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doi:10.2105/AJPH.2013.301798Tucker, C., Marsiske, M., Rice, K., Nielson, J., & Herman, K. (2011). Patient-centered culturally sensitive health care: Model testing and refinement. Health Psychology, 30(3), 342-350. doi:10.1037/a0022967
Lillian,Good post regarding this very prevalent culture in the United States. The elderly Asian population is growing, which requires special considerations and cultural sensitivity. The patient in this scenario states that he doesn’t want to be a burden to his daughter, with whom he lives with. From this statement I would be inclined to assess this patient’s emotional health. Adjustments to lifestyle and aging pose a challenge to the mental health of the elderly (Mathews, 2016a). It has been documented that older persons, especially those with illness and disability, are at an increased risk for suicide (2016a). Asians tend to somatize psychological distress (Yu et al, 2016b). In the Asian culture, there is a stigma associated with mental illness (2016b). A targeted question to include in this patient’s assessment would be, “Do you ever feel down, depressed, or hopeless?” It is A few studies involving elderly populations of Asia have found that depressed participants report sleep-related issues such as poorer sleep efficiency, sleep disturbances, breathing discomfort, coldness and pain, increased sleep latency, poor subjective sleepquality, and the use of sleep medicines (2016b). As the practitioner caring for a patient in the Asian population, it is critical to understand the coping mechanisms utilized in this culture in order to provide proper care. ReferencesMathews, M. (2016a). The experience of counseling among a Singaporean elderly population: A qualitative account of what clients report as beneficial. Journal of Cross Cultural Gerontology, 2016(13), 277-291. doi:10.1007/s10823-016-9290-4Yu, J., Rawtaer, I., Fam, J., Jiang, M., Feng, L., Kua, E., & Mahendran, R. (2016b). Sleep correlates of depression and anxiety in an elderly Asian population. Psychogeriatrics, 2016(16), 191-195. doi:10.111/psyg.12138
Meghan,Thank you for the post on a potentially very sensitive subject. As a practitioner, we have to possess an open mind and be free from prejudices. This scenario presents with a 32-year-old pregnant lesbian patient. The patient is being seen for an annual physical. She has been receiving care from an obstetrician. Many practitioners are heterosexist and nearly eliminate sexual identity in history taking, while others tend to be curious and inquisitive about the childbearing lesbian (Singer, 2012). As a primary care practitioner, it is essential to build a trusting relationship between the patient and the provider. For a lesbian woman, trust is more likely to be achieved with a health care provider whose philosophy is to maintain inclusion and cultural sensitivity (2012).