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Culturally Sensitive Medical Interviewing Tools

Conducting the Cultural Status Exam

Pfifflering6 has described the following as a cultural status exam

1. How would you describe the problem that has brought you to me?
  a. Is there anyone else with you that I can talk to about your problem?
(If yes, to significant other: Can you describe X's problem?)
  b. Has anyone else in your family/friend network helped you with this problem?
2. How long have you had this (these) problem(s)?
  a. Does anyone else have this problem that you know? If yes, describe them, how old they are, and their different presentations/symptoms.
3. What do you think is wrong, out of balance, or causing your problem?
  a. Who else do you know who has, or gets this kind of problem?
  b. Who, or what kind of people don't get this problem?
4. Why has this problem happened to you, and why now?
  a. Why has it happed to (the involved part)?
  b. Why did you get sick and not someone else?
5. What do you think will help to clear up your problem?
  a. If they suggest specific tests, procedures, or drugs, ask them to further define what they are and how they will help.
6. Apart from me, who else do you think can help you get better?
  a. Are there things that make you feel better, or give you relief, that doctors don't know about?

 


 

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