Health history and screening of an adolescent or youg adult client Essay

The population of the U.S. keeps increase to be a diversity nation. As they place to one nation, they share common concerns about life such as wellness and quality of life. Providing effective health safekeeping to diverse ethnic base, pagan minority classify, need to have proper assessment tool for assessment for their cultural needs, beliefs, and their traditional health care practice. The Heritage discernment Tool pass water effective assessment of background of people include age, gender, family structure, nationality, culture, religion, and social activity.The detail information from this tool contribute to the ability to become culturally competent so that effective nursing care can be initiated, planned, implemented, and evaluated in individuals, families, and communities. The cultivation of The Heritage Assessment Tool is to enhance care for cultural minority group to encourage their quality of life and health promotion and prevent discrimination by a dominant group. It is necessary to understand cultural influences with health care practice to provide health promotion. Using The Heritage Assessment will assist nurses in providing information that benefit on minority group to tick equal opportunities in health care. Mr. and Mrs. Choi who is Korean, middle age in their 40s, have been alert with their 17 years- old son and Mrs. Chois mother. They all expect in low- income neighborhood area. Mr.and Mrs. Choi are both last school educated and both worked full-time in Korean grocery store as a manager and casher. Mrs. Chois mother had stroke 2 years ago with left side weakness.Their income is not enough to support insurance for acupuncture, rub down therapy, and herbaceous plant med to treat her mother. Their son is going to college next year. They dont speak English fluently because they dont educate here. That is why they are working(a) in the Koran grocery market. When they are working during the weekday Mrs. Chois mother stay home alone ta king care of herself with left side weakness.She employ to go to church to socialize with people, but her activity is limited since she had stroke. On weekends, Mrs. Choi bring her mother to oriental medicine doctor to receive the acupuncture and massage therapy, herb-meds as well, which is not covering by insurance. Mr. Choi is unsatisfied this situation asking for receiving western medicine which covered by insurance. There is conflict between Mr. Choi and Mrs. Chois mother. Mrs. Choi is depressed from vitality poverty and stress intergeneration relationships that she cant support her mother to get the care she wants. She have guilty feeling that she cant afford oriental medicine care. Asiatic folk medicine influence from Chinese principles of an imbalance in energy. Herb meds and acupunctures are their traditional healing treatment. Asiatic identify with their heritage (Tashiro, 2006). Of these, the best known is acupuncture (Andrew, 2008). In Asian culture, younger people ha ve to respect and follow older peoples opinion whether it is right or not. As a nurse, Education about combine with western medicine and complementary and alternative medicine. Encourage the duplicate and Mrs. Chois mother to have open discussion. Accommodate with social worker and case manager for financial crisis. Intervention requires the cultural traditions, motivation level, health billet to achieve positive outcome. As Arab American population getting increased, There are noticeable health care issues of Arab American such as inquisitive for diabetes including hypertension, obesity, gender, low employment, and lack of education in women as well as mental health and adolescents smoking. Mr. Khan is 50 years old man is living with wife and 2 sons, age 12 and 16. Mr. Khan is a taxi driver who is the only one income source. His wife is housewife who is not educated high school so that she doesnt speak English at all. Two sons are both high school students. The old son is a smo king car that parent dont know his smoking habit. Mr. Khan is obese and smoker. He also have high blood pressure. He had new trespass of diabetes recently.His meal habit is irregular and eating fast feed because of job. He never do exercise or walking. His wife cook regular meal, and she has no idea about diabetic meals. Old son learned how to smoke from friends. Religion is major role of Arab decree. They are male dominant and submissive women society so that women have low education. Approaching this case, health promotion education is essential for Mr. Khans family such as diabetic teaching, recipe of food in low calories, smoking quit teaching, and exercise program. Provide wife to community to learn and involve activity. Develop a plan for blood mark monitoring and routine check doctors office on a regular basis. Support to wife to joining the religion community. Religious contraceptive device program will be beneficial to protect them from addicting to bad habit. Latino/H ispanic population is tremendously increased as a largest ethnic group in Americs society. The major health issues of Latino/Hispanic Americans are lack of health insurance and less preventive care.They have higher level of living poverty because of low income. With that poverty cause lack of insurance, they have reduced access to medical care bring delay diagnosis and treatment, and poor health outcome. Family and religion are emphasized to maintain the good health. When they meet health crisis, family member is the most important health supporter. They believe illness is from imbalance of enthusiastic and cold concept. Fever managed by cold drink. Cold person drinks warm fluid (chong, 2002). Their folk remedy influence of persons well-being. Approaching nursing care for them, professional acre needs to combine with their folk remedies. These combinations will benefit to them to have positive results. In summery, It is great challenge using the Heritage Assessment to provide optim al care for peoples well-being and the quality of life. Awareness of peoples culture and value is important to achieve the goal of the health promotion. The Heritage Assessment tool influences in nursing to maximize the effectiveness of optimal nursing care and practice for all people from polar culture and country.REFERENCEM.M. Andrews The influence of cultural health belief system on health care practices. In M.M. Andrews, J.S. Boyle (Eds.) Transcultural concepts in nursing care. fifth ed.,2008, Wolters Kluwer Lippincott Williams & Wilkins, Philadelphia, 66-81.N. Chong In The Latino patient A cultural guide for health care providers. 2002, Intercultural Press, Maine.C.J. Tashiro Identify and health in the narratives of older mixed ancestry Asian Americans. Journal of Cultural Diversity. 13(1), 2006, 41-49.Edelman, C., Et. Mandle. C. L (2010). Health Promotion Throughout the Life Span. (7th ed.) St. Lows Mosby.Grand Canyon University (2011). Lecture 3 Culture and Cultural Competen cy in Health Promotion.