CHINESE CASE STUDY #1 An elderly, Asian-looking man is admitted to the emergency

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.

Study Questions

1. If you were to go to China on a business trip, how would you design your name card so that the Chinese would not be confused?

2. If you wished to have a meeting with a Chinese delegation of health-care providers, would you expect them to be on time? Why?

3. If the meeting included a meal with Chinese food, what kinds of food would you expect to be served? How would it be presented? If something were served that you do not like, would you eat it anyway?

4. Compare and contrast the Chinese meaning of life and way of thinking with the Western meaning of life and way of thinking.

5. What are the common health risks for the development of chronic obstructive pulmonary disease among Chinese people?

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

7. Mr. Li did not complain of chest pain in the cardiac intensive-care unit. Is this a common behavior? Why?

8. True or False: The Chinese family will expect health-care providers at the hospital to provide most of the care for Mr. Li.

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?

12. Is Mr. Li’s stoicism during dying surprising? Why do the family members refuse to discuss his health and possible death?

13. What is the preferred method for handling the remains of a deceased Chinese 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.

Explanation / Answer

1. If you were to go to China on a business trip, how would you design your name card so that the Chinese would not be confused?

ANS: Women in China do not use their husband’s last name after they get married, they retain their own family name. Family name first, followed by her given names, and finally by her title. Specht Rebecca

2. If you wished to have a meeting with a Chinese delegation of health-care providers, would you expect them to be on time? Why?

ANS: Meetings always begin on time; punctuality is important for foreign businesspeople.; being late is rude.

3. If the meeting included a meal with Chinese food, what kinds of food would you expect to be served? How would it be presented? If something were served that you do not like, would you eat it anyway?

ANS: The food you would expect to be served would be things such as Pork (most common), beans or noodles, Tofu (staple for Chinese), cold appetizers (peanuts & seasonal fruit), fruit & vegetables, drinks include tea, juice, soft drinks and beer. All food is placed in the center of the table, chopsticks, chopstick holder, a small plate and a glass are part of the table setting. No, if there was something served that I didn’t like I would not eat it.

4. Compare and contrast the Chinese meaning of life and way of thinking with the Western meaning of life and way of thinking.

ANS: The Eastern philosophy is drawn more into groups, society or people’s actions and thoughts in order to find meaning in life Chinese view life in terms of cycles and interrelationships, believing that life gets meaning from the context in which it is lived (spiritual).Easterners are more about the “we “concept. Life cannot be broken into simple parts because they are all interrelated. In contrast, the Western civilization is more individualistic, trying to find the meaning of life here and now with self at the center as it is already given and part of the divine (hands-on).Westerners are more of the “I” concept.

Please consider this note: Answering to many questions (more than four) is against to CHEGG RULE, so please post the remaining question once again.

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