Japanese Health Beliefs and Practices

Throughout this research, a study of multiple primary sources were utilized to apprehend information about the evolution of Japanese American women.The primary quantative research information as mainly taken from “Issei, Nisei, Warbride” by Evelyn Nakano Glenn, which thoroughly describes the two earlier generation and some of the struggles they faced coming to the United States. I also utilized njahs.org in order to gather some information about the main difference of the Issei, Nisei,and Sansei. Also it provide great information about what were some opportunities they were able to attain because they were a Sansei women.lastly i utilized a few articles from the Amerasia Journal

Mr. XXXX is a 44 years old Caucasian male, a general construction worker who works on a nearby highway for the bridge project, and checked in this urgent care center for complaining of chest pain and shortness of breath (SOB). The chest pain is constant dull and pressure like pain, and started 3 hours ago. The pain is located on the center of chest. He rates the pain 4 out of 10 on a pain scale 0 to 10 while resting. The pain gets worse and increases after eating. He experienced increased chest pain and SOB with simple walking from the parking lot to this office. The pain was not resolved with taking PO 365mg of Aspirin 2 hours ago and resting. He was diagnosed with hyperlipedemia 10 years ago. He is taking medication to manage his high cholesterol level. He denies past history of chest pain, hypertension, and coronary artery disease. He denies any history of heart surgery or cardio artery bypass surgery. He is anxious and fearful for his first chest and SOB. He smokes a half pack a day for past 20 years. He drinks one bottle of bear every evening with meals. He denies taking any herbal medication or illicit drugs. He has been a good appetite. He reported 20 lbs weight gain since his retirement from military. He has an irregular meal time and does not exercise as much as he used to do in the military.

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

Issei is a term used to describe Japanese immigrants, or those born in Japan but who have moved to America. Such people were prohibited by law from converting into naturalized Americans, despite how long they had lived in the United States. Nisei, on the other hand, defines U.S. citizens born to “Issei” parents-or Japanese immigrant parents. Nisei are more accurately called “Japanese Americans,” or referred to as “non-aliens.” The internment of Nisei would be more controversial than that of Issei because despite their Japanese descent, they are American citizens rather than immigrants. The Nisei have had no contact with the birthplace of their ancestors, which is the main point of controversy.

In 1869, the first Japanese Immigrants arrived in California in an attempt to escape the Meiji restoration, which forced them out of their houses. Many joined them in America after that, forming the first generation of Japanese-Americans, the Issei. Those immigrants then formed families and gave birth to the second generation, the Nisei. However, the cultural differences between the Issei and the Nisei, who were all born in America, created an important gap between the two generations. The short story “Seventeen Syllables”, through the relation between Rosie, a Nisei young girl, and Tome Hayashi, her mother, is a good depiction of this issue.

     I think Monica Sone focuses on, and clearly shows, the tension that arose in the Japanese American community because they felt torn between two distinct cultures and amongst themselves. There was also much confusion in this pre-World War II and during WWII era concerning the place of Japanese Americans in the United States. The Issei, or first generation of immigrants from Japan, were generally highly organized in their communities. They tended to stay in close connection with traditional Japanese culture. The Issei spoke their native language, practiced traditional Japanese customs, and formed church groups, and other social communities amongst themselves. Similarly, the Nisei, or second generation Japanese American, were also highly organized and formed strong ties amongst themselves separate from the Issei. The Nisei attended Japanese schools, which enhanced their use of the Japanese language, but more importantly, created a social network of peers. They participated in church programs, and sports teams together. One main difference between the Issei and Nisei was that the Nisei were considered Americans. They were born here and they held complete citizenship. This was not true for the Issei. Another factor that separated the

In the 1900’s many Japanese came to America in search of a better life. They found a home in Hawaii as well as the main land where they would take up jobs such as fishermen and railroad workers. Economically, they didn't fell very welcome in America, the white workers tried to push them out by making them uncomfortable in their jobs. Politics were also not on their side, laws prevented the Japanese from owning land or becoming naturalize citizens. Suddenly the Immigration Act of 1924 stopped all immigration to the U.S. The next generation, the Japanese Americans attended public schools along side Americans but were still facing discrimination. After Pearl Harbor they were treated even worse than before. Americans were confusing the Japanese

Since the first documented arrival of Japanese immigrants to the United States (U.S.) in 1843, the population of Asian Americans living the in the U.S. has steadily risen. According to the Centers for Disease Control and Prevention, in 2011 roughly 18.2 million Asians lived in the U.S. The C.D.C. estimates that by the year 2050, there will be more than 40.6 million Asians living in the United States – accounting for approximately 9.2% of the total U.S. population (Asian American Populations, 2013). Due to the rise in the Asian population within the U.S., it is important for all healthcare providers to have

japanese-American During WWII By: Japanese immigrants and the following generations had to endure discrimination, racism, and prejudice from white Americans. They were first viewed as economic competition. The Japanese Americans were then forced into internment camps simply because of the whites fear and paranoia. The Japanese first began to immigrate to the United States in 1868. At first they came in small numbers. US Census records show only 55 in 1870 and 2,039 in 1890. After that, they came in much greater numbers, reaching 24,000 in 1900, 72,000 in 1910, and 111,000 in 1920.(Parrillo,287) Most settled in the western states.(Klimova,1) Many families in Japan followed the practice of primogeniture, which is when the eldest son

shortness of breath. Pain improved with sublingual Nitroglycerine and Aspirin given by EMS. On arrival to ED his blood pressure was 154/94, HR 70 bpm, RR 19 and SpO2 98% in room air. Heart, lung, abdominal and neurological examinations were unremarkable.

“The patient is Adam Rudd, a 78 y/o white male with a history of hypertension. He has been diagnosed with hypertension past 15 years and is on anti-hypertensive medications and aspirin. He is very weak and short of breath. He is accompanied with his longtime friend Jennifer, who reports that Rudd was looking very weak and was complaining of severe headache and blurred vision before coming to the hospital. He is 5’9” and weighs 270 lb. Vital signs recorded were: oral temperature 98.20 F, BP 224/120 mm Hg with a heart rate of 102 beats/minute and respiration of 24 breaths per minute. The pulse oximetry reading was 94% on room air. He is complaining of severe headache and blurred vision. Rudd said that he did not take his antihypertensive medication or aspirin since he ran out of pills. He has not been taking his medication for past 15 days. He reports no known allergies to any medications or other substances.”

Generally, this is a well-developed man sitting comfortably in no acute distress. Skin is warm and dry. HEENT: Head is normocephalic, atraumatic. Pupils equal, reactive to light and accommodation. Sclerae are anicteric. Oral mucosa is moist without lesions. No JVD. No thyromegaly. Lymphatics: No cervical, supraclavicular, axillary, or inguinal adenopathy appreciated. Respiratory: Lungs are clear to auscultation bilaterally. Heart: Regular rate and rhythm. Abdomen: Soft, nontender. Positive bowel sounds. Liver and spleen not palpable. Strength is 5/5 throughout. Neurological exam is

The following case scenario is based on a fictitious patient, and it would be use on this paper as a guidance to develop a patient and family teaching plan. The situation: Mrs. Marquez, a 39-year-old Caucasian female was admitted into the Emergency Department due to complains of shortness of breath and anxiety. Patient cannot take deep breaths, appears overweight and denies Allergies to medication. The background: Patient has medical history for panic attacks, atrial fibrillation, and Grand Mal seizures; however, patient is not constantly taking her seizure medication. Patient previously had a cholecystectomy, and smokes 1 pack of cigarettes per day for 12 years. The Assessment: Patient vital signs 98.8° F oral, 109 heart rate, 26 respiratory rate, 150/86 blood pressure, SaO2 97% on room air. Denies pain. Neurological; Patient is 65 inches tall, weighing 246 lbs. She is able to move all extremities with strong pushes and pulls. States her “last seizure was two months ago.” Respiratory; Respirations are even, deep, and rapid. Lungs are clear on auscultation. Cardiac; EKG reveals atrial fibrillation; patient states, “It feels like my heart is racing at times.” Pulses are palpable +3 all extremities; capillary refill is instant. GI; Abdomen soft, no distended, and no tender with bowel sounds present in all four quadrants; skin is intact and warm. Current medications: Dilantin 400mg PO BID, Lexapro 20mg PO daily, Metoprolol 25

A: Janie is a 60 year old Female with PMH of A-Fib, COPD, Hypothyroidism, HTN, Lung Cancer and recently diagnosed Pulmonary Embolism. Janie presents to ER for evaluation on SOB, cough with greenish sputum, sore thoart, hoarseness and generalized weakness. Janie lives at home with her husband, use to smoke ½ pack per week, but quit many years ago, denies alcohol or drugs. Family history is non-contributory. Allergies: NKDA. Differential diagnosis includes worsening Lung Ca, PE, COPD and CHF. Janie uses home O2 at 4 L/NC. V/S: T=98.7, HR=89, R=16, B/P=132/56, O2 sats=100% on 4L/NC, Pain=6/10. Labs: WBC=7.6, H&H=8.5/27, Na=141, Troponin=0.08/0.06, BNP=495, INR=4.2, UA=3+ protein, 1+ blood and 6-10 RBC. CXR: Impression:1). COPD with nonspecific coarsening of the basilar interstitium. 2). Mild cardiomegaly with borderline cardiac compensation. 3). Right

Patient is a 45 yo male; 5’7”, 221 lbs who entered the emergency room at 6:30 am on 9/7/14 with severe chest pain (onset at 6:00 am) radiating to his arm, L arm numbness and nausea and vomiting. Past medical history reported by wife includes peptic ulcer, tobacco use (1-2ppd for 27 years), elevated blood pressure (controlled by lopressor). Wife did not know of any family history but reports patient’s father is deceased, died at 42 in his sleep. Mother alive and with high blood pressure.