Socioeconomic Status And Health Care Inequality Essay

Ebony Clarke
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Patient Profile

44-year-old Filipino patient comes to the clinic today to have his “blood thinner” labs drawn since he started them 2 weeks ago. Upon assessing the labs, the NP notes that he is still out of range. When assessing the patient compliance, he stated that he had been taking them as prescribed. He has been doing well and eating a diet rich in fish and tofu. He doesn’t understand why his medications are not working. Socioeconomic Status And Health Care Inequality Essay

Socioeconomic status, spiritual, lifestyle and other factors of the patient

As a provider cultural competency is very important and something you must take into consideration when providing care for people with different backgrounds and beliefs. When it comes to culture, what you may do and believe may differ from the people you are providing care for and should not pose as a barrier. Providers must be open-minded and have a non-judgmental attitude. Racial and ethnic differences, as well as social and economic conditions, may affect the provision of specific healthcare to certain groups and subgroups in the U.S. (Ball et al., 2017). The patient being seen is a 44 -year-old Filipino male. The socio-economic status of this patient being assigned would be of the working class, middle, or upper class as he doesn’t express any hardships, problems paying for his medications, or problems with not having health insurance. The Philippines/Filipinos (used interchangeably) has a diversity of religion, but Roman Catholicism is still the dominant religion practiced by 85% of the population and Catholic practices and ethnic identity are intricately interwoven into cultural meanings of identity, family, and community (Lagman et al., 2012).  Socioeconomic Status And Health Care Inequality Essay The patient tries to leave a healthy lifestyle as according to the profile he doesn’t smoke, drink, or participate in illegal drugs or substances. The patient is compliant with his current medication regimen and has a diet rich in fish and tofu, which is also a good sign of a healthy lifestyle. The cultural of the Philippines is a blend of Filipino and Spanish Catholic traditions. These traditions are centered around family that includes religion, appreciation for arts, fashion, music, and food.

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Sensitivity when interacting with this patient Socioeconomic Status And Health Care Inequality Essay

Filipinos are very flexible, adaptable, have respect for the elderly, generous, optimism, and have faith and religion. While researching I didn’t find anything out of the ordinary that would be offensive to the Filipino culture (like direct eye contact, certain gestures, or things of that nature). The one thing that I will have to address that may cause some sensitivity is his current diet. The patient is eating fish and tofu. As a Filipino he may feel his diet that consist of fish and tofu is okay, but the fish and tofu combination may be hindering him from being in normal range with his Coumadin levels. The two foods maybe interacting with the medication he is on. This may present some sensitivity because fish and tofu are a staple in the Filipino community and telling him he may have to refrain or eat those foods sparingly while on this medication could cause some sensitivity. Socioeconomic Status And Health Care Inequality Essay

Targeted Questions

What is your primary language/is a translator or family member needed?
How do you feel about vaccinations/will you take them?
What do you know about the blood thinner you are taking and what condition it is for?
Who/do you have a support system?
Are there specific beliefs or preferences concerning food, such as those believed to cause or to cure an illness?
What is the highest grade of education received?
What do you do for a living? Socioeconomic Status And Health Care Inequality Essay

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2017). Cultural Competency. In Seidel’s physical examination handbook – e-book: An interprofessional approach (mosbys physical examination handbook) (9th ed., p. 24). Mosby.

EveryNurse Staff. (2022, January 15). Seven steps to become a more culturally sensitive nurse. Everynurse. https://everynurse.org/7-steps-culturally-sensitive-nurse/

Lagman, R. A., Yoo, G. J., Levine, E. G., Donnell, K. A., & Lim, H. R. (2012). “Leaving it to God” religion and spirituality among filipina immigrant breast cancer survivors. Journal of Religion and Health, 53(2), 449–460. https://doi.org/10.1007/s10943-012-9648-z