Poverty, homelessness, language barrier, sexual orientation, and disabilities are all social considerations that may prevent people from accessing health care. Are these cultures, subcultures, or social issues? What are the impacts on health care in the U.S. related to cultural incompetence in these areas? If you were a health care provider caring for any of these marginalized groups how would you build trust and rapport? What specific strategies can you describe in communication, assessment, identification of person-centered goals, and establishment of a person-centered plan of care for these vulnerable persons?
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