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Posted: October 27th, 2022
MD3 Module 02 Discussion – Male Reproductive Disorders
Jose is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged. Discuss three potential barriers that you would anticipate when providing care to Jose based on his age and culture. Provide an example of how you would overcome each of the three barriers through the implementation of multidimensional care strategies.
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Male Reproductive Disorders
An examination of the signs and symptoms demonstrates the patient could be suffering from benign prostatic hyperplasia. The symptoms of the condition include an enlarged prostate, difficulty in urinating, and in some cases hematuria (Lokeshwar et al., 2019). The symptoms are similar to the complaints the patient is making upon examination in the emergency room. If the condition is not treated it will lead to urinary tract infections and kidney damage.
Multidimensional care is effective in addressing the cultural, spiritual, religious, and ethnic beliefs of a patient. One of the ways of providing care to Hispanic migrant patients with limited English comprehension is to find a translator (Schouten et al., 2020). A translator will improve the communication and accuracy of information. Examining or treating the prostrate involves the private parts which can be embarrassing for the male patient. It is vital to ask them if they are comfortable with a male or female practitioner. The Hispanic male patient requires a practitioner who understands the cultural beliefs. For example, it is appropriate to address the patient using their last name.
One of the barriers expected during the provision of care is the language barrier. The patient cannot speak fluent English and may require a translator. Another barrier is the cultural beliefs of Hispanics (Schouten et al., 2020). The third barrier is the age and gender of the patient, especially while treating private parts that can trigger embarrassment.
Implementation of multidimensional care is effective in overcoming the barriers. The patient will require a translator to overcome the language barrier (Schouten et al., 2020). It will be necessary to find a practitioner who understands the Hispanic culture. It is vital to change a practitioner to a male or female depending on the preference of the patient.
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References
Lokeshwar, S. D., Harper, B. T., Webb, E., Jordan, A., Dykes, T. A., Neal Jr, D. E., ... & Klaassen, Z. (2019). Epidemiology and treatment modalities for the management of benign prostatic hyperplasia. Translational Andrology and Urology, 8(5), 529. doi: 10.21037/tau.2019.10.01 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842780/#!po=46.5517
Schouten, B. C., Cox, A., Duran, G., Kerremans, K., Banning, L. K., Lahdidioui, A., ... & Krystallidou, D. (2020). Mitigating language and cultural barriers in healthcare communication: Toward a holistic approach. Patient Education and Counseling, 103(12), 2604-2608. https://doi.org/10.1016/j.pec.2020.05.001
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