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- 1. People of Chinese Heritage (Wang Y., Purnell L.D, 2008) Presented by: Mariel Gonzalez, RN, BSN Sun Nguyen RN, BSN, CCRN Nurs 608: Spring 2011
- 2. To View This Presentation Please Launch Self-Running Slide Show
- 3. 12 Health Care Practitioners 4 Workforce Issues 3 Family Roles and Organization 2 Communication 7 Nutrition 6 High-Risk Behaviors 9 Death Rituals 5 Biocultural Ecology 1 Overview and Heritage 11 Health Care Practices 10 Spirituality Pregnancy 8 8 8
- 5. Overview and Heritage 1
- 6. Overview and Heritage 1
- 7. 9.6 million square kilometers 23 provinces 5 regions 3 municipalities 1 1.31 billion people
- 9. Immigration of the Chinese in historical context People of Chinese Heritage in the United States 1
- 10. Educational Status and Occupations
- 11. Communication 2
- 12. Communication 2
- 17. 3
- 18. Education and success Family Love and marriage Children
- 25. 4
- 26. SKIN HAIR FRAME OTHER Generally shorter Light skin with pink undertone Black Dark skin Yellow tone Varies Usually Straight Sometimes naturally Curly Ulna longer than radius Bone density less Hips smaller Chinese men have less facial and chest hair compared to other men Twins are not common Rh negative blood is rare Biocultural Ecology 5
- 29. 5 5 Most data collected, group the Chinese population into the Asian American category The author suggest more research should be done to identify specific cultural differences 2009 Health care disparities report Identified that being uninsured is the strongest descriptor to effect the quality of care received. The report also identified that there is a disparity in the amount of pneumonia vaccination given and a worsening number of recommended hospitalizations for the Asian population with diagnosed pneumonia. The Chinese population in America were also specifically identified as having a large proportion of socioeconomic difficulties with being uninsured as one of the problems. Respiratory issues have also been identified in the Chinese population, giving room for improvement to serve the Chinese American population .
- 30. Tobacco use in Chinese men and teenagers Increasing Tobacco use in women High Behavior risk factors High Incidence of Traumas related to alcohol use 6
- 31. 12 Health Care Practitioners 4 Workforce Issues 3 Family Roles and Organization 2 Communication 6 High-Risk Behaviors 9 Death Rituals 5 Biocultural Ecology 1 Overview and Heritage 11 Health Care Practices 10 Spirituality 8 8 7 Nutrition Pregnancy 8
- 37. 10
- 45. The Role of the Advanced Practice Nurse
- 46. CULTIVATE Role of the APN e
- 48. To identify and address what needs are (i.e. healthcare funds) and to gain acceptance of the community Increase comfort of patient and decrease language barriers Decrease the number of preventative diseases while improving in outcomes due to early interventions Increasing access and providing convenient and community based care THE ROLE OF THE APN Collaborate with community leaders and traditional healers of the community Hire staff who are proficient in English and the more common Chinese dialects of the area Educate community on the importance of early treatment and routine check-ups Healthcare clinic based in Chinatown, serving all primary care duties
- 50. Considerations for the Nurse Practitioner
- 51. The End Thank You [email_address] [email_address] References Wang, Y. & Purnell, L.D., (2008). People of Chinese heritage. In L. Purnell & B. Paulanka (3 rd Ed.), Transcultural health care: A culturally competent approach (pp. 129-144). Philadelphia: Davis Agency for Healthcare Research and Quality. (2009). National healthcare disparities report. Retrieved from http://www.ahrq.gov/qual/nhdr09/nhdr09.pdf
Editor's Notes
- Oldest civiliziation It is a complex system of moral, social, political, philosophical Feels a sense of accountability
- Oldest civiliziation One of the most richest culture, inspiring music, beautiful scenerias and most fascinating history
- map
- Timeline
- Timeline
- … global causes.
- Along the way we’ve discovered…
- Animated pictures fly in from gray to full color (Advanced) Tip : For the effects on this slide, it is recommended to use pictures with a “portrait” (vertical) orientation. To reproduce the text effects on this slide, do the following: On the Home tab, in the Slides group, click Layout , and then click Blank . On the Insert tab, in the Text group, click Text Box , and then on the slide, drag to draw the text box. Enter text in the text box, and then select the text. On the Home tab, in the Font group, select Georgia from the Font list, enter 34 in the Font Size box, click Italic , click the arrow next to Font Color , and then under Theme Colors click Aqua, Accent 5, Darker 25% (fifth row, ninth option from the left). Drag the text box into the upper half of the slide, slightly left of the center. To reproduce the first picture with animation effects on this slide, do the following: On the Insert tab , in the Images group, click Picture . In the Insert Picture dialog box, select a picture and then click Insert . On the slide, select the picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Picture dialog box, resize or crop the picture as needed so that the height is set to 3.81” and the width is set to 2.54 ” . To crop the picture, click Crop in the left pane, and in the Crop pane, under Crop position , enter values into the Height , Width , Left , and Top boxes. To resize the picture, click Size in the left pane, and in the Size pane, under Size and rotate , enter values into the Height and Width boxes. Drag the picture into the into the top left corner of the slide. (Note: Align the left edge of the picture with the left edge of the slide, and leave a small margin between the top edge of the picture and the top edge of the slide.) Select the picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Picture dialog box launcher. In the Format Picture dialog box, in the left pane click Picture Correction , in the Picture Correction pane, under Brightness and Contrast , in the Brightness box, enter 50% . Also in the Format Picture dialog box, in the left pane click Picture Color , in the Picture Color pane, under Recolor , click the button next to Presets and click Grayscale . On the Animations tab, in the Advanced Animation group, click Add Animation , and then under Entrance click Fly In . Also on the Animations tab, in the Animation group, click Effect Option , and then click From Left . Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous . In the Duration box, enter 1.00 seconds . Also on the Animations tab, in the Advanced Animation group, click Add Animation , and then click More Entrance Effects . In the Add Entrance Effect dialog box, under Subtle , click Expand , and then click OK . Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous . In the Duration box, enter 1.00 seconds . To reproduce the second picture with animation effects on this slide, do the following: On the slide, select the picture. On the Home tab, in the Clipboard group, click the arrow to the right of Copy , and then click Duplicate . Drag the second picture until its left side slightly overlaps the right side of the first picture. Select the second picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Picture dialog box launcher. In the Format Picture dialog box, in the left pane click Picture Corrections , in the Picture Correction pane, under Brightness and Contrast , in the Brightness box, enter 40% . On the Animations tab, in the Advanced Animation group, click Animation Pane . Press and hold CTRL, and then select the third and fourth animation effects (fly-in and expand effects for the second picture) in the Animation Pane . On the Animations tab, in the Timing group, in the Delay box, enter 0.2 . To reproduce the third picture with animation effects on this slide, do the following: On the slide, select the second picture. On the Home tab, in the Clipboard group, click the arrow to the right of Copy , and then click Duplicate . Drag the third picture until its left side slightly overlaps the right side of the second picture. Select the third picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Picture dialog box launcher. In the Format Picture dialog box, in the left pane click Picture Corrections , in the Picture Corrections pane, under Brightness and Contrast , in the Brightness box, enter 20% . Press and hold CTRL, and then select the fifth and sixth animation effects (fly-in and expand effects for the third picture) in the Animation Pane . On the Animations tab, in the Timing group, in the Delay box, enter 0.4 . To reproduce the fourth picture with animation effects on this slide, do the following: On the slide, select the third picture. On the Home tab, in the Clipboard group, click the arrow to the right of Copy , and then click Duplicate . Drag the fourth picture until its left side slightly overlaps the right side of the third picture. Select the fourth picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Picture dialog box launcher. In the Format Picture dialog box, in the left pane click Picture Corrections , in the Picture Corrections pane, under Brightness and Contrast , in the Brightness box, enter 0% . Press and hold CTRL, and then select the seventh and eighth animation effects (fly-in and expand effects for the fourth picture) in the Animation Pane . On the Animations tab, in the Timing group, in the Delay box, enter 0.6 . To reproduce the fifth picture with animation effects on this slide, do the following: On the slide, select the fourth picture. On the Home tab, in the Clipboard group, click the arrow to the right of Copy , and then click Duplicate . Drag the fifth picture until its left side slightly overlaps the right side of the fourth picture. Select the fifth picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Shape dialog box launcher. Also in the Format Picture dialog box, in the left pane click Picture Color , in the Picture Color pane, under Recolor , click the button next to Presets and click No Recolor . Press and hold CTRL, and then select the ninth and 10th animation effects (fly-in and expand effects for the fifth picture) in the Animation Pane . On the Animations tab, in the Timing group, in the Delay box, enter 0.8 . To reproduce the animation effects for the text box on this slide, do the following: On the Home tab, in the Editing group, click Select , and then click Selection Pane . In the Selection and Visibility pane, select the text box. On the Animations tab, in the Advanced Animation group, click Add Animation , and then under Entrance click Fade . Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous . In the Duration box, enter 0.50 seconds . In the Delay box, enter 1.30 seconds . In the Selection and Visibility pane, press and hold CTRL, and then select the first, second, third, and fourth pictures. On the Animations tab, in the Advanced Animation group, click Add Animation , and then under Exit click Fade . Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous . In the Duration list, select 1.00 second . In the Animation Pane , select the 12 th animation effect (first fade effect). On the Animations tab, in the Timing group, in the Delay box enter 1.40 seconds . In the Animation Pane , select the 13 th animation effect (second fade effect). On the Animations tab, in the Timing group, in the Delay box enter 1.60 seconds . In the Animation Pane , select the 14 th animation effect (third fade effect). On the Animations tab, in the Timing group, in the Delay box enter 1.80 seconds . In the Animation Pane , select the 15 th animation effect (fourth fade effect). On the Animations tab, in the Timing group, in the Delay box enter 2.00 seconds . To reproduce the background effects on this slide, do the following: Right-click the slide background area, and then click Format Background . In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: In the Type list, select Radial . Click the button next to Direction , and then click From Center (third option from the left). Under Gradient stops , click Add gradient stops or Remove gradient stops until three stops appear in the drop-down list. Also under Gradient stops , customize the gradient stops as follows: Select the first stop in the slider, and then do the following: In the Position box, enter 0% . Click the button next to Color , and then under Theme Colors click White, Background 1, Darker 5% (second row, first option from the left). Select the next stop in the slider, and then do the following: In the Position box, enter 34% . Click the button next to Color , and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left). Select the last stop in the slider, and then do the following: In the Position box, enter 100% . Click the button next to Color , and then under Theme Colors click White, Background 1, Darker 50% (sixth row, first option from the left).
- Animated pictures fly in from gray to full color (Advanced) Tip : For the effects on this slide, it is recommended to use pictures with a “portrait” (vertical) orientation. To reproduce the text effects on this slide, do the following: On the Home tab, in the Slides group, click Layout , and then click Blank . On the Insert tab, in the Text group, click Text Box , and then on the slide, drag to draw the text box. Enter text in the text box, and then select the text. On the Home tab, in the Font group, select Georgia from the Font list, enter 34 in the Font Size box, click Italic , click the arrow next to Font Color , and then under Theme Colors click Aqua, Accent 5, Darker 25% (fifth row, ninth option from the left). Drag the text box into the upper half of the slide, slightly left of the center. To reproduce the first picture with animation effects on this slide, do the following: On the Insert tab , in the Images group, click Picture . In the Insert Picture dialog box, select a picture and then click Insert . On the slide, select the picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Picture dialog box, resize or crop the picture as needed so that the height is set to 3.81” and the width is set to 2.54 ” . To crop the picture, click Crop in the left pane, and in the Crop pane, under Crop position , enter values into the Height , Width , Left , and Top boxes. To resize the picture, click Size in the left pane, and in the Size pane, under Size and rotate , enter values into the Height and Width boxes. Drag the picture into the into the top left corner of the slide. (Note: Align the left edge of the picture with the left edge of the slide, and leave a small margin between the top edge of the picture and the top edge of the slide.) Select the picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Picture dialog box launcher. In the Format Picture dialog box, in the left pane click Picture Correction , in the Picture Correction pane, under Brightness and Contrast , in the Brightness box, enter 50% . Also in the Format Picture dialog box, in the left pane click Picture Color , in the Picture Color pane, under Recolor , click the button next to Presets and click Grayscale . On the Animations tab, in the Advanced Animation group, click Add Animation , and then under Entrance click Fly In . Also on the Animations tab, in the Animation group, click Effect Option , and then click From Left . Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous . In the Duration box, enter 1.00 seconds . Also on the Animations tab, in the Advanced Animation group, click Add Animation , and then click More Entrance Effects . In the Add Entrance Effect dialog box, under Subtle , click Expand , and then click OK . Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous . In the Duration box, enter 1.00 seconds . To reproduce the second picture with animation effects on this slide, do the following: On the slide, select the picture. On the Home tab, in the Clipboard group, click the arrow to the right of Copy , and then click Duplicate . Drag the second picture until its left side slightly overlaps the right side of the first picture. Select the second picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Picture dialog box launcher. In the Format Picture dialog box, in the left pane click Picture Corrections , in the Picture Correction pane, under Brightness and Contrast , in the Brightness box, enter 40% . On the Animations tab, in the Advanced Animation group, click Animation Pane . Press and hold CTRL, and then select the third and fourth animation effects (fly-in and expand effects for the second picture) in the Animation Pane . On the Animations tab, in the Timing group, in the Delay box, enter 0.2 . To reproduce the third picture with animation effects on this slide, do the following: On the slide, select the second picture. On the Home tab, in the Clipboard group, click the arrow to the right of Copy , and then click Duplicate . Drag the third picture until its left side slightly overlaps the right side of the second picture. Select the third picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Picture dialog box launcher. In the Format Picture dialog box, in the left pane click Picture Corrections , in the Picture Corrections pane, under Brightness and Contrast , in the Brightness box, enter 20% . Press and hold CTRL, and then select the fifth and sixth animation effects (fly-in and expand effects for the third picture) in the Animation Pane . On the Animations tab, in the Timing group, in the Delay box, enter 0.4 . To reproduce the fourth picture with animation effects on this slide, do the following: On the slide, select the third picture. On the Home tab, in the Clipboard group, click the arrow to the right of Copy , and then click Duplicate . Drag the fourth picture until its left side slightly overlaps the right side of the third picture. Select the fourth picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Picture dialog box launcher. In the Format Picture dialog box, in the left pane click Picture Corrections , in the Picture Corrections pane, under Brightness and Contrast , in the Brightness box, enter 0% . Press and hold CTRL, and then select the seventh and eighth animation effects (fly-in and expand effects for the fourth picture) in the Animation Pane . On the Animations tab, in the Timing group, in the Delay box, enter 0.6 . To reproduce the fifth picture with animation effects on this slide, do the following: On the slide, select the fourth picture. On the Home tab, in the Clipboard group, click the arrow to the right of Copy , and then click Duplicate . Drag the fifth picture until its left side slightly overlaps the right side of the fourth picture. Select the fifth picture. Under Picture Tools , on the Format tab, in the bottom right corner of the Picture Styles group, click the Format Shape dialog box launcher. Also in the Format Picture dialog box, in the left pane click Picture Color , in the Picture Color pane, under Recolor , click the button next to Presets and click No Recolor . Press and hold CTRL, and then select the ninth and 10th animation effects (fly-in and expand effects for the fifth picture) in the Animation Pane . On the Animations tab, in the Timing group, in the Delay box, enter 0.8 . To reproduce the animation effects for the text box on this slide, do the following: On the Home tab, in the Editing group, click Select , and then click Selection Pane . In the Selection and Visibility pane, select the text box. On the Animations tab, in the Advanced Animation group, click Add Animation , and then under Entrance click Fade . Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous . In the Duration box, enter 0.50 seconds . In the Delay box, enter 1.30 seconds . In the Selection and Visibility pane, press and hold CTRL, and then select the first, second, third, and fourth pictures. On the Animations tab, in the Advanced Animation group, click Add Animation , and then under Exit click Fade . Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous . In the Duration list, select 1.00 second . In the Animation Pane , select the 12 th animation effect (first fade effect). On the Animations tab, in the Timing group, in the Delay box enter 1.40 seconds . In the Animation Pane , select the 13 th animation effect (second fade effect). On the Animations tab, in the Timing group, in the Delay box enter 1.60 seconds . In the Animation Pane , select the 14 th animation effect (third fade effect). On the Animations tab, in the Timing group, in the Delay box enter 1.80 seconds . In the Animation Pane , select the 15 th animation effect (fourth fade effect). On the Animations tab, in the Timing group, in the Delay box enter 2.00 seconds . To reproduce the background effects on this slide, do the following: Right-click the slide background area, and then click Format Background . In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: In the Type list, select Radial . Click the button next to Direction , and then click From Center (third option from the left). Under Gradient stops , click Add gradient stops or Remove gradient stops until three stops appear in the drop-down list. Also under Gradient stops , customize the gradient stops as follows: Select the first stop in the slider, and then do the following: In the Position box, enter 0% . Click the button next to Color , and then under Theme Colors click White, Background 1, Darker 5% (second row, first option from the left). Select the next stop in the slider, and then do the following: In the Position box, enter 34% . Click the button next to Color , and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left). Select the last stop in the slider, and then do the following: In the Position box, enter 100% . Click the button next to Color , and then under Theme Colors click White, Background 1, Darker 50% (sixth row, first option from the left).
- May say yes- even if they don’t understand Doesn’t show emotions ( needs to build a trusting relationship Need direct short but specific directions Many different dialects In chinese (characters)- are universal
- headed household Average family size 3.4 -adults make decisions for young Family goals and priarity -divorce frowned upon
- headed household Average family size 3.4 -adults make decisions for young Family goals and priarity -divorce frowned upon
- headed household Average family size 3.4 -adults make decisions for young Family goals and priarity -divorce frowned upon
- headed household Average family size 3.4 -adults make decisions for young Family goals and priarity -divorce frowned upon
- headed household Average family size 3.4 -adults make decisions for young Family goals and priarity -divorce frowned upon
- The last rule is: Cultivate healthy relationships (with your slides and your audience)
- And please don’t refer to all Asians as Chinese.