The decisions and behavior of each individual in the extended family are based largely on pleasing the family; decisions are not to be made by the individual without consulting the family.
Familismo can delay important medical decisions because extended family consultation can be time consuming.
To gain the trust and confidence of the Latino patient/parent, it is important to solicit opinions from other family members who may be present and give ample time for the extended family to discuss important medical decisions.
The oldest male (direct relative) holds the greatest power in most families and may make health decisions for others in the family.
Latino men traditionally follow the ideal of machismo.
Latino families are often stratified based on age and sex.
Generational hierarchy is expected – grandparent, child, grandchild.
“A basic fact of life is that time goes only one way.
We are caught in a present that is just an infinitesimal borderline between past and future.
It is important to approach Latino patients/parents in a somewhat formal manner, using appropriate titles of respect (Senor [Mr.] and Senora [Mrs.] and appropriate greetings [good morning or good afternoon]. Good intentions aside, people from many traditional cultures will not appreciate this informality.