NURS 6512 UMES Wk 2 Alethea Butler & the Asian Sub

Groups

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NURS 6512 UMES Wk 2 Alethea Butler & the Asian Sub Groups

Please Respond to.

Week 2 Discussion

Alethea Butler

Main Post

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural
factors associated with the patient you were assigned

It is important to mention and understand there are many subgroups of the Asian population who
have different values, cultural beliefs, health experiences, and perceived health needs. The Asian
patient in question is 86 years old, who is dependent on his daughter financially and physically.
He has health problems which include hypertension, GERD, vitamin B12 deficiency and chronic
prostatitis. He feels he is a burden to his daughter. He comes to the office for an annual exam and
requires a complete history and physical. First the practitioner must have an understanding of
cultural competence which means the practitioner is sensitive to the needs of people who have
different ethnic backgrounds, religion, sexual orientation, values, and cultures (Ball, Dains,
Flynn, Solomon & Stewart, 2019).
The socioeconomic status of the patient includes his social and ethnic background, income, his
position in the family, his satisfaction with his life, hobbies, sources of stress and support
systems. Other factors to consider is cultural traditions such as religion, special foods, or diet,
does the patient get enough daily exercise? How does he feel about his health? Does the patient
have health insurance? Does the patient speak fluent English and able to read and understand
health information related to his health problem and treatment plan? All of these factors have an
impact on the patient to make decisions related to his health and receiving healthcare (Lee, Rhee,
Kim & Ahluwalia, 2015).

Explain the issues that you would need to be sensitive to when interacting with the patient
and why?

I would be sensitive about his ethnicity because as I mentioned previously there are many
subgroups in an Asian population and it is essential to know how the patient identifies himself,
or whether it would be appropriate to make eye contact because in other Asian populations eye
contact would be considered a sign of disrespect as well as not addressing the elderly by last
name. When I am interacting with the patient, I need to know about his culture and traditions to
provide culturally competent patient care (Brolley, Tu & Wong, 2007).

Provide at least five targeted questions you would ask the patient to build his health history
health risks.

1. What language do you speak at home?

2. How well do you understand English, both spoken and written?
3. What does health and illness mean to you?
4. Are there special signs that demonstrates respect or disrespect
5. Who makes decision in the family?
6. Tell me about your families medical History
7. During the past month have you felt down, depressed, hopeless or has had no interest or
pleasure in doing things? (Ball, Dains, Flynn, Solomon & Stewart, 2019).

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S. & Stewart, R. W. (2019). Seidel’s guide to
physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Brolley, E., Tu, A., & Wong, E. (2007). Culture Clues: Communicating with your Chinese
Patient. Retrieved from https://www.lacrosseconsortium.org/uploads/content_files/Chinese
%20Culture.pdf

Lee, H. Y., Rhee, T. G., Kim, N. K., & Ahluwalia, J. S. (2015). Health Literacy as a Social
Determinant of Health in Asian American Immigrants: Findings from a Population-Based
Survey in California. Journal of General Internal Medicine, 30(8), 1118-24. Doi:
10.1007/s11606-015-3217-6. Retrieved from https://content.ebscohost.com/ContentServer.asp?
T=P&P=AN&K=25715993&S=R&D=mnh&EbscoContent=dGJyMNXb4Seprc4wtvhOLCmsEi
ep7VSsKu4TLOWxWXS&ContentCustomer=dGJyMPGss0q1qK5luePfgeyx43zx