21 Jun WHAT ARE SOME OF THE REASONS THAT MR. LI WAITED SO LONG TO ENTER THE HOSPITAL?
If the meeting included a meal with Chinese food, what kinds of food would you expect to be served? How would it be presented? If something were served that you do not like, would you eat it anyway? 4. Compare and contrast the Chinese meaning of life and way of thinking with the Western meaning of life and way of thinking. 5. What are the common health risks for the development of chronic obstructive pulmonary disease among Chinese people? 6. What are some of the reasons that Mr. Li waited so long to enter the hospital? 7. Mr. Li did not complain of chest pain in the cardiac intensive-care unit. Is this a common behavior? Why? 8. True or False: The Chinese family will expect health-care providers at the hospital to provide most of the care for Mr. Li. 9. Why must the physician be careful with the amounts of medication ordered? 10. Mrs. Li is curt, demanding, and disagreeable toward her daughter-in-law. Why does she act this way? 11. Explain why Mr. Li blames the airplane ride and the Western food for his heart attack. Why does he meditate and do exercises? 12. Is Mr. Li’s stoicism during dying surprising? Why do the family members refuse to discuss his health and possible death? 13. What is the preferred method for handling the remains of a deceased Chinese person? 14. Describe common mourning rituals for the Chinese. 15. Describe bereavement in a Chinese family. 16. Describe a common view of death among Chinese. CHINESE CASE STUDY #2 Mr. Chen, aged 30, and his wife, aged 28, have three children, aged 7, 5, and 2. Many of their extended families also live in the United States near them. Mr. Chen and his parents own several Chinese restaurants. Mr. Chen, an extremely important member in this family, was diagnosed with end-stage renal disease (ESRD) in 1996. The entire family has been under stress for a variety of reasons: the uncertain outcomes of Mr. Chen’s illness, three young children, living in a foreign country and in a different cultural environment, and barriers to accessing health care effectively. Mr. Chen immigrated to the United States in the early part of 1988 to join his parents and work in their successful Chinese restaurant in New York City. His fiancée immigrated to the United States in late 1988, and they married in 1990. The Chen family and Mr. Chen’s parents moved to Albany, New York, and eventually opened three new restaurants before he became ill. His wife cared for their children at home. Mrs. Chen’s parents remained in New York City, where her father is a minister in the Chinese Christian Church. In December 1995, Mr. Chen felt extremely sick with fatigue, nausea, vomiting, and weight loss. At that time, he did not have health insurance. Because of language barriers and the high cost of health care in the United States, he returned to China for medical care. In China, Mr. Chen was diagnosed with ESRD. His physician recommended a kidney transplant. Mr. Chen’s parents also returned to China because of the seriousness of their son’s health. Mr. Chen sold his three restaurants to obtain money for his medical expenses. In May 1996, Mr. Chen received a cadaver kidney transplant in China and recuperated without complications. In July 1996, he returned to the United States with a fully functioning kidney. Mr. Chen continued taking antirejection immunosuppressive agents prescribed by the Chinese physician until October 1996, 5 months’ post-transplantation. At that time, he saw an American physician to obtain a prescription for refilling his antirejection medication. The physician told him that he did not need to continue the medication. He questioned the physician because the Chinese physician had told him that he needed to continue the medication for the rest of his life. Again, he was told that his condition was stable, and he stopped taking the medication. After 20 days, kidney rejection occurred, and he began long-term hemodialysis under Medicare. Hemodialysis left him feeling exhausted and unable to work outside his home. His diet was limited, and he suffered a number of complications, including hepatitis B and liver failure. In December 1997, he suffered a seizure while visiting friends. After Mr. Chen became ill, Mrs. Chen began working as a waitress in a friend’s restaurant and became the sole financial provider for the family. To reduce rent expenses and to be closer to his wife’s work, they moved to a four-bedroom house, which they shared with two other Chinese families, who were close friends. Also, Mr. Chen initiated the extensive application process for disability and Medicaid and long-term hemodialysis. The language barrier made this process even more complicated. He felt frustrated because he was unable to care for his family. However, he is still hopeful and plans to someday return to China for another kidney transplant. His extended family is very supportive, and they are saving money to help pay for his second kidney transplant. Study Questions 1. Initially, what were the main reasons why Chinese people immigrated to the United States? How does this differ from their current reasons for immigrating? 2. How did Americans treat the Chinese in the early 1800s? 3. How do Chinese Americans form networks to support one another? 4. What are some effective ways for Western health-care providers to communicate with Chinese clients who may have difficulty understanding English? 5. Compare and contrast the Chinese meaning of life and ways of thinking with the Western cultural perceptions of the meaning of life and ways of thinking. 6. Why did Mr. Chen initially not seek health-care providers in the United States? 7. What are some of the difficulties that Mr. Chen might have as a long-term hemodialysis patient with a Chinese cultural background? 8. If you were Mr. Chen’s health-care provider, what might you do to improve the quality of life for the Chen family? 9. How might the Chen family go about seeking a kidney transplant in the United States? 10. How might the extended family be more involved with the Chen family? 11. Would you suggest to Mr. Chen that he ask his extended family to be tested for compatibility for being a kidney donor for him? 12. Explain the relationship of yin and yang. CUBAN CASE STUDY Mrs. Demetilla Hernandez is a 63-year-old Cuban woman who seeks consultation at the Liberty health-maintenance organization (HMO) clinic because of weakness, lethargy, and fatigue that she has experienced for the last 2 months. A week ago, while cooking dinner at her daughter, Mariana’s house, she momentarily lost her balance and slipped on the kitchen floor. Although Mrs. Hernandez sustained only a mild bruise on her leg, her daughter insisted on taking her to the clinic for a check-up because of her persistent symptoms. Mrs. Hernandez, widowed 4 years ago when her husband died of a heart attack, lives with Mariana, aged 40. Mariana is divorced and has three children: Luis, aged 15; Carolina, aged 10; and Sofia, aged 7. Since moving into Mariana’s house, Mrs. Hernandez has been managing the household while Mariana is at work. Mrs. Hernandez prepares the family’s meals, attends to the children when they come home from school, and performs light housekeeping chores. Mariana is employed full-time as a supervisor at the local telephone company. The family, originally from Cuba, has been living in Miami for 12 years. Carolina and Sofia were born in Miami, but Luis came from Cuba with his parents when he was 3 years old. Mrs. Hernandez, who does not speak English, converses with her daughter and grandchildren in Spanish. Although the children and their mother occasionally speak English among themselves, the family’s language at home is Spanish. At the Liberty HMO clinic, Mrs. Hernandez was diagnosed with essential hypertension and non–insulin-dependent diabetes mellitus. The physician prescribed an oral hypoglycemic drug and advised Mrs. Hernandez to exercise daily and to limit her food intake to 1500 calories a day. Mrs. Hernandez was concerned because she usually prepares traditional Cuban meals at home and was not sure whether she could tolerate being on a diet. Besides, she explained to Mariana, she thought the dishes she prepares are very “healthy.” Proof of that, she stated, is that her three grandchildren are plump and nice-looking. Mrs. Hernandez told her daughter that, instead of buying the prescribed medicine, perhaps she should go to the botanica and obtain some herbs that would help lower her blood sugar. Study Questions 1. As a health-care provider, what are the typical Cuban communication patterns you need to be aware of in dealing with Mrs. Hernandez? 2. Describe the traditional Cuban food patterns. How would you assist Mrs. Hernandez in developing a plan for a 1500-calorie diet and regular exercise? 3. Would you encourage Mrs. Hernandez to go to the botanica to purchase some herbs? How would you approach her desire to use herbs instead of the prescribed oral hypoglycemic agent? 4. Discuss some common folk practices that Cuban families may use to maintain health or cure common ailments. 5. Explain how time orientation may influence Mrs. Hernandez’s compliance with follow-up clinic visits. 6. Formulate three important goals in teaching Mrs. Hernandez and her family about health care. 7. Identify the typical family and value structure among Cuban Americans. 8. List three major health problems among Cuban Americans. 9. If you were the health-education specialist at the clinic, what would you teach the staff about Cuban culture to help them provide culturally comptent care? 10. Discuss traditional child-rearing practices among Cuban Americans. FILIPINO CASE STUDY #1 In 1990, Jose Bisigan, aged 87, and his wife, Carmen, aged 85, sold their small restaurant and immigrated to Los Angeles from a small town in the Visayan region. They came to join their first-born daughter, Felicia, aged 54, a nurse; her husband; and their three children, aged 10 to 18. Mr. Bisigan speaks limited English and is in a poststroke rehabilitation unit. Since the stroke, he has had mild aphasia, mild confusion, and bladder and bowel continence problems. His hypertension and long-standing diabetes are controlled with medication and diet. His wife, daughter, and grandchildren have been supportive of him during this first hospitalization experience. Mr. Bisigan’s family has cooperated with the health team, often agreeing with minimal resistance to the prescribed treatment management.
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
About Writedemy
We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.
How It Works
To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Are there Discounts?
All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.