Cultural values of Asian patients and families Essay Assignment Paper
Cultural values of Asian patients and families Essay Assignment Paper
Discussion post
Case Study
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 a history 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.”
Introduction
Cultural competency is essential in healthcare as it will help develop a relationship of trust with the patient. Being a culturally competent provider means that you have a curiosity and respect for a patient’s beliefs and values and includes being reflective and aware of your feelings, biases, experiences, and lack of knowledge. The healthcare provider must be mindful of their cultural background and the cultural background of their patients. According to Ball, Dains, Flynn, Solomon, and Stewart (2015), culturally competent healthcare providers can adapt to patients’ unique needs from different cultural backgrounds, building a trusting relationship between providers and patients. For this purpose of this discussion, the first case study’s cultural factors will be discussed, and sensitive issues and appropriate targeted questions to ask this patient. NURS 6512 Diversity and Health Assessments Discussion
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Factors
There are concerns with the overall healthcare of these patients when assessing this patient’s cultural factors. The socioeconomic factor related to this patient is that the patient lives with and relies on his daughter, a single mother, for physical and financial support. The patient is 86 years old and is likely unable to contribute to the household financially or physically. It is also unclear if the daughter can support the patient beyond his medical needs. In the Asian culture, it is expected that adult children care for their aging parents; this includes providing financial support. However, younger generations interpret the expectation of caring for the elderly differently, and many have a difficult time financially supporting their aging parents (Yan, Chan, & Tiwari, 2014). According to Vega (2014), 12.3 percent of Asian-Americans over 65 years of age live in poverty, compared to 9.1 percent of all Americans over 65 years of age. The suicide rate for Asians over 75 years of age is almost twice that of others the same age.
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Sensitive Issues
The fact that the patient relies on his daughter for support and the patient’s statement about not wanting to be a burden is concerning, and the topic should be discussed with the patient sensitively. According to Carteret (2010), Asians place a strong emphasis on family, and family loyalty is expected. Therefore, the father may not be open about his home situation and relationship with his daughter out of fear of shame, dishonor, or disgrace to himself or his family. The APRN should be aware of this cultural factor when discussing why the patient feels that he is a burden to his daughter. Additionally, it would be appropriate to speak with the patient about in-home services to help care for him and address any financial concerns that the patient may have regarding his medications and managing his comorbidities. The APRN would need to be culturally sensitive not offend the patient due to the strong family beliefs and fear of shaming the family.
Targeted Questions
When asking targeted questions to the Asian patient, it is crucial that the APRN recognize and understand that particular culture and how they communicate. When conversing with Asian cultures, preserving harmony is as important as how questions are asked and the body language being used (Carteret, 2010). Direct questions may not be the most appropriate, especially when addressing sensitive issues such as the patient’s home life. The following questions would be asked.
Can you tell me about your current health problems?
Do you ever feel sad or depressed?
You mentioned that you don’t want to be a burden to your daughter, can you tell me about your relationship with your daughter?
Do you feel safe at home?
Would you be open to exploring resources to help you at home?
Conclusion
Healthcare providers must be aware of the different cultural factors that influence patient care. Providers must be open to different cultures and sensitive to the patients’ cultural beliefs and norms. A culturally competent provider can adapt to the patient’s needs, therefore, building a foundation of trust (Ball, Dains, Flynn, Solomon, & Stewart, 2015). When concerns arise when caring for patients from different cultures, the provider should address those concerns in a culturally sensitive way so as not to offend the patient or family and provide the patient with the care they need.
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