NURS 6512 week 2 assignment – WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication.

NURS 6512 week 2 assignment – WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication.

WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication. Daughter complains about her father’s unwillingness to be cared for. He is a widower whose only relatives around are his daughter, a nurse, and his 13-year-old grandchild.

Include the following: 

• Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific. 
• Explain the issues that you would need to be sensitive to when interacting with the patient, and why.  
• Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques. 
• Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient. 
• Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific. 
• References: This paper should be in APA format with at least three references to support your posting. In-text citation should be used as well

NURS 6512 week 2 assignment – WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication.

Week 2 Assignment: Building a Patient’s Health History with Diversity and Cultural Awareness

Patients’ health history significantly influences their treatment outcomes by informing diagnoses and treatment decisions. Thus, an individual’s treatment starts with building a detailed health history. However, elements captured in the medical history differ from one patient to another. The assigned patient is a 62 y/o Chinese male accompanied by his daughter to the clinic. He has currently visited the clinic for a follow-up appointment following the prescription of a new medication for managing his hypertension. This paper presents significant components of the health history of a 62-year-old Chinese male.

Factors to Consider When Building a Health History

Considering multiple factors during clinical assessment would allow the NP to build a comprehensive medical history for this patient. The first significant aspect is the patient’s socioeconomic factors. This determinant of health must be considered since social support significantly impacts treatment outcomes in persons diagnosed with chronic disorders and undergoing continuous treatment (Şahin Altun et al., 2022). The daughter reports the patient’s unwillingness to be cared for. Thus, the clinician must assess the patient’s social support system since it is likely to impact his adherence to the recommended medication regimen. Moreover, the healthcare provider should consider the patient’s cultural factors since he is from a diverse ethnic background (Chinese). Therefore, examining the patient’s cultural values would allow the clinician to collect culturally sensitive comprehensive and detailed health history. For instance, examining Chinese perception towards medical treatment for chronic disorders, such as hypertension would indicate a patient’s likelihood to comply with the new medication regimen.

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Areas to be Addressed with Sensitivity during the Patient’s Interaction

Being sensitive to some areas of the patient’s life while interacting with him is crucial in creating a good relationship. The most significant area that must be addressed with sensitivity and care is the patient’s cultural and ethnic background. Ziegler et al. (2022) associated nurses’ intercultural competence when dealing with culturally diverse patients with optimal treatment outcomes. Therefore, the NP should avoid directly associating the patient’s medical condition with his Chinese background. Consequently, the patient would feel that his cultural background or ethnicity has been respected; thereby responding to interview questions willingly. Health-related information and medical data collected during the interview would then allow the healthcare professional to make informed decisions regarding the patient’s treatment. Moreover, sensitivity is key when addressing the patient’s social life. Being a widower with a very small social circle that includes the patient’s nurse, a daughter, and a grandchild might have contributed to his current health status. Thus, the clinician must be careful when discussing with the patient his support system to avoid triggering emotions that might compromise the health history-building process.

Effective Communication Techniques

One of the most effective communication strategies in this scenario involves using formal titles. Chinese culture values social hierarchies and authority (Zhang, 2023). Therefore, the clinician should focus on using formal titles, such as Mr. to address this patient, which would make him feel valued and respected. Consequently, the patient would adhere to interview instructions, providing all essential health-related information. The second communication approach involves engaging a family member. Specifically, the patient’s bilingual daughter should be involved in the interview to provide his father’s medical information, resulting in a comprehensive health history. The last strategy involves using simple language with limited technical terms. This communication approach would enhance the patient’s daughter’s understanding of interview questions since English is not her first language. As a result, the daughter would provide all vital medical information needed to support clinical decisions.

The Health History Interview

1. ” Do you have any concerns regarding new anti-hypertensive medication?” This question would allow the clinician to determine if an alternative medication or dose adjustment is necessary to enhance adherence to the current medication regimen.
2. “Is the current medication more effective than the previous one in improving your blood pressure?” This question would guide the clinician in deciding whether to continue the current medication.

• “Do you monitor your blood pressure regularly?” This question would is effective in determining if the patient would notice when his blood pressure significantly varies with desired metrics.

1. “Do you have any mental health concern?” This question indicate if the patient’s hypertension has exposed him to mental health issues.
2. “Do you adhere to the recommended DASH diet?” This question would allow the NP to determine how the patient’s diet impacts his treatment outcomes.

The Best Risk Assessment Instrument

The most appropriate tool for a 62-year-old Chinese male with hypertension is the Framingham Risk Score (FRS). According to MB and WA (2021), FRS uses multiple factors, including age, blood pressure level, diabetes status, gender, and cholesterol levels to predict an individual’s risk of developing cardiovascular disease (CVD) within 10 years. The patient has been receiving hypertension management care, making him prone to CVDs. Therefore, the FRS is the best risk assessment tool in this case since it would allow the assessment of potential CVDs.

References

MB, A. A., & WA, K. (2021). Cardiovascular diseases Risk Prediction using the Framingham risk score. Egyptian Journal of Occupational Medicine, 45(3), 249-264. DOI: 10.21608/ejom.2021.193283

Şahin Altun, Ö., Asi Karakas, S., Öztürk, Z., & Polat, H. (2022). An analysis of the relationship between social support levels and treatment compliance of individuals diagnosed with schizophrenia. Perspectives in Psychiatric Care, 58(2). DOI: 10.1111/ppc.12813

Zhang, S. (2023). Just Hierarchy: Why Social Hierarchies Matter in China and the Rest of the World, written by Daniel Bell and Wang Pei. Journal of Chinese Humanities, 9(1), 131-137. https://brill.com/view/journals/joch/9/1/article-p131_8.xml

Ziegler, S., Michaëlis, C., & Sørensen, J. (2022). Diversity competence in healthcare: experts’ views on the most important skills in caring for migrant and minority patients. Societies, 12(2), 43. https://doi.org/10.3390/soc12020043  NURS 6512 week 2 assignment – WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication.