Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 223

Sometimes a little knowledge is a dangerous thing and can lead to stereotyping. Instead of trying to memorise what is appropriate for every culture, a brief conversation with the patient or interpreter can clarify what is acceptable and what is not and can clarify major points of potential conflict. Such a conversation would ideally take place during the initial visit with the older adult. A special place in the patient record could be the repository of such information, along with a reminder to refer to that note before the patient is seen. Because culture is fluid and changes with social interactions, brief follow‐up conversations about changes in health or to confirm previous conclusions would be appropriate at each office visit. It is important to understand that there is variation within cultural groups. There is no substitute for asking the older adult what their treatment goals are.⁵⁸