Question

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.

Answer 1

The socioeconomic status of this elderly woman is not strong with financial status. As per the statistics and research it shows that black women often had a lower socioeconomic status compared to white women. This woman can be supported with the social group and support service ,community service to tackle this.

Spiritual beliefs offer them strength and positive outcomes in most of the cases. This women can be provided spiritual support through the chaplain services. This can enhance her to have a optimistic psychological status and feel good emotions.

The above mentioned factors are something which has to be addressed in order to have a healthy life and jeep her blood pressure under control.

The lifestyle of these patients can greatly impact their health . The rate of exercise and healthy eating is often impacted in these women. This can increase their risk if medical illness like diabetes and hypertension

Culture plays a crucial role in accessing the health care services .This is because of the discrimination faced by them even in this modern world.