Part I. Establishing a Context for Health Communication
Friendship and Caregiving: Managing Identity in the Context of Breast Cancer
Eryka Wallace and Mindi Ann Golden
Two friends in their 20s experience dynamic shifts in their personal identities and relationship after one is diagnosed with breast cancer. Life lessons emerge about social support, relational dialectics, and uncertainty management.
You Must Eat Your Broccoli: The Power of Metaphors in Arguing about Health Care
M. Kelly Carr and Shelby Villatoro Calderon
The surprising use of broccoli to define the Affordable Care Act reveals the power of simple metaphors to frame complex concepts and consequences. The case sheds light on the significance of digital media, familiar imagery, health literacy, and principles of public relations.
The Coverage Gap Conundrum within the Affordable Care Act
Christina A. Heine and Marifran Mattson
Although the Patient Protection and Affordable Care Act (ACA) of 2010 was designed to provide millions of Americans access to affordable healthcare, many people fell between the cracks known as the coverage gap. A college student describes her dilemma trying to find affordable coverage. Readers are challenged to consider the pros and cons of the individual mandate, Medicaid expansion, and assistance for people who want insurance but cannot afford it.
Obamacare: The "More Affordable Than You Think" Care Act
Matthew J. Stott and Deborah R. Bassett
The Rodriguez family describes their experience with the Affordable Care Act and how its benefits helped pay for multiple life-saving surgeries and spared the family from personal tragedy and financial hardship. Their journey illustrates the real-life implications of health reform measures involving vulnerable populations and people with pre-existing conditions.
Part II. The Roles of Patients and Professional Caregivers
Symbols of Encouragement: A Gift to a Child Patient
Jimmy Orum and Bryan B. Whaley
A 12-year-old patient finds comfort and inspiration when a physician gives her a symbolic gift during a difficult time. Implications arise in terms of supportive communication, illness narratives, and uncertainty management.
With a Little Help from Our (Furry) Friends
Jill Yamasaki and Elizabeth Hedrich
A hospital nurse discovers a rewarding way to connect with and care for a critically ill patient during a personal pet visit with the woman's beagle. The experience involves integrative, family-centered care and the benefits that animal companions can offer.
"Blood Pressure Doesn't Lie:" A Prison Nurse Describes a Patient She'll Never Forget
Valeria Bryant and Nicole Defenbaugh
Elements of power, freedom, and quality of life arise in a clinical relationship between an inmate and a nurse concerned about his health. The case brings to light issues of cultural awareness, empathy, narrative medicine, and patient-centered care.
Dr. Mom: The Courage to Stand Alone
Teresa L. Hart and Pamela Harlin
The mother of a child with a disability faces a choice when conventional medical practitioners brush off a concern she thinks is critical to her child's health. Does mother know best? The answer presents implications for health information efficacy, naturopathy, shared decision making, and socioeconomics.
A Broken Hip at 91
Elizabeth A. McPherson, Amber K. Washington, and Jon F. Nussbaum
The matriarch of a large family finds herself in changed circumstances when she suffers a broken bone. Relationships with her caregivers influence her healing process and state of mind. Implications for compassion, ageism, and communication accommodation arise.
Physicians as Detectives: Managing Uncertainty in Patient Care
Stephen Haas and Patricia Barlow
Although physicians are widely perceived as having all the answers, this case describes what often happens behind the scenes as a doctor uses research, teamwork, and communication to manage the uncertainties surrounding a patient's diagnosis and treatment. The experience illuminates the impact of partnership building, self-doubt, and uncertainty management.
The Intersection of Family, Health, & Interpersonal Communication: A Pediatric Conundrum
Michael Pagano and Jonathan D. Hovell
In a busy hospital emergency department, a PA-C (Physician Assistant-Certified) experiences communication difficulties with a patient's parent/guardian. Elements arise in terms of shared power and authority, dialectic tensions, and family communication.
Part III. Sociocultural Issues
Lost (and Found) in Translation: The Community Pharmacist as Health Communicator
Brian Ranelli and Elizabeth Rattine-Flaherty
A community pharmacist manages the challenges of caring for patients with limited English language proficiency, emphasizing the need for cultural awareness, skilled use of interpreters, and effective counseling and patient advocacy.
Breaking Bad News to Low-Literacy Patients
Rachael Nola and Mary M. Step
Carla is stunned when she receives the bad news that she has cervical cancer. When her situation worsens, she learns she cannot walk her path alone. Her experience brings up issues of bad news delivery, family communication, health literacy, and Hospice care.
"Our Hearts Are Like Boats:" Using Metaphors to Make Complex Information Understandable
Hannah Szatkowski, David M. Peek, Lance S. Rintamaki
A physician uses metaphors rather than medical jargon to help a family understand what is happening during a medical emergency. The scenario reveals tips for communicating with people who have health literacy challenges and integrating the Voice of Lifeworld with the Voice of Medicine.
Sh*t My Family Says: A Family Deals with a Life-Threatening Illness
Maura Little and Teri Thompson
Humor serves as a coping mechanism and tension-breaker for a young family. Told from the perspective of a precocious 9-year-old, this experience stimulates consideration of the buffering hypothesis of social support, coordinated management of meaning, notions of normalcy, and emotional coping strategies.
Integrative Medicine: Combining Ayurveda and Biomedicine
Tyler R. Hamblin, Evelyn Y. Ho, and Anand Dhruva
A cancer doctor who is also an Ayurveda practitioner treats a variety of patients with an integrative approach to health and illness. The case illustrates health as harmony, integrative medicine, and the voices of medicine and lifeworld.
Supportive Relationships: Caring for Our Loved Ones in Chinese Culture
Jiasi Hu and Elaine Hsieh
Caring for a loved one who is going through a difficult illness can be financially, physically, and emotionally draining for all who are involved. In Chinese culture, expectations about who provides care and support can be overwhelming, as illustrated by two personal experiences. The case brings up issues of culture, collectivistic expectations, and shared decision-making.
Part IV. Coping and Health Resources
From Taboo to Tattoo: Raising Awareness and Destigmatizing the Topic of Suicide
Kerry Sandell and Laura L. Ellingson
In the wake of a peer's death by suicide, university students use a semicolon symbol
to raise awareness about the often-taboo topic of suicide. The semicolon acts as a communication tool to share grief and inspire hope. Readers are encouraged to consider the impact of dialectics, social support, stigma, and suicide prevention.
A Couple Manages the Uncertainties of Dementia and Decline
Sean Sullivan and Jay Baglia
A couple negotiates the challenges and appreciates the tender moments involved in end-of-life care. Their experiences bring to light cultural expectations about masculinity, challenges to medical advice, and the rewards and challenges of caring for a loved one at home.
"Should I Bring You Back to Life?": Communication about DNR Orders
David Pruett and Carma L. Bylund
A medical resident struggles with discussing a Do Not Resuscitate (DNR) order with a patient and her daughter. Readers experience the challenges of discussing a sensitive but important subject and the important role of health communication skills training.
Experiencing My Sister's Death: A Painful Yet Sacred Space
Sandra L. Ragan and Mandy Fernandez
Despite a host of interpersonal complexities and without the benefit of palliative care other than pain management, the writer's sister manages to die a good death on her own terms. The experience illustrates the significance of anticipatory grief, cultural collaboration, emotional support, and intergenerational differences.
My Doctor's Computer Gets More Attention than I Do
Madeleine Gunther and Barbara Cook Overton
A patient seeking mental health counseling has a difficult time connecting with her new physician, who is preoccupied with an electronic medical records system. The case shows how computers and electronic prompts can interfere with communication and trust building, frustrating both patients and caregivers.
Confused to Empowered: The Use of Electronic Medical Records in Cancer Diagnosis and Treatment
Murphy Powell, Jordan M. Alpert, and Richard F. Brown
A cancer patient in remission views alarming information on her patient portal about a recent diagnostic test result. Implications are presented for information seeking, patient empowerment, and the pros and cons of health communication conveyed electronically.
Part V. Communication in Health Organizations
Trust, Respect, and Interdisciplinary Teamwork
A hospital nurse struggles to gain the attention of a busy, off-site physician as a patient's condition spirals downward. The dilemma highlights issues of advocacy, hierarchy, interdisciplinary teamwork, and the tyranny of the urgent.
"Uh-oh. It Looks Like Our CEO Is a Crook": The Face of Pharmaceutical Greed
Valerie Thornewell and Kurt Wise
A pharmaceutical CEO becomes the focal point of nationwide hatred, but the company he led has very little to say in response, leaving its corporate reputation at risk. Straight from the headlines, this case challenges readers to consider crisis management, ethics, public relations, and reputation management.
Part VI. Media, Public Policy, and Health Promotion
The Pink Elephant in the Room: Breast Cancer Awareness Marketing
Alexandra Hayes and Kathleen Stansberry
A diverse array of breast cancer survivors question the sincerity of companies and organizations that engage in pink marketing, and express concern over the continued focus on awareness. Their perspectives challenge the notion that pink imagery is an accurate presumption of what breast cancer is and who breast cancer survivors are. Implications are presented for cause marketing, identity, and health campaigns.
The Hunger to Look Like the Cover Girl: Media Influences on Body Image
Shawna Moore and Steven Giles
A pre-teen responds to media images and social pressures to look a certain way. Her experience brings up issues of body image, media influence, objectification theory, and social comparison theory.
Barriers to Talk About Microbial Risk: The Case of Barbershops in Sub-Saharan Africa
Jean Claude Kwitonda and Austin Babrow
In a barbershop, an informal context for health care, barbers and their customers seek to manage the often-conflicting goals of sharing information about health risks and the desire to show courtesy, avoid social stigma, and earn money.
Sex Trafficking Survivors Use Dance and Color to Share Their Stories
Brandy Gottlieb and Ambar Basu
A young woman rescued from sex trafficking shares her story through dance and shows the healing role that storytelling and the creative arts can play. The experience involves narratives, social support, coping, and the vulnerability of marginalized communities.
"We Don't Want to Know": HIV from a Cultural Perspective
Monika Kochanova and Renée A. Botta
A married couple from Zambia faces a challenging situation as the HIV/AIDS epidemic overwhelms the country, yet the risks of being infected do not influence the couple's decision to avoid being tested. Their perspective highlights the role of culture, efficacy, gender, stigma, and identity.
International Teamwork in Public Health: Collaborating on Applied Research
Researchers discuss their involvement with a multi-partner public health project designed to reduce sexual harassment on Mexico City buses. Insights and lessons for health campaign promotion are presented in terms of collective efficacy, a critical-cultural approach, and normative social behavior.