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treatments relieved his symptoms. Medications are ordered to relieve pain, and Mr. Li undergoes diagnostic procedures...

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 are ordered, including heart medications, anticoagulants, oxygen, intravenous fluids, bedrest, and close monitoring. 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 orders for dietary restrictions, and she begins to hide her treatments from the staff. Her son and daughter-in-law try to explain to her that this is not good, but she continues the traditional Chinese medicine treatments. Mr. Li is a very quiet patient. He lies in bed and never calls for help. He frequently seems to be meditating and exercising his arms. When he does talk to his son, he speaks of the airplane ride and the problems 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 deteriorates over the next few days. Nurses and physicians attempt to tell the family about his condition and possible death, but the family will not talk with them about it. Mr. Li dies on the 5th day. Study Questions 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 with 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 like, 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? 11. Explain why Mr. Li blames the airplane ride and the Western food for his heart attack. Why does he meditate and do exercises? 12. Is Mr. Li’s stoicism during dying surprising? Why do the family members refuse to discuss his health and possible death? 13. What is the preferred method for handling the remains of a deceased Chinese person? 14. Describe common mourning rituals for the Chinese. 15. Describe bereavement in a Chinese family. 16. Describe a common view of death among Chinese.

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1.The name card should be bilingual (one side of the card in universal language and the other side un Chinese language).This can prevent confusion.

2.The Chinese people are generally very punctual and usually be on time.Being late is considered to be rude in their culture.They don't make unnecessary conversations.

3.They generally have twelve course banquets with toast.A big glass with a beer ,water or soda and second one is a wine glass and third is a short tail glass for toasting .Noodles,rice are staple food,meat are served first followed by vegetables .All the food has to be at least tasted as a manner of respect.Avoiding it completely can be disrespectful.

4.Chinese believe the meaning of life lies in a group ,family or as a team , and they are very holistic,feel shy for mistake, often repeat things,never puts out things in verbal than thinking verbally,as in western it is considered to be individual thinking and are focused on the task,truthfulness,questioning and innovative.

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