discuss the following:

  1. Describe health and illness practices that may augment problems associated with the treatment of hypertension for Chinese-American clients.
  2. Describe the locus-of-control variable that some Filipino Americans have that may influence health-seeking behavior.
  3. Describe the importance of folk medicine and folk healers to Vietnamese Americans.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.

 

 

Health and Illness Practices Affecting Hypertension Treatment in Chinese-American Clients

Chinese-Americans may face unique challenges in managing hypertension due to traditional health practices and cultural beliefs. One significant aspect is the reliance on Traditional Chinese Medicine (TCM), which emphasizes the balance of yin and yang and the flow of qi (vital energy) through the body. Treatments such as acupuncture, herbal medicine, tai chi, and dietary modifications are common practices within TCM (Hsu, 2008). While these practices can complement Western medicine, they may also lead to delays in seeking conventional medical treatment, potentially exacerbating hypertension-related health issues.

Additionally, Chinese dietary practices can impact hypertension management. Traditional Chinese diets are often high in sodium due to the use of soy sauce, salted fish, and preserved vegetables, which can contribute to high blood pressure (He, 2008). Awareness and modification of these dietary habits are crucial for effective hypertension control. Moreover, some Chinese-American clients may prioritize herbal remedies over prescribed medications, fearing side effects or doubting the efficacy of Western pharmaceuticals. This reliance on herbal treatments without consulting healthcare providers can lead to interactions with prescribed medications, reducing their effectiveness and increasing the risk of adverse effects.

### Locus-of-Control in Filipino Americans and Its Influence on Health-Seeking Behavior

The concept of locus-of-control, which refers to individuals’ beliefs about the control they have over their health outcomes, can significantly influence health-seeking behavior among Filipino Americans. Many Filipino Americans exhibit an external locus-of-control, believing that health outcomes are largely determined by external factors such as fate, divine will, or luck (Kim-Godwin, 2013). This belief can lead to a passive approach to health care, with individuals less likely to engage in proactive health behaviors or seek medical intervention early.

Additionally, the cultural value of “hiya” (shame) and “amor propio” (self-esteem) can discourage individuals from seeking medical help, as they may fear embarrassment or burdening others with their health issues. This can result in delayed diagnosis and treatment of conditions, potentially worsening health outcomes (Pacquiao, 2004). Understanding these cultural attitudes is essential for healthcare providers to encourage more proactive health-seeking behaviors and emphasize the importance of early intervention and preventive care among Filipino American clients.

### Importance of Folk Medicine and Folk Healers to Vietnamese Americans

Folk medicine and the use of folk healers hold significant importance in the Vietnamese American community. Traditional Vietnamese medicine, which includes practices such as herbal remedies, cupping, coining, and acupuncture, is deeply rooted in cultural beliefs and is often preferred for addressing various health issues (Juckett, 2013). Folk healers, known as “thay lang” or “thay thuoc bac,” play a crucial role in providing health care and are highly trusted figures within the community.

Vietnamese Americans may turn to folk medicine and healers for several reasons, including cultural familiarity, distrust of Western medical practices, and financial considerations, as folk remedies are often more affordable. These practices can coexist with Western medicine but may also lead to conflicts if not properly integrated. For instance, herbal treatments may interact with prescribed medications, potentially causing adverse effects or reducing the efficacy of conventional treatments.

Healthcare providers must acknowledge and respect these cultural practices while educating Vietnamese American clients about the benefits and potential risks of combining folk medicine with conventional treatments. Building a culturally sensitive approach that incorporates traditional practices can improve trust and communication, leading to better health outcomes.

### Conclusion

Cultural practices and beliefs significantly influence health behaviors and treatment outcomes among Chinese-American, Filipino American, and Vietnamese American clients. Understanding the reliance on TCM among Chinese-Americans, the external locus-of-control and cultural values affecting Filipino Americans, and the importance of folk medicine and healers to Vietnamese Americans is crucial for healthcare providers. By adopting culturally sensitive approaches and integrating traditional practices with conventional medicine, healthcare providers can improve engagement, adherence to treatment, and overall health outcomes for these diverse communities.

### References

Hsu, C. (2008). Traditional Chinese Medicine. *In Integrative Medicine* (pp. 77-85). Academic Press.

He, J. (2008). Dietary sodium intake and hypertension in the Chinese population. *Journal of Human Hypertension, 22*(8), 458-460.

Kim-Godwin, Y. S. (2013). Filipino Americans. *In J. N. Giger (Ed.), Transcultural Nursing: Assessment and Intervention* (6th ed., pp. 202-215). Elsevier.

Pacquiao, D. (2004). Filipino American Culture and Health Care Practices. *Journal of Transcultural Nursing, 15*(2), 98-104.

Juckett, G. (2013). Caring for Vietnamese patients. *American Family Physician, 87*(3), 156-161.

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