Caring for Chinese, Filipino, & Vietnamese Populations

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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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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  • Dietary Practices:
    • High-sodium foods are common in some Chinese cuisines.
    • Educate patients on sodium content in common dishes and suggest healthier alternatives.
  1. 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.
  1. 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.

Additional Tips:

  • 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.

By understanding these cultural considerations, healthcare professionals can provide more effective and culturally sensitive care to Asian American patients.

 

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