Theory of Culture Care Diversity and Universality - Essay Example

Download file to see previous pages... A CT scan may also reveal how much of the colon is inflamed. 2) The second differential diagnosis is Crohn’s Disease. The data that supports this diagnosis includes bloody diarrhea, weight loss, fatigue, insidious onset, arthritis (painful knee joints), rash (erythema nodosum), fever, and abdominal pain or tenderness. Also, the onset age is between 15 and 25; males are more likely to develop the disease than females, and people are put more at risk if there is family history of the disease. The lab/diagnostic tests I will need to rule in or out Crohn’s Disease are CT scan, to look for thickening of the colon; CBC, for anemia; pANCA, as ASCA in Crohn’s may differentiate from UC; biopsy; and an IBD serology 7 panel. 3) The third differential diagnosis is infectious colitis/diarrhea/gastroenteritis. The data that supports this diagnosis includes bloody diarrhea, weight loss, anorexia, dehydration, pale skin, abdominal pain or cramps, fever, elevated WBC in stool, anemia, and hyperactive bowel sounds. This disorder is common in all ages, but especially in individuals who have a long history of stomach problems or have tender arthritis. The lab/diagnostic tests I will need to rule in or out infectious colitis/diarrhea/gastroenteritis are testing stools for WBC/leukocytosis; Ova + parasite to exclude amebiasis; toxin assay to rule out c diff; cultures to rule out salmonella, shigella, e.coli and campylobacter; and urinalysis, BUN, specific gravity, and electrolytes. 4) The fourth differential diagnosis is Ischemic colitis. The data that supports this diagnosis includes bloody diarrhea, abdominal pain LLQ tenderness, elevated WBC, and anemia. Ischemic...
Theory of Culture Care Diversity and Universality

Patients often expect slow delivery of service. They have a lack of confidence that providers will really help, especially if the patient is poor. For this reason, patients may feel less confident about U.S. providers who are Latino. Physicians in Mexico are revered: “What is said is done, no questions asked.” Questions are not asked for fear of insulting the provider. This includes questions about the patient’s prognosis. Patients from Mexico and many underdeveloped countries are accustomed to providers who wear white coats. American providers who dress casually may have to prove themselves more. There are exceptions to this.

Uninsured and underinsured Latino patients are in survival mode. Maintaining the most basic needs, such as affording food and paying for housing, take over their everyday lives. Most of these people are close to becoming homeless and some are already homeless. As such, preventive care is viewed as a luxury, something that only the rich can afford. This attitude is only strengthened by previous experiences in Latin American countries, where treatment was almost nonexistent due to a major lack of financial resources. For most individuals, healthcare in Latin America was unaffordable and unattainable, and most experience the same problem in the U.S.

Latinos in the United States are without health insurance. Even though there are a large amount of preventive services available at free or reduced costs, patients and providers do not always know about these services. ...Download file to see next pagesRead More