J.T. is a 78 year old Hmong woman. She is currently experiencing extreme shortness of breath at her home. She was alone in her home. Her neighbor noticed her distress and called 911. J.T. is of Southern Chinese descent, on Medicare, and has lived in the U.S. for 45 years. EMS believes J.T. needs emergency care at a hospital. The Hmong have an unfavorable regard for hospitals, believing hospitals were inhabited by spirits of people who died there (Thorburn, Kue, Keon, & Lo, 2012).
Answer two (2) of the following questions based on your readings this week and the scenario above:
1. How does J.T.’s cultural perceptions and beliefs impact delivery of care?
2. Does the patient having Medicare mean they have acculturated to Western beliefs on health care? Explain.
3. Briefly compare and contrast the differences in care, insurance, and hospitals of the U.S. and China. Think about if J.T. were in China, how would circumstances be different for her care?
4. If you become a traveling Transcultural Nurse and practice in China, how might you prepare to manage practice in their healthcare delivery system?
Reference
Thorburn, S., Kue, J., Keon, K., & Lo, P. (2012). Medical mistrust and discrimination in health care: A Qualitative study of Hmong women and men. Journal Of Community Health, 37(4), 822-829 8p.