The following case studies need to be answered using references page in APA format. At least 1 paragraph per response.
Case Study #1
Consider the following case study: A 25-year-old woman enters the clinic as a first-time patient. She tells the receptionist that she has not seen a physician for over 6 years, and she would like a checkup. She is given an intake form to fill out, on which she reports that her current gender identity is female, and her assigned gender at birth was male. Her first name is Justina, but her identification lists a masculine first name, Justin. While she is waiting to see a physician, she enters the women’s restroom. A short time later, another patient comes out of the women’s restroom and reports to the receptionist that she thinks a man is using the women’s restroom. The receptionist immediately sends a medical assistant into the women’s restroom to see if there is a problem. The medical assistant returns and says everything is fine. Justina exits the restroom and sits in the waiting area unaware that any of this has occurred. After a short wait, a nurse appears with a chart and calls for Justin. Justina looks around sheepishly. The nurse calls again for Justin. The patient who had reported a man in the women’s room laughs derisively. Justina, feeling awkward, gets up and goes to the nurse, who takes her to an exam room. In the exam room, Justina waits nervously for the physician.
-Explain how you would handle patient complaints about a transgender bathroom arrangement like the one described.
-Explain what you think is the best way to address a patient whose preferred name does not match the name on their identification card.
-Recommend at least two strategies that you could use to prevent and address patients who criticize or harass transgender patients in your clinic waiting room.
Case Study #2
Consider the following case study: Santiago is a 41-year-old man who has been living with HIV for 7 years. Santiago has been living in the United States for the past 14 years, although his family still lives in Guatemala. When Santiago comes into the clinic for his treatment, his provider recognizes that Santiago has not been following his treatment plan, and his viral load is increasing rapidly. In order for his health to be maintained, Santiago should be given immediate care and medication. When asked about his adherence to the treatment plan, Santiago says that he is afraid of the side effects of the medications and that he has been supplementing his treatment plan with practicing daily prayer, undergoing spiritual cleansings, and visiting a folk healer.
-Explain how you would find out additional information about the spiritual cleansings and practices of the folk healer that Santiago has been visiting while being sensitive to Santiago’s beliefs.
-Recommend at least two culturally competent approaches that the provider could use to address Santiago’s fears about the side effects of the antiviral medications that were prescribed to him.
-Explain the ethically and culturally appropriate action you should take in this circumstance. Should you “strongly recommend” that Santiago take the medication despite his fears? Explain.
-Identify at least two additional considerations that should be taken into account when analyzing Santiago’s case. Explain.
Case Study #3
Consider the following case study: Shaylee is a 24-year-old female. She is a member of the millennial generation who relies heavily on technology for many things, including healthcare. She comes into the clinic complaining of gastrointestinal distress. She also says that she is often constipated, gets diarrhea easily, and has noticed blood in her stool on several occasions. Shaylee has visited several websites and is certain that she has inflammatory bowel disease (IBS). Her mother also suffers from IBS, and WebMD stated that IBS runs in the family. You explain to Shaylee that to officially diagnose her with IBS and to ensure she gets the appropriate treatment, she must undergo several diagnostic tests. Shaylee refuses the tests explaining that she does not have good health insurance and cannot afford them. She insists that she has done her research on IBS and becomes agitated when you state that you cannot confirm the diagnosis without testing. Shaylee emphatically states that she knows she has IBS. She will not leave the office until you give her a prescription for Linzess, a medication that she also researched and found that it is highly recommended for the treatment of IBS.
-Recommend at least two strategies that you could use to explain the importance of testing to Shaylee while being sensitive to her millennial culture.
-Explain at least two of the barriers faced by you as a healthcare provider to aid in Shaylee’s care.
-Identify at least two additional considerations that should be taken into account when analyzing Shaylee’s case. Explain.
Case Study #4
Consider the following case study: You have been working at the county health department for about 8 months. You work with a core team of health professionals with a rotating schedule of specialists and additional providers. One of your colleagues, Aika, grew up in Japan and has only been living and working in the United States for 7 years. Japan is predominantly a patriarchal culture where men are obeyed and deferred to, and women are expected to anticipate needs proactively. Although Aika has embraced her life in the United States, she has maintained many of her traditional Japanese beliefs and customs. She often uses her different perspective to bridge cultural gaps with patients giving her a wonderful reputation with her departmental colleagues. However, on Thursdays, Dr. Boelter, an OB/GYN, works in the clinic and is often curt, sharp, and disrespectful with the staff who do not follow his specific protocols. Aika consistently avoids this doctor, refuses to give her opinion in his presence, and has cried on several occasions because of his abrupt commands.
-Recommend at least two strategies you can use to address the situation with Aika to try to make her feel more comfortable.
-Recommend at least two strategies you could use to develop Dr. Boelter’s respect for Aika’s culture.
-Recommend at least two strategies you can use to enhance diversity awareness, prevent multicultural conflict, and promote cultural competence in this workplace setting.
-Explain any other considerations that should be taken into account when addressing Aika’s situation