Problem
1) What should you do in this situation
2) Identify possible cultural aspect(s) presented
3) Identify how these should be addressed
4) What major concerns arise as a result of the situation
5) Identify how the information can be provided to other healthcare workers
An older patient of the opposite sex, that is Hasidic (Orthodox Jewish), arrives for an appointment. After the time needed to wait for the appointment, the patient meets with the doctor. During the appointment the doctor explains the medical condition, the patient seems to not be overly concerned with the explanation though listens respectfully to get certain aspects of the prognosis. As they are preparing to leave you reach to assist them in standing, they recoil with a look of deep concern about the prospect of contact. They slowly make their way out, ensuring they don't make contact, then talk of needing to go pray, see a "Rebbeh," and "Mikvah."