5. CASE 1
25 yo Latina presenting to your clinic with the
following symptoms:
• Recurrent headaches
• Insomnia
• Decrease appetite and nausea
6. CASE 2
13yo boy presenting to the visit with his mother
because the school believes he is “depress”
7. CASE 3
60yo man with a known h/o Diabetes, HTN, High
lipids with very poor control with complications of
end stage renal failure now on dialysis.
By dialysis SW “poor compliance”
8. CASE 4
7yo girl presenting for well child care.
Recently move to Madison from Mexico City
14. THE OTHER “CULTURE”
Challenges:
Immigration status
Changes in family / culture structure
Marriage
Men/ Women roles
Elderly / Youth
Extended family
Religion
15. THE OTHER “CULTURE”
Access to care barriers:
Language:
Lack of bilingual-bicultural staff.
Lack of health education=language-culture sensitive
Lack of health insurance
Lack of knowledge about health insurance
Lack of knowledge about health care system
16.
17.
18.
19.
20. CASE 1
25 yo Latina presenting to your clinic with the
following symptoms:
• Recurrent headaches
• Insomnia
• Decrease appetite and nausea
21. CASE 2
13yo boy presenting to the visit with his mother
because the school believes he is “depress”
22. CASE 3
60yo man with a known h/o Diabetes, HTN, High
lipids with very poor control with complications of
end stage renal failure now on dialysis.
By dialysis SW “poor compliance”
23. CASE 4
7yo girl presenting for well child care.
Recently move to Madison from Mexico City
27. HEALTH CARE PROVIDER-PATIENT
RELATIONSHIP
Notion of social hierarchy
High regard for expert knowledge
Trust and respect for providers
Expect highly directive providers
28. HEALTH CARE PROVIDER-PATIENT
RELATIONSHIP
Distrust in institutions
Tendency toward fatalism, “La voluntad de Dios”
Concept of health=no pain, able to work and
perform responsibilities
29. HEALTH CARE PROVIDER-PATIENT
RELATIONSHIP
Expectation about provider behavior:
– Evidence of expertise, concrete recommendations,
medications, firm attitude
– Friendly, personable and with good verbal
communication
Family involved in making decisions
31. DANE COUNTY
LATINO SUPPORT
NETWORK
LATINO HEALTH
LUCHA
COUNCIL
CENTRO HISPANO
CENTRO GUADALUPE
BETHEL LUTHERAN CHURCH
HARAMBEE
UNITED WAY
32. LATINO HEALTH COUNCIL
The mission of the LHC is to promote and support the
health and well being of the Latino community
through education, advocacy, consulting, and
networking.
33. LATINO HEALTH COUNCIL
Goals:
Provide leadership and guidance to community based
organizations planning to reach the Latino community.
Assist in providing and promoting education, screening and early
detection programs to the Latino community.
Promote access to quality and affordable health care that is
culturally and language appropriate.
Strengthen partnerships among community organizations to
address health needs in the Latino community.
