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Modules:

  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
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    Back to Module 13: Cultural Issues
    Tools for Diagnosing and Mediating Cultural Misunderstandings

    Touch and Gender
    Medical Subculture
    Suffering
    Traditional Medicine
    Depression
    Body Language
    Bad News
    Fatalism
    Surgery
    Food
    Literacy
    Meaning of Illness
    Alternative Medicine
    Pain
    Imminent Death

    Surgery

    All people fear surgery. Fear is normal. Your team is probably expert at managing fears of patients. Surgery may have other meanings for some patients. For Example...

    • Opening the body may cause the soul to fly out
    • The idea that air makes cancer spread is widely held and reasonable if you realize that poor people often present with advanced malignancies at open and close laparotomies
    • Fear of mutilation or sexual abuse while under anesthesia is not uncommon
    • The loss of body parts may render the body unclean and not fit for burial in sacred ground

    Examine these fears with the patient

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