Patient: Sue Li
Ethnicity: Asian American
(a) What cultural considerations are important for you to remember while you interview Ms. Li? When conducting the interview and asking about pain, depression, abuse, etc…, keep in mind that culturally, Asian Americans are generally stoic and tend to hide depression, pain, and mental illness. Therefore, watching for signs and body language as well as affect will be the better way to go than just asking. Be sure to ask about traditional medicines and ask in a way that lets her know that you are open-minded. Reassure her regarding confidentiality and try to adapt explanations appropriately to the Asian culture giving a bio-psychosocial explanation is more readily acceptable to the “mind-body” view of illness in the Asian culture (Chung, Nguyen, & and Gany, 2002). Avoid assuming or stereotyping, not all Asian Americans are the same or follow the same cultural norms. However, ask before touching, because the Asian culture is strict about strangers invading their personal space and about germs; direct eye contact is also considered impolite or aggressive (Chung, Nguyen, & and Gany, 2002). Cancer then heart disease is the leading causes of death in Asian women (CDC, 2011). Asians are also twice as likely to get Type 2 Diabetes but will not likely to show symptoms like weight gain. People of Asian descent have differences with metabolizing some drugs such as antidepressants, psychoactive drugs, antibiotics, and beta-blockers. They will break down more slowly to the variant of the CYP allele in the liver. However, some drugs such as carbamazepine, phenytoin, or hyperforin effect the CYP expression in the liver causing the metabolism of the drug to speed up. This can seriously affect the serum drug level and cause harmful side effects (Bondy & and Spellmann, 2007) Physically Asian skin has a yellow pigmentation due to increased melanin with darker pigmentation in perineal areas and nipples. Hair...
References: Bondy, B., & and Spellmann, I. (2007, March). Cytochrome P450 Pharmacogenetics,
Drug-drug Interactions and Adverse Effects. Current Opinion in Psychiatry, pp.
CDC. (2011). Leading Causes of Death by Age Group, Asian or Pacific Islander Females-
United States, 2011. Retrieved from Center for Disease Control:
Chung, H., Nguyen, D., & and Gany, F. (2002). Initial behavioral health assessment of
Asian Americans. Western Journal of Medicine, 2333-236.
Jarvis, Carolyn. Physical Examination and Health Assessment, 6th Edition. Saunders,
2012. VitalBook file.
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