Discussion

Assigned patient: JC, an at-risk 86-year-old Asian male is physically and financially dependent on his
daughter, a single mother who has little time or money for her father’s health needs. He
has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12
deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec
20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an
annual exam and states “I came for my annual physical exam, but do not want to be a
burden to my daughter.”

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

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Solution

Discussion

Socioeconomic, Spiritual, Lifestyle, and Cultural Factors

When evaluating the cultural elements of the 86-year-old Asian patient, there seem to be concerns about his general health. One of the factors that relate to this client’s socioeconomic status is living with his daughter, a single mother. Despite the fact that he relies on her financially and physically, the daughter has been incapable of fulfilling his needs. Asians are known for being very group-oriented individuals who put a significant premium on familial connections as the major source of identification and identity formation (Nguyen, 2016). When it comes to the family, everyone has a definite duty and place, which encompasses the older children’s responsibility to provide financial and physical support for their ailing parents. Asians’ cultural and religious traditions, including Buddhism, are interwoven into their health-management strategies.

Sensitive Issues

The patient’s daughter is responsible for all of his physical and financial needs, and he is in desperate need of care support. Sadly, she is a single parent who is unable to adequately support her father’s requirements, causing him to experience high levels of stress and, as a result, harming his overall health. It is possible that the father would not express his needs openly because of the substantial cultural element that Asians seem to exhibit. Assuming the patient accepts, the practitioner will direct him to further resources that may help with physical and financial challenges. When working with this patient and his daughter, it is critical to exhibit cultural understanding (Brooks et al., 2019).

Targeted Questions

When performing a health history evaluation, it is vital to provide information about one’s culture. It is also important to demonstrate an understanding of nonverbal cues. The following are the five focused questions that should be asked of the patient in order to develop their medical history and evaluate their risk factors:

  1. Can you tell me more about your present and previous medical conditions?
  2. Do you have a sense of security in your own home?
  3. Are you willing to receive extra resources to assist you in your home?
  4. Have you ever experienced sadness or have homicidal or suicidal impulses?
  5. Do you require help with everyday tasks like feeding, bathing, going to the restroom, or dressing up?

References

Brooks, L. A., Manias, E., & Bloomer, M. J. (2019). Culturally sensitive communication in healthcare: A concept analysis. Collegian, 26(3), 383-391. https://doi.org/10.1016/j.colegn.2018.09.007

Nguyen, G. T. (2016). Challenges and Opportunities in the Care of Asian American Patients. American family physician90(7), 490-494. https://www.aafp.org/afp/2014/1001/p490.html

 

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