• Understand the importance of social and cultural dynamics, to avoid alienating the patient from his or her family and community.

  • Consider the cultural meaning of symptoms or illness and the cultural values of the patient and the patient's family.

  • Recognize that cultural context and societal views may affect development of symptoms and treatment response.

  • Consider cultural values in the patient's decision making about taking medication and adhering to medication regimens and other treatment.

  • When determining a pharmacologic treatment plan, understand that genetic polymorphisms in hepatic cytochrome P450 enzymes occur at varying frequencies across ethnic groups.


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