A. Describe health and illness practices that may augment problems associated with the treatment of hypertension for Chinese-American clients.
B. Describe the locus-of-control variable that some Filipino Americans have that may influence health-seeking behavior.
C. Describe the importance of folk medicine and folk healers to Vietnamese Americans.
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Caring for Chinese, Filipino, & Vietnamese Populations
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- Dietary Practices:
- High-sodium foods are common in some Chinese cuisines.
- Educate patients on sodium content in common dishes and suggest healthier alternatives.
- Filipino Americans and Locus of Control:
- Externality:
- Some Filipino Americans may exhibit an external locus of control, believing health is influenced by fate or external forces.
- This can lead to delayed healthcare seeking or reduced adherence to treatment plans.
- Importance of Family:
- Decisions may involve family input.
- Include family members in education and discussions to promote treatment adherence.
- Vietnamese Americans and Folk Medicine:
- "Bac Si" (Folk Healers):
- Vietnamese Americans may consult "Bac Si" (folk healers) for diagnosis and treatment, particularly in rural areas.
- Encourage open communication about these practices to ensure they complement, not replace, conventional medicine.
- Herbal Remedies:
- Similar to Chinese Americans, Vietnamese Americans may use herbal remedies.
- Be aware of potential interactions and encourage disclosure of all medications and supplements.
- Culturally Competent Care: Building rapport and demonstrating respect for cultural beliefs is crucial for effective communication and treatment adherence.
- Language Barriers: Utilize interpreters or translated materials when necessary.
- Collaboration: Encourage patients to discuss traditional practices with their doctor to find a holistic approach to managing their health.
Sample Answer
Cultural Considerations in Healthcare Delivery
Here's a breakdown of the health practices and beliefs that may influence treatment for specific Asian American populations:
A. Chinese Americans and Hypertension:
- Traditional Chinese Medicine (TCM):
- Some Chinese Americans may rely on TCM practices like herbal remedies or acupuncture alongside conventional treatment.
- It's crucial to discuss potential interactions between herbs and medications to avoid complications.
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