In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Case 1 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 a hx 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.”

When building a health history for JC, it’s important to consider the following socioeconomic, spiritual, lifestyle, and cultural factors:

1. Socioeconomic Factors: JC’s daughter is his financial dependency, and she does not have the time or money to take care of his medical needs. It could affect his ability to receive healthcare and follow treatment plans. It’s important to assess his financial resources, insurance coverage, and transportation options to ensure that he can receive the care he needs.
2. Spiritual factors: JC’s cultural background may influence his beliefs and attitudes towards health and illness. It’s important to understand his spiritual and cultural beliefs to ensure that his care is respectful and aligned with his values. For example, some Asian cultures place a strong emphasis on family and may be more likely to defer to their children’s decisions about their care.
3. Lifestyle factors: JC’s chronic conditions, such as HTN, GERD, and chronic prostatitis, may be influenced by his lifestyle choices. It’s important to assess his diet, exercise habits, and tobacco and alcohol use to identify any modifiable risk factors.
4. JC currently takes Lisinopril and Prilosec. He also receives B12 injections. It’s important to assess his adherence to these medications and any potential side effects or drug interactions that may impact his health.
5. Cognitive function: JC has a cognitive age of 86, which places him at increased risk. It’s important to assess his cognitive function to ensure that he understands his medical conditions, treatment plans, and any potential risks or complications.

Overall, when building a health history for JC, it’s important to take a holistic approach that considers his socioeconomic, spiritual, lifestyle, and cultural factors to provide care that is personalized, respectful, and effective. You may want to include his daughter to help her understand and support his needs.