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Syllabus > Year: 1 Fall 2009 - 2010
  Adaptation to Acute Illness: Illness as a Life Crisis (Large then Small groups) -
  October 21, 2009    1:00 PM - 3:00 PM
  Dawn Dillman M.D. ; & Panel
Assignment Due Today:


   
Student Readings:
Syllabus    Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research. Kleinman, et al. Ann Int Med, 1978 (Seminal Article) 
Syllabus    The Use of Folk Remedies Among Children in an Urban Black Community: Remedies for Fever, Colic, and Teething. Pediatrics. 2005 Mar 115(3):e297-304. 
OPTIONAL READING    The Use of Folk Remedies in a Hispanic Population. Arch Pediatr Adol Med 1995; Sep 149(9):978-81 
Faculty Only:
   
Internet Sites:
   
Session Goal: To acknowledge that successful treatment of any illness depends upon an understanding by the medical provider about the meaning of the illness and its treatment to the patient.

To recognize that psychological and social resources as well as personality style help determine a patient’s reaction to sudden illness.

To highlight the important influences of individual, family and cultural interests upon a patient’s adaptation to and recovery from illness.

 
 
Student Objectives:
Differentiate between disease and illness.

Define explanatory model.

Define “cultural group”.

List the Kleinman questions that will help elicit the patient’s explanatory model for their health problem (see below small group activities).

Define cultural group.

Describe how cultural beliefs and behaviors affect perception of disease and treatment strategies.

Describe the cultural remedies used for fever, teething, and colic as described in the required reading and explain which ones are potentially harmful.
 
Small Group Activities:
  1. Give your reaction to the panel discussion. What did students learn from listening to the patient accounts?


  2. Discuss the utility of Kleinman’s Key Questions in helping the physician respond appropriately to a patient’s concerns about a sudden illness. Are there ways in which a physician’s failure to ask these questions might interfere with the therapeutic effects of the doctor-patient relationship?

    Kleinman's Key Questions:

    1. What do you think has caused your problem?
    2. Why do you think it started when it did?
    3. What do you think your sickness does to you? How does it work?
    4. How severe is your sickness? Will it have a short or long course?
    5. What kind of treatment do you think you should receive?
    6. What are the most important results you hope to receive from this treatment?
    7. What are the chief problems your sickness has caused for you?
    8. What do you fear most about your sickness?


  3. Students may share experiences working with their preceptors or in other situations with people experiencing acute illness.


  4. Students may share experiences working at their preceptors' offices or in other situations with persons with acute illness.
 
Assignment Due Oct 28:
Find out about your preceptor's involvement — both inside and outside of clinical practice — in health promotion or preventative medicine and be prepared to share your findings with your small group.