NURS 6512 Week 2 Discussion: BK is a 16-year-old Caucasian female

NURS 6512 Week 2 Discussion: BK is a 16-year-old Caucasian female

NURS 6512 Week 2 Discussion: BK is a 16-year-old Caucasian female

Advanced Health Assessment & Diagnostic Reasoning

The United States healthcare industry has been giving great attention to cultural diversity and competence lately due to the different ethnicities and races present in the country. Such considerations are essential since it helps healthcare providers in the United States manage issues concerning socio disparities like cultural and structural factors (Xiao et al., 2020). When assessing JC, the 86-year-old case study patient, the patient is financially unstable, with his health deteriorating if not well managed due to the presence of other chronic illnesses and the fact that most elderly Asians are bound by their culture to depend on the children assistance and their reliance on traditional medication procedures. Hence, as a nurse, there is a need to consider how different socioeconomic, lifestyle, spiritual, and various cultural factors affect the patient. The patient socioeconomic factor proves that he relies on his daughter, who is not financially stable. Hence, subjecting the patient to expensive treatment may hinder the patient’s ability to get quality care.

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Furthermore, according to Asian culture, it appears more disrespectful to make eye contact with the elderly or people. Therefore, nurses need to assess the most effective communication skill to engage with JC, considering he is Asian. Another consideration concerns JC’s cultural beliefs since most Asians believe in herbal medical intervention (Mendoza et al., 2020). Therefore, it will be necessary to assess various traditional concepts within the Asian group, like the Ying and Yang concept, and see how they can be incorporated into the patient care plan. That will help the patient feel a sense of belonging in the healthcare despite being subjected to scientific health intervention procedures. The main lifestyle that Asian people have had for years is that the children need to care for their parents during their old age. However, currently, more elderly Asians do not depend on their children, where the children only need to step up when the parents’ conditions worsen or these parents seek support (Stuart et al., 2021). In conclusion, such considerations are essential since they will guide the healthcare provider on the questions to ask the patient during the interview.

The five-targeted patient question will include;

1. Would you prefer having a translator translate the medical procedures into the Asian language, or are you comfortable speaking English?
2. Do you have any health insurance coverage?
3. How have you been managing your current conditions?
4. Is there an individual that makes healthcare decisions for you?
5. Who would you want to be part of the medical intervention journey?

References

Mendoza, Natasha S., Francisco A. Moreno, G. Alexander Hishaw, Albert C. Gaw, Lisa R. Fortuna, Anna Skubel, Michelle V. Porche, Mary Hasbah Roessel, Jay Shore, and Anthony Gallegos. “Affirmative care across cultures: broadening application.” Focus 18, no. 1 (2020): 31-39. https://doi.org/10.1176/appi.focus.20190030

Stuart, S., Pereira, X. V., & Chung, J. P. Y. (2021). Transcultural adaptation of interpersonal psychotherapy in Asia. Asia‐Pacific Psychiatry, 13(1), e12439. https://doi.org/10.1111/appy.12439

Xiao, L. D., Ullah, S., Morey, W., Jeffers, L., De Bellis, A., Willis, E., … & Gillham, D. (2020). Evaluation of a nurse-led education program to improve cross-cultural care for older people in aged care. Nurse education today, 87, 104356. https://doi.org/10.1016/j.nedt.2020.104356

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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.
Patient scenario:
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”