Nursing Essay

4368 Words Mar 3rd, 2014 18 Pages
REVIEW
XIAN WEN JIN, MD, PhD
Department of General Internal Medicine, The Cleveland Clinic

JACQUELYN SLOMKA, PhD, RN
Department of Bioethics, The Cleveland Clinic

CAROL E. BLIXEN, PhD, RN
Department of General Internal Medicine, The Cleveland Clinic

Cultural and clinical issues in the care of Asian patients s A B S T R AC T
Special problems of Asian patients have considerable impact on diagnosis and treatment, and the number of persons of Asian ancestry seen in primary care in the United States is increasing. Knowledge of how to provide optimal care despite language barriers, low socioeconomic status, different health beliefs and practices, and medical issues unique to this heterogeneous group is crucial to competent health
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Rather than viewing these differences as something to be overcome or simplistically “respected,” culture becomes meaningful to health care when it is analyzed and interpreted within the individual patient’s social and historical situation.3

C

HALLENGES COMMONLY ENCOUNTERED

s KEY POINTS
Several diseases are more common in Asians than in the general population: lactose intolerance, hepatitis B, nasopharyngeal carcinoma, and tuberculosis. In traditional Chinese culture, if a person feels well, there is no need to see a doctor. Also, because blood is considered as nonrenewable vital energy, patients may resist having blood tests to check such things as cholesterol and glucose levels. Toxicity or side effects of ginseng such as central nervous system stimulation and increased blood pressure have been reported. Excessive amounts of ginseng may cause headache, insomnia, and palpitations. Ginseng may decrease the diuretic effect of furosemide, causing an adverse reaction in patients with congestive heart failure. Fourteen percent of US Asian families live below the poverty line, compared with 11.5% of Caucasian families.

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CLEVELAND CLINIC JOURNAL OF MEDICINE

VOLUME 69 • NUMBER 1

J A N U A RY 2 0 0 2

ASIAN PATIENTS

JIN AND COLLEAGUES

s CASE 1 LANGUAGE DIFFICULTIES A previously healthy 48-year-old Chinese woman presented to the emergency department with the chief complaint of

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