✅ Reviewed for accuracy and relevance by Deanna Cooper Gillingham, RN, CCM, FCM on July 22, 2025.
CCMC Terms Related to Multicultural Issues
Culture consists of languages, beliefs, values, traditions, and customs. A cultural assessment, including an assessment of the client’s linguistic needs, should be included in the case manager’s initial client assessment.
While it is necessary for case managers to understand general cultural norms as they relate to healthcare, it is more important that they recognize each patient as an individual with their own unique family and cultural beliefs. Sometimes, these cultural beliefs conflict with the treatment plan. When this happens, the case manager should attempt to adjust the treatment plan to work within the cultural limits. If this is not possible, the case manager must educate the client about the potential consequences of not complying with the treatment plan. This should be done respectfully, without coercing the client. Ultimately, it is the client’s choice to follow the treatment plan.
At times, the client’s cultural beliefs may differ significantly from those of the case manager, which can influence how the case manager views the client. However, the case manager must respect the client’s beliefs. It can be helpful to acknowledge cultural differences and reassure the client that the case manager’s role is to educate them and support their decisions.
Case managers should assess the client’s linguistic needs and identify resources to enhance communication. This may include using interpreters and material in different languages and formats. When using an interpreter, it is best to use a professional interpreter—not a family member— whenever possible.
Spirituality is a broad concept with many perspectives. It generally includes a sense of connection to something bigger than us and typically involves a search for meaning in life. For some people, spirituality is synonymous with religion; however, a person does not have to hold a religious belief to be spiritual.
This article shares a portion of the information covered on this topic in CCM Certification Made Easy, 4th Edition by Deanna Cooper Gillingham, RN, CCM, FCM (2025). For more details on this topic and related concepts, purchase your copy at CCMCertificationMadeEasy.com
