Introduction

The case study focuses on Elena, an elderly Hispanic woman residing with her granddaughter, Lucia. Central themes include cultural disparities, language barriers, and healthcare challenges stemming from these differences.

Case Study of Elena

Elena’s scenario underscores the importance of Hispanic cultural norms, language barriers, and healthcare issues arising from cultural divergence.

Cultural Differences

The case highlights communication obstacles, healthcare inequalities, and expectations regarding professional conduct stemming from cultural variations.

Case Study

Lucia notices Elena’s deteriorating health and expresses concern over her increasing forgetfulness. Despite Elena’s reluctance, Lucia schedules a doctor’s appointment without her consent.

Case Study Continued

Elena, with limited English proficiency, reluctantly visits the doctor. The physician, assuming a hearing impairment due to Elena’s age and ethnicity, speaks loudly. Consequently, the doctor communicates solely with Lucia, disregarding Elena’s presence.

The Ethics Code of Conduct

The American Psychological Association’s (APA) Ethics Code of Conduct sets standards for professional behavior. Elena’s case highlights multiple breaches of these ethical standards.

Cultural Issues

Theoretical frameworks such as Relational-Cultural and Socio-Cultural theories elucidate the impact of culture on individuals’ lives and relationships. Cultural competence among mental health professionals is crucial.

Professional Behaviors

Professionals should anticipate and address barriers when serving clients from diverse backgrounds. Providing culturally sensitive care entails awareness, knowledge, skills, encounters, and a willingness to understand and respect cultural disparities.

Case Study Solutions

Potential solutions involve pre-appointment inquiries, family discussions, providing consent forms in the appropriate language, and allowing patients to consult with the doctor privately.

Conclusion

Addressing language barriers, enhancing cultural competence among medical staff, and applying models like ADDRESSING can enhance healthcare delivery in multicultural settings. As cultural diversity evolves, ongoing adaptation and sensitivity are imperative.

References

American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. Retrieved from http://www.apa.org/ethics/code/index.aspx?item=3??

Bennett, M.J. (1986). A developmental approach to training for intercultural sensitivity. International Journal of Intercultural Relations, 10(2), 179-195.

Campinha-Bacote, J., & Munoz, C. (2001). Addressing the linguistic and cultural needs of case management clients. https://doi.org/10.1067/mcm.2001.114902

Di Stefano, G., Cataldo, E., & Laghetti, C. (2019). The client-oriented model of cultural competence in healthcare organizations. International Journal of Healthcare Management, 12(3), 189–196.

Frey, L. L. (2013). Relational-cultural therapy: Theory, research, and application to counseling competencies. Professional Psychology: Research and Practice, 44(3), 177-185. Doi:10.1037/a0033121

PSYC FPX 4900 Assessment 3 Comprehensive Case Presentation

Fong, E. H., Catagnus, R. M., Brodhead, M. T., Quigley, S., & Field, S. (2016). Developing the Cultural Awareness Skills of Behavior Analysts. Behavior analysis in practice, 9(1), 84-94. doi:10.1007/s40617-016-0111-6

Hays, P.A. (2016). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (Third ed). Washington, DC: American Psychological Association.

Matthews, C. (2019). RACIAL/CULTURAL IDENTITY DEVELOPMENT IN PEOPLE OF COLOR: THERAPEUTIC IMPLICATIONS Dr. Cyndi Matthews Counseling 5670D.

Moffett, L. A., Becker, C.-L. J., & Patton, R. G. (2014). Fostering the ethical sensitivity of beginning clinicians. Training and Education in Professional Psychology, 8(4), 229–235. https://doi-org.library.capella.edu/10.1037/tep0000054

National Institutes of Health (NIH) https://www.nih.gov/institutes-nih/nih-officedirector/office-communications-public-liaison/clear-communication/cultural-respect

Seegobin, W., Canning, S., & Bufford, R. K. (2016). Ethics and multicultural contexts: Understandings and applications. Journal of Psychology and Christianity, 35(4), 296-309. Retrieved from http://library.capella.edu/login?qurl=https%3A%2F %2Fsearch.proquest.com%2Fdocview%2F1869927844%3Faccountid%3D27965

Sue, S., Zane, N., Nagayama Hall, G. C., & Berger, L. K. (2009). The case for cultural competency in psychotherapeutic interventions. Annual review of psychology, 60, 525-548.

PSYC FPX 4900 Assessment 3 Comprehensive Case Presentation