course materials

1. Week 3 Diversity and Health Assessments
Week 3 Diversity and Health AssessmentsWeek 3 Diversity and Health AssessmentsJC, 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 hx 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.”Discussion:
Diversity and Health AssessmentsIntroductionHealth care providers should exhibit
knowledge of population diversity and treat all patients with respect regardless of their
culture and belief system. This is essential in understanding patient’s lifestyle, and behavior
which may affect their health care. Accepting patient’s culture in a nonjudgmental manner
creates a unique relationship between the patient and the healthcare provider. Therefore,
APRN’s should be cognizant of patient’s culture, beliefs, lifestyle, and socioeconomic status
as it relates to healthcare. A culturally competent healthcare provider accustoms his/herself
to the exclusive needs of patients with cultures that are different from his or her own. Being
accustomed to the belief’s and values of a patient lays the foundation for a trusting patient-
provider relationship (Ball et al., 2019).Socioeconomic, Spiritual, Lifestyle, and Cultural
Factors Associated with the PatientThe case study presents an 86-year-old Asian male that
is physically and financially dependent on his daughter who is a single mother with little
money to care for the patient’s healthcare needs. Understanding the Asian culture is
relevant to providing care to this elderly patient. I will verify patient’s preferred language,
ask about patient’s preference with a healthcare provider regarding race or ethnicity,
gender, and age. Ensuring respect for this patient despite his financial and physical
dependency will encourage a trusting relationship between the patient and the health care
provider. Asian culture is known to teach respect for parents and family is a priority over
self. Additionally, in Asian culture adult children are required to make financial, physical,
and social sacrifices for their parents that are aging (Miyawaki, 2015). As a healthcare
provider, I will welcome this patient, show respect by avoiding eye contact as some Asian
countries consider making eye contact as rude. Maintaining eye contact is not done with
individuals of East Asian cultural backgrounds. Also, the Japanese culture, teaches against
maintaining eye contact with others as it is believed to disrespectful (Uono & Hietanen,
2015). Week 3 Diversity and Health AssessmentsORDER NOW FOR CUSTOMIZED,
PLAGIARISM-FREE PAPERSI will make the patient understand that I am familiar with

2. culture of adult children caring for their aged parents. I will explain to the patient that he
should not consider himself a burden to his daughter as the daughter is maintaining the
requirement of their culture. This will encourage a relaxing environment that will enable
the patient to feel accepted and ready to relate with the health care provider. Respect for
the patient’s spiritual and religious belief is also vital. The patient should be asked about
any spiritual belief that may affect his healthcare when sick or dying. Also, the APRN should
inquire about spiritual or religious groups that the patient may belong that could be ive in
providing some assistance to his healthcare. Spirituality and faith help Asian-Americans
manage the turmoil of adapting to a new country, by providing a safe environment where
immigrants can socialize and be of assistance to one another (Lee & Eun-Kyoung,
2017).Sensitive IssuesI will inquire if the patient is compliant with taking his medications as
prescribed and access for the use of over the counter, herbal, or traditional medications.
This is especially important as the patient takes lisinopril 10mg QD, prilosec 20mg QD, B12
injections monthly, and cipro 100mg QD. To avoid drug interactions, it is important to ask
about additional medications that the patient may be taking. Examples of Chinese herbal
medicine include astragalus, ginger, licorice, panax ginseng, and schizandra. Traditional
medicine is used across Asian societies for daily health maintenance, and treatment of
certain medical conditions. Also, in China, Japan, and Korea, traditional medicine has
become almost or equivalent to conventional medicine (Mu et al., 2020).Furthermore, the
functionality of the patient will be accessed to determine the level of dependency on the
daughter. Activities of daily living like feeding, bathing, wearing clothes, grooming will be
accessed. Asking about financial assistance with purchasing medications, proper feeding
and housing is vital to ensure the overall needs of the patient are catered for. Due to
socioeconomic status and financial constraint of the patient and his caregiver (daughter), I
will recommend the help of a social worker to provide the services of a home health nurse
and home health nursing assistant. This will ensure that patients’ needs are met, and the
patient takes his medications in a timely manner thereby relieving the responsibility on the
patient’s daughter. In addition, the services of physical and occupational therapy will be
sorted to help strengthen any weak muscles or extremities to ensure some dependence
with physical activities. I will explain to the patient that my recommendation for a social
worker is to help him meet his daily needs and not to disrespect him. This will maintain
patients pride and ego.Targeted questions to assess health risksDo you have health
insurance, or do you pay out of pocket for your medications?Do you take your medications
as prescribed?Do you check your blood pressure at home?Would you want to receive help
with feeding, clothing, bathing, or moving around your home?Do you experience any pain or
difficulty in urinating?In the las two weeks have you experienced sleep disturbances,
decreased appetite, feeling of sadness, hopelessness, or guilt, thoughts of committing
suicide and poor concentration.In what way do you think you are a burden to your
daughter? Week 3 Diversity and Health AssessmentsHow often do you eat and what type of
food do you eat?Do you take any herbal, traditional or over the counter medications?The
questions above are used to access the patient’s access to his medications and if he is
compliant with taking his medications. The need to access for patient’s knowledge about
checking his blood pressure due to his history of hypertension. Accessing patient’s

3. willingness to receive outside resources like home health assistance is essential to
providing the needed healthcare. Question about urinating accesses the history of
prostatitis. Accessing for depression in the elderly is crucial to determine the patient’s
mental state. Elderly Asian immigrants in the US are at risk of depression (Seungah & Eun-
Kyoung, 2017). Evaluating the patients feeding habits and if the patient takes any
medication outside his prescribed medications determines the patient’s health
risk.ReferencesBall, J., Dains, J., Flynn, J., Solomon, B., Stewart, R. (2019). Seidel’s guide to
physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier
Mosby.Lee, R., Eun-Kyoung, O. (2017). Faith, spirituality, and values among Asian-American
older adults: An exploratory factor analysis of the multidimensional measures of religion
and spirituality. Mental Health, Religion & Culture, 19 (8), 920–931.
doi:10.1080/13674676.2017.1290593Miyawaki, C. (2015). A review of ethnicity, culture,
and acculturation among Asian caregivers of older adults. SAGE Journals.
https://doi.org/10.1177/2158244014566365https://journals.sagepub.com/doi/full/10.11
77/2158244014566365Ryu, S., & Lee, O. E.-K. (2016). Faith, spirituality, and values among
Asian-American older adults: An exploratory factor analysis of the multidimensional
measures of religion and spirituality. Mental Health, Religion & Culture, 19 (8), 920-931.
https://doi- org.ezp.waldenulibrary.org/10.1080/13674676.2017.1290593Uono, S.,
Hietanen, J. (2015). Eye contact perception in the West and East: A cross-cultural study. Plus
One. https://doi.org/10.1371/journal.pone.0118094Xin, B., Mu, S., Tan, T., Yeung, A., Gu, D.,
Feng, Q. (2020). Belief in and use of traditional Chinese medicine in Shanghai older adults: A
cross-sectional study. BMC Complement Medicine and Therapies 20 (128).
https://doi.org/10.1186/s12906-020-02910-x.
https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-020-
02910-x