Key Terms
Pharmacy Practice
A Casebook, 2nd Edition
Systemic racism
A pattern of policies, institutions, and practices rooted in historical inequity that produces persistent disadvantages
Tuskegee Syphilis Study
Black men with syphilis were deliberately left untreated so researchers could observe disease progression. They were not
Henrietta Lacks
Her cancer cells (HeLa cells) were taken without her knowledge or consent and used in decades of medical research withou
Culture
"The integrated pattern of human behaviors that includes thoughts, communications, languages, practices, beliefs, values
Culture shapes
1. How a patient perceives their health 2.
Evidence-based medicine (EBM)
Seeks to standardize healthcare for all patients based on research outcomes.
Culturally competent care
Emphasizes treating patients as unique individuals; their beliefs, values, and context matter.
Purpose
Gain insight into the patient's worldview, lived experience, social context, and spirituality as it relates to their ill
Application
Used during patient encounters to align the provider's clinical perspective with the patient's cultural perspective.
Origin
Created by psychiatrist and anthropologist Arthur Kleinman.
Approach
Respondent-driven interview. The pharmacist asks open-ended questions and follows the patient's lead.
Patient
KS, 62-year-old Hispanic female Setting: Small rural hospital, discharge counseling Discharge diagnosis: Diabetic ketoac
New diagnosis during admission
Type 2 diabetes mellitus (T2DM) New medication: Insulin glargine 10 units subcutaneously every evening Prior prescriptio