When developing the health history of a patient with a diverse background, it is vital to consider various contextual variables such as ethnicity and cultural belief and practices, socioeconomic status, and geographic location (Dains et al., 2015). Therefore, when building MR’s health history, it is paramount to consider socioeconomic, spiritual, lifestyle, and various cultural factors. The socioeconomic factor that will be considered in MR’s health history is his ethnic identity as a Native American. Native Americans are among the ethnicities affected by the disparities in the American health care system ( Centers for Disease Control and Prevention, 2020 ). MR’s family has a positive history of diabetes, hypertension, and alcoholism, suggesting the prevalence of the conditions within the Native American communities. Aside from racial factors, many Native Americans are low-income earners- this can reflect in their historical access to quality health care services.
MR is a Christian who believes in the existence of heaven. Therefore, various dimensions of spiritual health, particularly on the religious and individualistic level, have an effect on other aspects of health, in this case, mental health ( Ghaderi et al., 2018 ). MR’s faith and belief, their importance in how he handles his health, and how he would wish for it to be addressed in his health care should be considered ( Ghaderi et al., 2018 ). MR’s use of ‘pot’ and alcohol negatively affects his probability of getting into heaven. Therefore, although medical marijuana can be used to manage anxiety, it will not be appropriate in the case of MR- this should be incorporated in MR’s health history.
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The lifestyle of a patient is considered in a patient’s health history by analyzing habits- behaviors related to eating, drinking, smoking, and exercising behaviors, among other things. For people with a diverse background, the analysis of the effect of culture on people’s lifestyle should also be considered in their health history (Dains et al., 2015). MR smokes ‘pot’ and drinks alcohol. With a positive family history of diabetes, hypertension, and alcoholism, the lifestyle factors must be considered in building health history to facilitate the development of effective interventions.
References
Centers for Disease Control and Prevention. (2020). Cultural competence in health and human services. Retrieved 11 March 2021 from https://npin.cdc.gov/pages/cultural-competence
Dains, J. E., Baumann, L. C., & Scheibel, P. (2015). Advanced Health Assessment & Clinical Diagnosis in Primary Care-E-Book . Elsevier Health Sciences.
Ghaderi, A., Tabatabaei, S. M., Nedjat, S., Javadi, M., & Larijani, B. (2018). Explanatory definition of the concept of spiritual health: a qualitative study in Iran. Journal of medical ethics and history of medicine , 11 .
