JC, an at-risk 86-year-old Asian male is

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.” I agree that in many Asian cultures, the child must take care of the parent in their later years. The patients traditionally pay high respect to doctors and health professionals, obeying their advice strictly. Moreover, the patients typically are more accepting of taking medicine rather than changing their lifestyles, such as through exercise and diet control. Approximately 73% of adults enter their older adulthood with at least one chronic illness (Administration for Community Living, 2015). Therefore, presence or absence of health insurance coverage plays an important role in chronic disease prevention and progression among mid-life adults. Mid-life Asians show lower rates of seeking preventive services such as cervical and colorectal cancer screening and pneumococcal vaccination (Nguyen, Choi, Park, 2015). 1. Are you aware of have you or your daughter know any healthcare cost- reduction resources? 2. You mentioned about burdens what is most concerning and why did you say that? 3. How is your daughter’s health? Is she able to help you when you need physically and mentally? TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0. Thank you for sharing a insight and informative post. The pregnant lesbian patient should treat non-based like all first-time parents, is entitled to the best lesbian inclusive care. Somerset that every hospital does a community needs assessment, and the lesbian, gay, bisexual, and transgender (LGBT) population has been overlooked for a long time (O’Connor, 2017). The growing number of families that include members of sexual and or gender minority (SGM) groups requires perinatal nurses to know how to provide respectful and affirming care to all people, including this population. Approximately 19% of adults who are members of SGM groups are raising 3 million children, with many hoping to become pregnant, foster, use surrogacy, or adopt in the future (Griggs et al., 2021). Clinicians should stay on honest and responsive to client differences, adjusting response techniques responses towards fostering a genuine connection and gaining insight into distinctive aspects of each client. Besides your good questions, I would like to add these questions. 1. Are there any areas of concern? 2 What kind of support are you and your partner expecting from us, your healthcare team? SCIENCE HEALTH SCIENCE NURSING NURS MISC

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