Question

Case Study #7

Farideh Daei -is a 25-year-old woman from Iran. Her physician has recommended a consult for physical therapy for low back pain. During the initial evaluation, Mr. Daei, her husband, answered all the questions directed to Farideh. When asked to rate her pain on a scale of one to ten, the husband answered, “I really don’t think her pain is that bad, you can give her a three.” The wife compliantly allowed her husband to answer all questions. The PT attempted a physical assessment of the back but had to limit her examination due to Farideh’s reluctance to disrobe. The PT was upset after the initial evaluation and was not sure how to go about helping her client’s back pain because she was unable to conduct a standard evaluation. The physical therapist recommended a home assessment by an occupational therapist because Farideh has two children that she picks up and carries, a 2-year-old, and a 5-month-old baby. The OT scheduled a visit to observe Farideh carry out her daily routine and made some suggestions for modifying her child care activities to protect her back. When the OT arrived at the house, she was surprised to find Mr. Daei home. He did not allow the OT any time alone with his wife and answered all questions. The OT found the situation disconcerting since she had to go through a third party in order to understand her client’s daily routine. She did not feel she was able to truly assess her client’s situation although she was able to show Farideh how to wrap the baby in a sling close to her body when carrying the infant. Farideh and Mr. Daei seemed agreeable to this modification.

Discussion Questions: One paragraph response for each question. (6 sentences for each question)

1.What can both therapists do to gain Mr. and Mrs. Daei’s trust?

2. As a healthcare provider, how can we be mindful of cultural competence within the home?

3. Do you feel angry at Mr. Daei for not allowing his wife to participate in the evaluation procedure? Why?

4. What are some other examples of how gender can have a strong influence on communication between the client and clinician?

5. In regards to Gender Roles, how does your culture differ? Is it the same?

Answer 1

What can both therapists do to gain Mr. and Mrs. Daei’s trust?

• · Trust is the “firm belief in the reliability, truth, or ability of someone or something.
• · Mr. and Mrs. Daei’s are more likely to open up and disclose information if they trust their therapist and a better quality of interaction may result in greater patient autonomy and shared decision-making.
• · Both therapist must meet standards of safe and effective practice throughout their careers
• · Healthcare professionals begin to gain patients’ trust by being knowledgeable in their specific field of practice and, as a result, patients have confidence and feel secure in the advice provided.
• · Therapist will ensure about patient safety and patients and their families should be given a single point of contact for any questions or requests they may have
• · Therapist must show respect and caring and empathetic encounter with their patient

2. As a healthcare provider, how can we be mindful of cultural competence within the home?

As a healthcare provider teach about

· The first is the capacity for being self-aware.

· Make aware and mindful of your own cultural beliefs, values, and behaviors?

· Being aware and accepting of cultural differences

· Provide cultural knowledge

· Able to adapt to diversity

· Cultural competence training of our office staff to enhance the quality of care provided at every point of the patient encounter.

3. Do you feel angry at Mr. Daei for not allowing his wife to participate in the evaluation procedure? Why?

YES, because if not allow his wife to participate in health assessment it is not possible to identify the problems of his wife. it will make problems in deciding appropriate trarement

4. Examples of how gender can have a strong influence on communication between the client and clinician

1. female client  discussing about sexual problems with male clinician

2. femle clinician emaxamining male sex organs

3. male clinician doing physical examination in female patient