chinese and japanese – Essay Writers

Create your APA formatted essay-style submission, with references, be sure to cite your sources and check your spelling.Assignment:Complete the following:Chinese case study #1Japanese case study #1Version:1.0 StartHTML:000000480 EndHTML:000076312 StartFragment:000001223 EndFragment:000076280 StartSelection:000001535 EndSelection:000076280 SourceURL:  PDF.js viewerCHINESE CASE STUDY #1An elderly, Asian-looking man is admittedto 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 understandanything she says. Accompanying the elderlyman are two women (one elderly and veryupset and one younger who stands back from the other three people) and one youngerman.The younger man states that the elderly man, whose name is Li Ying Bin, is hisfather; the elderly woman, his mother; andthe younger woman, his wife. The son servesas the translator. Li Ying Bin comes from a small village close to Beijing. He is 68 yearsold, and he has been suffering with minor chest pain and has had trouble breathing for 2days. He is placed in the cardiac room, and the assessment continues.Mr. Li is on vacation, visiting his son anddaughter-in-law in the city. His son anddaughter-in-law have been married for only 1 year, but the son has lived in the West for 7years. Mr. Li’s daughter-in-law looks Chinese but was born in the United States. Shedoes 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 Beijingbut did not like the care hereceived there and returned home as soon as possible. He goesto the local clinic periodically when the pain increases, and the health-care provider inChina used traditional Chinese medicine,herbs, and acupuncture. In the past, thosetreatments relieved his symptoms.Medications are ordered to relievepain, and Mr. Li undergoes diagnosticprocedures to determine his cardiac status. Thestudies reveal that hedid sustain massiveheart damage. Routine interventions are ordered, including heart medications,anticoagulants, oxygen, intravenous fluids, bedrest, and close monitoring. His conditionis 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, andMrs. Li argues with the nurse every timeher husband is supposed to dangle his legs. Shecomplains that he is too cold and brings inhot herbal beverages for him to drink. Shedoes not follow the nurse’s and physician’s orders for dietary restrictions, and she beginsto hide her treatments from the staff. Herson and daughter-in-law try to explain to herthat this is not good, but she continues thetraditional Chinese medicine treatments.Mr. Li is a very quiet patient. He lies in bed and never calls for help. Hefrequently 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 mayhave caused his current heart problem. Mr. Lialso wonders if Western food could be badfor his system. Mr. Li’s condition gradually deteriorates over the next few days. Nursesand physicians attempt to tell the family about his condition and possible death, but thefamily will not talk with them about it. Mr. Li dies on the 5th day.Study Questions1.If you were to go to China on a business trip, how would you design yourname card so that the Chinese would not be confused?2.If you wished to have a meeting witha Chinese delegation of health-careproviders, would you expect them to be on time? Why?3.If the meeting included a meal with Chinese food, what kinds of foodwould you expect to be served? Howwould it be presented? If somethingwere served that you do not like, would you eat it anyway?4.Compare and contrast the Chinesemeaning of life and way of thinkingwith the Western meaning of life and way of thinking.5.What are the common health risks for the development of chronicobstructive pulmonary disease among Chinese people?6.What are some of the reasons thatMr. Li waited so long to enter thehospital?7.Mr. Li did not complain of chest painin the cardiac intensive-care unit. Isthis a common behavior? Why?8.True or False: The Chinese family will expect health-care providers at thehospital to provide most of the care for Mr. Li.9.Why must the physician be carefulwith the amounts of medicationordered?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 hisheart attack. Why does he meditate and do exercises?12.Is Mr. Li’s stoicism during dying surprising? Why do the family membersrefuse to discuss his health and possible death?13.What is the preferred method forhandling the remains of a deceasedChinese person?14.Describe common mourning rituals for the Chinese.15.Describe bereavement in a Chinese family.16.Describe a common view of death among Chinese.Version:1.0 StartHTML:000000480 EndHTML:000045515 StartFragment:000001223 EndFragment:000045483 StartSelection:000001682 EndSelection:000045483 SourceURL:  PDF.js viewerAPANESE CASE STUDY #1This case study is a composite of actual situations. Marianne, who is American, and KenShimizu, who is Japanese, have workedin Tokyo for over 30 years as Methodistmissionaries. They have annual furloughs andoccasional sabbaticals, during which theyvisit relatives and sponsoringorganizations and engage incontinuing education in theUnited States. They met as college studentsin the United States, and their three grownchildren have established their own careers in the United States.Ken’s 98-year-old mother resides withMarianne and Ken. She is not Christianbut has always been extremely supportive ofKen and Marianne’s work. Ken teaches ata large Christian university, whereas Marianne has served in various church-relatedpositions over the years. As missionaries, they live in subsidized post–World War IIhousing near Ken’s university. Marianne hasbeen a frugal housewife, preparing localfoods in the Japanese style for her family.Ken, who is nearly 60, recently learnedthat he has glaucoma. By the time itwas discovered, he had lost a significant amount of peripheral vision. AlthoughMarianne delivered all threechildren at a Christian hospital in Tokyo, she gets herannual physical examination when visiting relatives in the United States. She has neverbelieved that the Japanese health system isas proactive as that in the United States.On her most recent visit to the UnitedStates, Marianne learned that she hashypertension. Her physician prescribed a medication that is readily available in Japan,but the physician was concerned about the level of stress in Marianne’s life. MotherShimizu is quite confused and requires considerable care, but it is unthinkable for Ken,the only child, to put his mother in a long-term-care facility. Even if he would, thequality of facilities in Japan leaves much to be desired. Most of the responsibility forMother Shimizu falls on Marianne, in addition to her work. Marianne’s relatives areurging her to consider placing Mother Shimizu in a church-related life-care communitynear Marianne’s family in the United States, where Marianne and Ken would like toretire. Marianne’s own parentslived in this facility at the end of their lives. She isconsidering these issuesas she returns to Tokyo.Study Questions1.    Identify some of the cultural issues thatmay lead to conflict in this internationalfamily.2.    What are the family resources for this international family?3.    What factors within the Japanese health system may account for the late diagnosis ofKen’s glaucoma?4.    What practical issues might arise for the Shimizus if Mother Shimizu were placed ina long-term-care facility in the United States?5.    What dietary factors may contribute to Marianne’s hypertension?6.    In what ways might you consider Ken tobe countercultural as a Japanese man?7.    What social pressures might Marianne have faced, given some of her choices, as ahousewife in Japan?8.    What pressures will Ken likely experienceas he considers how to meet the needs ofboth his mother and his wife?10. compare and contrast the fertility and mortility rates of japan and the united state.11.   To which drugs might Japanese people have greater sensitivity than that of whiteethnic populations?12.   How do most Japanese people meet their need for calcium?ractions {   clear: both; }        Preparing document for printing…     0%.
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