HCA250 Week 5 Appendix D Culture & Health Behaviors
HCA250 Week 5 Appendix D Culture & Health Behaviors
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Date Created: 11/12/15
Culture and Health Behaviors Culture describes patterns of beliefs and behaviors of groups organized by any number of categories such as age family structure geographic location ethnicity etc An individual s culture has an impact on how he or she responds to perceived symptoms and illnesses Part One Read the following case studies Case 1 Jos Both of 6yearold Jose s parents work at a highrise hotel in New York City Jose s grandparents take care of him while his parents are at work The grandparents feel that he needs to eat healthy to grow up like his papa Jose is given candy and soda in addition to regular meals at their house Both sets of grandparents along with many aunts uncles and cousins live within walking distance Three months ago Jose was diagnosed with Type I diabetes Jose s family has a meter to monitor his blood glucose but everyone hates to stick his finger so many times in one day The dosages of insulin are written on a sheet that is taped to the refrigerator so the family knows when to administer a shot based on the meter reading Jose has had two hospitalizations for high and low blood sugar readings His relatives mostly speak Spanish and no one really understands Jose s new disease of high sugar The family is scheduled to attend a special class at the hospital taught in Spanish by a pediatric diabetic educator Case 2 Raymond Raymond is a 75yearold gentleman of PolishBohemian descent Raymond lives with Carol his wife of 55 years They have no children Raymond was forced into early retirement at age 64 because the welding company he worked for went out of business Raymond spends most of his time sitting in his comfortably padded armchair watching TV He also enjoys tinkering in his garage and going to eat at a local Polish restaurant where he always orders Polish sausage sauerkraut and desserts galore His doctor has provided copies of lowsalt diets for several years to help him stay healthy Over the past six months Raymond has experienced swelling accompanied with weeping of fluid in his legs He has poor cardiac function and his kidneys are starting to fail At his most recent visit scheduled specifically to refill his medications Raymond was told that he would most likely require dialysis within a year He is becoming increasingly short of breath and is unable to sleep lying down Last week a neighbor brought over some flowers and overheard this conversation Raymond slouched in his chair Carol will you get me some cheese crackers HCA 250 Carol Are you sure you should have those They are full of salt and not good for you Your legs will hold more water Flaymond raising his voice I don t care Bring them here I will just take another water pill Carol All right Case 3 Aliyah Mohammed and his wife Aliyah have been living in the US for the past year while Mohammad finishes his postgraduate education They hope to go home to Saudi Arabia after graduation Aliyah is a housewife and takes care of the couple s three small children Over the past several months Aliyah has had persistent abdominal pain She has refused to go to the male doctor who has been assigned to her through Mohammad s student health care plan However the pain is becoming more frequent and needs evaluation Mohammed is frustrated with his wife for not going to the doctor and at the same time is terribly worried that something may be seriously wrong with her Part Two Select any two of the three cases presented and answer the following questions First Case Jose 1 Is there a problem with either seeking medical attention or adherence to medical advice or both In Jose s case I feel the problem lies with adherence to medical advice The grandparents give the child soda and candy when they have him visiting which causes problems with his blood sugar levels In addition the entire family seems to feel bad about doing the testing probably because they feel they are somehow hurting the child Therefore there is no regular schedule for testing to ensure his blood sugar levels stay balanced to avoid complications and hospitalization Another possibility is that either the adults are not comfortable giving insulin shots or again feel they might be hurting him Since the dosage chart is posted on the refrigerator but the child has been hospitalized twice recently this may suggest he did not receive insulin when it was needed 2 Identify and describe the impact of psychosocial andor sociocultural factors that may be contributing to the behavior in each case I feel much of the problem can be eliminated by the family attendance of the special which will be taught in Spanish Because much of the family speaks Spanish there is complication in understanding the disease and the plan for treatment For this reason it is imperative providers of health care are able to effectively communicate with their patients and that literature be available in various languages I feel another factor may be the desire of the grandparents to spoil the grandchildren The norm tends to be that when visiting the grandparents children get treats and have fun If the grandparents are unable to understand the disease or perhaps fall in to the thinking that it is not that big of a deal the when l was your age mentality quotwe didn t have all these diseases and medications just take some castor oil HCA 250 Second Case Aliyah 3 Is there a problem with either seeking medical attention or adherence to medical advice or both Explain your answer The problem in Aliyah 5 case is seeking medical advice One part of the problem is likely that Aliyah has three small children to take care of while Mohammad works Taking three small children anywhere is a task in itself so this may be part of the issue with seeking attention if Aliyah is unable to find someone to care for the children while she goes to the doctor Another issue is obviously Aliyah s resistance to seeing a male doctor Some cultures would believe a woman is not to be touched by any other man than her husband or that somehow contact with a male is prohibited or frowned upon If this is not the case with Aliyah then it might be simply that she is uncomfortable with seeing a male doctor which is common for many women Aliyah s husbands health plan assigns the doctor which makes it difficult to find a doctor Aliyah would be comfortable with 4 Identify and describe the impact of psychosocial andor sociocultural factors that may be contributing to the behavior in each case As stated previously the cultural background of this couple might be inhibiting Aliyah s ability to be comfortable seeking medical attention from the assigned medical provider Having only lived in the United States for a year Aliyah who probably spends most of her time at home with her children may be unaware that in our culture it is normal and accepted that a female be treated medically by a male doctor However perhaps Mohammed could lend help to the situation by freeing enough time to go with Aliyah to the appointment which may make her more comfortable HCA 250
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