Chinese And Japanese Assignment

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 Englis
h and a foreign language to one another,
accompany him. The nurse tries to speak E
nglish 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 ma
n, 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 sm
all village close to Beijing. He is 68 years
old, and he has been suffering with minor ch
est 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 ye
ar, but the son has lived in the West for 7
years. Mr. Li’s daughter-in-law looks Chin
ese 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 pa
in increases, and the h
ealth-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 ar
e ordered, including heart medications,
anticoagulants, oxygen, intravenous fluids, be
drest, and close mon
itoring. 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 orde
rs for dietary restrictions, and she begins
to hide her treatments from the staff. Her
son and daughter-in-law tr
y to explain to her
that this is not good, but she continues the
traditional Chinese medicine treatments.
Mr. Li is a very quiet patient. Chinese And Japanese AssignmentHe li
es in bed and never calls for help. He
frequently seems to be meditating and exercisi
ng his arms. When he does talk to his son,
he speaks of the airplane ride and the probl
ems 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 de
teriorates over the next few days. Nurses
and physicians attempt to tell the family a
bout his condition and po
ssible death, but the
family will not talk with them about it. Mr. Li dies on the 5th day.
Study Questions

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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 w
ith 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 lik
e, 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? Chinese And Japanese Assignment