EB is a 68-year-old black female who comes in for follow-up of hypertension. She has glaucoma and her vision has been worsening during the past few years. She lives alone and is prescribed four hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She brings in her medication bottles and she has some medication bottles from the previous year full of medications. She is missing one medication she had been prescribed and says she may have forgotten it at home. Her BP in clinic today is 182/99 with HR of 84.
Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
The establishment of the Lytton Commission to investigate was meaningless as Japan eventually withdrew from the League, and invaded China again in 1937 (League of Nations, 1937), with no intervention from Britain or France because a trade boycott would undoubtedly result in war and increase devastation in their own countries (Lowe, 1982, p143). Conflict intensified in 1937 with the Japanese invasion of China, and the League of Nations was asked to intervene with Ecuador’s delegate Quevedo arguing (1937), “What hope can there be in similar cases in the future of help from the League of Nations for other weaker and less wealthy countries, in which other States do not stand to lose anything and have no special interests at stake?” The report delivered by the League’s Far East Advisory Committee to the Assembly condemned Japan’s occupation and promoted humanitarian support to China in restoring peace and independence (League of Nations, 1937), however as Japan was now a non-member, it had no overarching influence on them, and the Japanese Empire continued their aggression in their quest to dominate over Asia, taking over Hong Kong, Singapore and Indochina, and threatening the peace of Australia. Thus the League was seen somewhat as unsuccessful in achieving its aims due to the unclear methods of conflict resolution among powers that took into account the interest of all nations. Further, another influence for the eventual disintegration of the League was the poor administration of the League and the poor interest from members or non-members. For example, the non-participation of the United States despite the advocacy of Wilson is a major contributor, because of the American desire for an isolationist ideology away from conflict involvement, and the subsequent inability to obtain the full support of his own party to pass the vote through the majority of the Senate (Ostrower, 1996, p27). This was devastating to the League as the United States could have had a major influence in making important military and economic decisions and perhaps been more forceful in delivering decisions regarding sanctions unlike that of Britain and France. This was evidenced through the Russian revolutionary belief maintained by Lenin and Trotsky that “peace must be made on a basis of no annexations and no indemnities,” (Walters, 1960). In this way, it supports how the League’s organisation and lack of movement by the leaders exposed it to its fall due to relaxation in punishing offenders such as Hitler and Mussolini in order to appease them and prevent the inevitable war (Walters, 1960). Further, the restriction of Germany’s and the USSR’s participation in the League until a later stage and their eventual withdrawal along with Japan is also important because it highlights the overarching ideology of nationalism and sovereignty among the stronger nations. It was this dominance that suppressed the focus on peace and allowed the battlefront of warfare to initiate and take precedence over Europe and Asia. In addition, there were flaws in the Covenant itself which contradicted the purpose of collective security and prevented the League from reaching its full potential in decision making (Lowe, 1982). The absence of a sole-purpose peacekeeping force and the difficulty in reaching decisions unless there is a unanimous agreement among members was unacceptable, but the Covenant itself was difficult to amend due to the flaw in the voting process (Lowe, 1982). The Covenant was unrealistic in nations submitting to sacrificing their independence in making foreign policy decisions to an international body, where there was an undefined level of action to>GET ANSWER