you are working as a medical assistant in the private medical office of an oncologist (cancer specialist). mrs. ramirez, an elderly woman who lived in guatemala until she was 56, comes to the office accompanied by her granddaughter. mrs. ramirez speaks very little english, but her granddaughter is bilingual. this visit was at the granddaughters insistence after her grandmother admitted finding a small lump in her breast. mrs. ramirez is very anxious about the visit. describe how you would work with this patient, including a review of cultural factors and individual needs

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