Reference no: EM133857294

Assignment:

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."

I enjoyed reading your post. I agree that in many Asian cultures, the child must take care of the parent later. Asian cultures, people are taught not to maintain eye contact with others because too much eye contact is often considered disrespectful. The patients traditionally pay high respect to doctors and health professionals, obeying their advice strictly. Many Asian Americans are not familiar with the risk factors for disease as their cultural beliefs about health. Brief eye contact is considered acceptable, but you should constant avoid eye contact If a provider appears harsh, then the patient may be more hesitant to interact and trust them (Malich, Dilokthornsakul, Sruamsiri, & Chaiyakunapruk, 2018).

Knowing the daughter is the physical and financial dependent figure may indicate that the older adult may have a poor socioeconomic status. Therefore, the presence or absence of health insurance coverage plays an essential role in chronic disease prevention and progression among mid-life adults. Interdependence on family members is expected within this ethnic group. It is part of their culture to closely include family in healthcare decisions and plans (Ball et al.,2019). It is not to be assumed that he follows the typical Asian culture, though, by including family because he does indicate that he did not want to burden his daughter. The daughter also stated she seems overwhelmed by the situation, so she should be assessed further as to why. The collectivist culture, such as Asia, experiences acculturation stress due to different cultural norms and values. Lack of available resources may limit their coping ability, and prolonged exposure to acculturation stress may result in a decline in mental health (Ma et al., 2020). There is some evidence to suggest that South Asian people have higher rates of mental and emotional health problems than the rest of the Canadian (Naeem et al., 2019).

Understanding the faith and tradition may strengthen the trust and relationship between patient and provider-illness conflict with Western medicine. Limited access to health care can also pose a barrier to seeking health education and preventative maintenance (The UMHS Endeavor, 2014).

1. Are you aware of having you or your daughter know any healthcare cost-reduction resources?

2. You mentioned burdens. What is most concerning, and why did you say that?

3. How is your daughter's health? Is she able to help you when you need it physically and mentally?