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Caring For Chinese, Filipino, & Vietnamese Populations

Describe health and illness practices that may augment problems associated with the treatment of hypertension for Chinese-American clients.
Describe the locus-of-control variable that some Filipino Americans have that may influence health-seeking behavior.
Describe the importance of folk medicine and folk healers to Vietnamese Americans.

Full Answer Section

Locus of Control and Filipino American Health Seeking Behavior:

External Locus of Control: Some Filipino Americans may believe health is influenced by fate, luck, or spirits. This can lead to delaying seeking medical help for hypertension or attributing symptoms to other causes.
Importance of Family: Decisions about healthcare might involve family members, potentially delaying seeking medical attention.
"Hiya" (Shame): Fear of being a burden or appearing weak might discourage open communication with healthcare providers about health concerns.

Folk Medicine and Folk Healers in Vietnamese Americans:

"Thuoc Bac" (Traditional Medicine): Many Vietnamese Americans use herbal remedies, which may interact with blood pressure medications.
"Bac Si" (Folk Healers): These traditional healers may be consulted for hypertension, potentially delaying or replacing evidence-based treatment.
Spiritual Practices: Belief in spirits or imbalances may lead to seeking spiritual remedies alongside, or instead of, medical treatment.

Remember: These are generalizations, and individual beliefs and practices will vary. Culturally competent care involves understanding these potential influences and tailoring communication and treatment approaches accordingly.

Sample Answer

Cultural Considerations in Hypertension Management:

Chinese Americans:

Dietary Practices: Traditional Chinese diets may be high in sodium (soy sauce, fermented foods) and saturated fat, contributing to hypertension.
Traditional Beliefs: Concepts like "yin" and "yang" may influence treatment. Some might believe hypertension is a "yin deficiency," leading them to seek herbal remedies that may interact with medications.
Acupuncture: While acupuncture can be a complementary therapy, some may rely on it solely, delaying effective medical treatment.