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Mr. Pich and Mrs. Chan establishing care at son's request due to…
Mr. Pich and Mrs. Chan establishing care at son's request due to impending travel and the need for vaccinations and proper screenings
Cultural Dynamics
Intergenerational family dynamics (son) -- balance between patient autonomy and input from family members to guide the visit
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Medical Issues:
Screenings -- routine/age-based, recommended ones prior to travel
Vaccinations -- typhoid,malaria prophyalxis, etc. prior to traveling to Southeast Asia
Tuberculosis -- testing, indications for treatment, latent vs active
Comorbidities (HTN, diabetes) -- desire to use alternative medications
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Social Factors
Immigrants to United States -- visiting back to Cambodia (avoidance of trauma, financial, etc.)
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Education (Cambodia): Engineer, Teacher
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