1) Of which biological variations among Korean Americans should the nurse be aware?

2) Describe how stereotyping Puerto Ricans as similar to other Hispanic Americans can lead the nurse to errors in patient care.

3) Describe the geographical location of Jordan, and indicate how this region of the world and the political turmoil experienced by Jordanians may have a profound political impact on the health and well-being of recently immigrated Jordanian Americans

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How Stereotyping Puerto Ricans lead errors in Patient Care

1) Biological Variations Among Korean Americans

Understanding biological variations is crucial for nurses to provide culturally competent care. Korean Americans may exhibit unique biological characteristics that can influence their health outcomes and responses to treatments. One notable variation is their increased predisposition to certain genetic conditions, such as lactose intolerance and specific types of cancers. For instance, Korean Americans have a higher prevalence of gastric cancer compared to other populations, which necessitates awareness and proactive screening by healthcare providers (Kim et al., 2020). Additionally, Korean Americans often exhibit differences in drug metabolism due to variations in cytochrome P450 enzymes, affecting their response to medications such as warfarin and requiring careful dosage adjustments (Kim & Han, 2018).

2) Stereotyping Puerto Ricans and Its Impact on Patient Care

Stereotyping Puerto Ricans as similar to other Hispanic Americans can lead to significant errors in patient care by ignoring the cultural, linguistic, and healthcare needs specific to this community. While Puerto Ricans share some cultural traits with other Hispanic groups, they have unique cultural practices, health beliefs, and language preferences that can influence their healthcare experiences. For example, Puerto Ricans often have specific dietary habits and cultural beliefs about health that differ from other Hispanic groups, which can affect their nutritional status and response to dietary recommendations (Hernández et al., 2017). Additionally, language barriers and differences in health literacy levels can impact their understanding of medical instructions and adherence to treatment plans. Assuming homogeneity among Hispanic populations can result in ineffective communication, misdiagnosis, and inadequate patient education, ultimately compromising the quality of care (Betancourt et al., 2016).

3) Geographical Location of Jordan and Its Impact on Jordanian Americans

Jordan is located in the Middle East, bordered by Syria to the north, Iraq to the northeast, Saudi Arabia to the southeast, and Israel and Palestine to the west. The region has experienced significant political turmoil, including conflicts in neighboring countries and the influx of refugees, which has strained its resources and impacted its socio-economic conditions (UNHCR, 2023).

Recently immigrated Jordanian Americans may carry the psychological and physical burdens of this turmoil, influencing their health and well-being. The stress and trauma associated with political instability, violence, and displacement can lead to mental health issues such as anxiety, depression, and post-traumatic stress disorder (PTSD) (Alzoubi et al., 2017). Additionally, the disruption of healthcare systems in their home country may result in delayed or insufficient medical care, leading to untreated chronic conditions and gaps in immunizations.

Political instability also affects social determinants of health, including access to education, employment, and social support systems. Recently immigrated Jordanian Americans might face challenges in accessing healthcare services due to language barriers, cultural differences, and unfamiliarity with the U.S. healthcare system. Nurses need to be aware of these potential challenges and provide culturally sensitive care, including mental health support, assistance with navigating healthcare services, and connecting patients with community resources (Abu-Saad Huijer et al., 2019).

References

  • Abu-Saad Huijer, H., Doumit, M., & Abu-Saad, H. (2019). Health-related quality of life and needs of refugee women in Lebanon. BMC Public Health, 19(1), 1-10. doi:10.1186/s12889-019-7723-x
  • Alzoubi, F., Al-Smadi, A., Gougazeh, Y., & Khasawneh, A. (2017). The health of Syrian refugees in Jordan. The Lancet, 389(10070), 2496-2497. doi:10.1016/S0140-6736(17)31509-0
  • Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016). Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 118(4), 293-302. doi:10.1016/S0033-3549(04)50253-4
  • Hernández, D. C., Reesor-Oyer, L., & Murillo, R. (2017). Food insecurity and adult overweight/obesity: Gender and race/ethnic disparities. Appetite, 117, 373-378. doi:10.1016/j.appet.2017.07.013
  • Kim, J., & Han, S. H. (2018). Pharmacogenomics in Korean patients. Yonsei Medical Journal, 59(8), 960-970. doi:10.3349/ymj.2018.59.8.960
  • Kim, S. I., Kim, J. W., & Kim, D. H. (2020). Gastric cancer in Korea: Epidemiology and treatment outcomes. Journal of Gastric Cancer, 20(2), 124-132. doi:10.5230/jgc.2020.20.e15
  • UNHCR. (2023). Jordan. Retrieved from UNHCR website

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