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
Medical Issues:
Screenings -- routine/age-based, recommended ones prior to travel
Vaccinations -- typhoid,malaria prophyalxis, etc. prior to traveling to Southeast Asia
Psychological
Tuberculosis -- testing, indications for treatment, latent vs active
Comorbidities (HTN, diabetes) -- desire to use alternative medications
PTSD- trigger: the need to return to Cambodia
CBT
Intergenerational family dynamics (son) -- balance between patient autonomy and input from family members to guide the visit
Cultural competence and cultural empathy improving health equity
Complementary/alternative medicine (coining) -- hesitancy towards Western therapies
Social Factors
ensuring effective communication (L.E.A.R.N)
Panic attacks vs organic/medical cause
Immigrants to United States -- visiting back to Cambodia (avoidance of trauma, financial, etc.)
Lifestyle/profession: Cannot maintain previous profession due to certification restrictions
Medicare (coverage for CBT?)
Education (Cambodia): Engineer, Teacher
Taboo/stigma around mental health
Isolation and lack of social support
Married, 1 Son
Run small retail market