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May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).
Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds.
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
CASE STUDY 1
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his
daughter, a single mother who has little time or money for her father's health needs. He
has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12
deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec
20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an
annual exam and states “I came for my annual physical exam, but do not want to be a
burden to my daughter."
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