaction with members of each culture.  The book’s most important contribution might be its emphasis on cultural competence as an approach rather than a technique.  Such an approach to intercultural communication makes Doorway Thoughts a useful text for physicians and medical students.  In an effort to train physicians and physicians-to-be to communicate effectively with a population that simultaneously grows older and more diverse, the American Geriatrics Society has crafted an important text that addresses both population trends at once."

    Review in the Journal of the National Medical Association
    August, 2004

    "This slim volume provides a wealth of valuable information to health care clinicians. The information provided is succinct and the case studies reinforce the information.  I teach adult learners, all home health care providers, and this is an excellent resource for them."

    Alice Facente
    Ledyard Public Health Nursing Service

     

    "The growing cultural diversity of the elderly in the US makes it increasingly important for clinicians to develop an understanding of different ethnic groups. This succinct guide for practitioners includes an opening chapter on the issues and concerns relevant to treating an elderly patient from any minority cultural group, followed by individuals chapters on American Indians and Alaska Natives, and Americans of African, Asian Indian, Chinese, Hispanic, Japanese, and Vietnamese descent. Each chapter is written by a clinician or educator who is either from the same background or works extensively with that particular cultural group, and includes discussion of the pertinent beliefs, traditions, and customs followed by two case studies."

    —Jane Erskine
    Editor, Book News, Inc.

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