Cultural Factors in Ethics Consultations

As clinicians working in rehabilitation, we treat patients from various cultural, ethnic, linguistic, and religious backgrounds. Some of these cultural factors may impact the way that information is communicated, goals are negotiated, and medical decisions are made. The terms cultural competence, cultural humility, cultural sensitivity, cultural respect, and, more generally, diversity, often are used to discuss the aspects of practice that address cultural factors in health care delivery. Kleinman and Benson [1] have written eloquently in their article, "Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It," that culture matters in the clinic, but addressing it cannot be reduced to a technical skill.

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