Question

CHINESE CASE STUDY #1 An elderly, Asian-looking man is admitted to the emergency room with chest pain; difficulty breathing; diaphoresis; vomiting; pale, cold, clammy skin; and apprehension. Three people, speaking a mixture of English and a foreign language to one another, accompany him. The nurse tries to speak English with the man, but he cannot understand anything she says. Accompanying the elderly man are two women (one elderly and very upset and one younger who stands back from the other three people) and one younger man. The younger man states that the elderly man, whose name is Li Ying Bin, is his father; the elderly woman, his mother; and the younger woman, his wife. The son serves as the translator. Li Ying Bin comes from a small village close to Beijing. He is 68 years old, and he has been suffering with minor chest pain and has had trouble breathing for 2 days. He is placed in the cardiac room, and the assessment continues. Mr. Li is on vacation, visiting his son and daughter-in-law in the city. His son and daughter-in-law have been married for only 1 year, but the son has lived in the West for 7 years. Mr. Li’s daughter-in-law looks Chinese but was born in the United States. She does not speak very many words of Chinese. Further physical assessment reveals that Mr. Li has a history of “heart problems,” but the son does not know much about them. Mr. Li had been to the hospital in Beijing but did not like the care he received there and returned home as soon as possible. He goes to the local clinic periodically when the pain increases, and the health-care provider in China used traditional Chinese medicine, herbs, and acupuncture. In the past, those treatments relieved his symptoms. Medications are ordered to relieve pain, and Mr. Li undergoes diagnostic procedures to determine his cardiac status. The studies reveal that he did sustain massive heart damage. Routine interventions are ordered, including heart medications, anticoagulants, oxygen, intravenous fluids, bedrest, and close monitoring. His condition is stabilized, and he is sent to the cardiac intensive-care unit. In the cardiac unit, the nurse finds Mrs. Li covering up Mr. Li until he sweats, and Mrs. Li argues with the nurse every time her husband is supposed to dangle his legs. She complains that he is too cold and brings in hot herbal beverages for him to drink. She does not follow the nurse’s and physician’s orders for dietary restrictions, and she begins to hide her treatments from the staff. Her son and daughter-in-law try to explain to her that this is not good, but she continues the traditional Chinese medicine treatments. Mr. Li is a very quiet patient. He lies in bed and never calls for help. He frequently seems to be meditating and exercising his arms. When he does talk to his son, he speaks of the airplane ride and the problems of being so high. He believes that may have caused his current heart problem. Mr. Li also wonders if Western food could be bad for his system. Mr. Li’s condition gradually deteriorates over the next few days. Nurses and physicians attempt to tell the family about his condition and possible death, but the family will not talk with them about it. Mr. Li dies on the 5th day.

6. What are some of the reasons that Mr. Li waited so long to enter the hospital?

9. Why must the physician be careful with the amounts of medication ordered?

10. Mrs. Li is curt, demanding, and disagreeable toward her daughter-in-law. Why does she act this way?

11. Explain why Mr. Li blames the airplane ride and the Western food for his heart attack. Why does he meditate and do exercises?

Answer 1

6.Some of the reasons for Mr.Li to wait for a longer time are

• Communication gap between the healthcare professional(nurse) and the patient, patient family
• Lack of complete history from Mr.Li's son regarding his medical conditions to assess and diagnose the disease
• Traditional practices, believes and culture of the family

9.The main reading for the physician to be careful in regards to the amount of medication are

• Age :as one ages the organ system slowen down from its actual function making it difficult to excrete or eliminate the medication from the body and leading to adverse reactions
• Herbal medicines or traditional remedies can interfere with the current allopathic medications.
• The psychological factors in regards to acceptance of the treatment

10.This is because of their age old traditional practices and believes of their culture practices in treating a sick individual and lack of trust on the allopathic treatment makes her to disagree with her daughter-in-law

11.The airplane ride often leads an individual to be subjected to high pressure and altitude which can cause heart problems. According to research there is high chance of getting heart attack when one consumes western foods compared to other foods.They are at risk of 35% than others making Li to think that this could be the cause.

Meditation can often lead to decreass in stress and tension and ensure the heart healthy by keeping it in peace.In simple to keep one psychologically healthy.

Exercise can make one more physically active and get rid 9ff and prevent various lifestyle diseases like hypertension, diabetes, obesity , etc.,