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Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part G Cross-Cultural and Special Populations Issues
Chapter 33. Palliative Care for Latino Patients and Their Families: “Whenever We Prayed, She Wept”
Alexander K. Smith, MD, MS, MPH, Rebecca L. Sudore, MD, Eliseo J. Pérez-Stable, MD
Language Barriers


Topics Discussed: communication barriers, cultural competence, health literacy, hispanics or latinos, incorporating patient values and preferences

Excerpt: "Thirty-two million of the estimated 44 million Latinos residing in the United States speak Spanish at home.32 English proficiency varies by generational status; in a Pew Hispanic Center study of 14 057 Latino adults, 23% of immigrant first-generation Latinos reported being able to speak English very well compared with 88% among the second generation and 94% among later generations.33 Errors in understanding are common when clinicians attempt to communicate in English with Spanish-speaking patients with limited English proficiency.34 Even when Latinos do not understand, they may signal understanding to appear cooperative and not defy the authority figure.35-37..."
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