The importance of language and culture in pediatric care: case studies from the Latino community.

Abstract

Few studies have examined culture's effect on pediatric care. To analyze 3 cases illustrating the importance of culture in pediatrics. Case analysis with a cultural competency model. No interpreter was available for the parents of a 3-year-old brought to the emergency department because of abdominal pain; she was discharged twice, returned with an acute abdomen, and was hospitalized for treatment of appendiceal rupture and peritonitis. A 2-year-old fractured her clavicle in a fall but was placed in social services' custody because of a pediatrician's misinterpretation. Parents of a ventilation-dependent 2-week-old with encephalopathy, seizures, and renal failure were unaware of the infant's poor prognosis, despite use of an interpreter. Culture can have a significant impact on pediatric care; use of a simple model can ensure that pediatricians provide culturally competent care.