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Chinh Duy Le, MD Associate Clinical Professor UCI Program in Geriatrics. Cultural Aspect of Health Care For Vietnamese American In Nursing Home. Vietnamese American: Demographic Data. US census 2010 : >1.5 millions Vietnamese Americans in the US >580,000 Vietnamese Americans in California
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ChinhDuy Le, MD Associate Clinical Professor UCI Program in Geriatrics Cultural Aspect of Health CareFor Vietnamese AmericanIn Nursing Home
Vietnamese American: Demographic Data • US census 2010: • >1.5 millions Vietnamese Americans in the US • >580,000 Vietnamese Americans in California Orange county California: >16,000 Vietnamese American seniors 65 or older (OCHNA 2010) Cultural barriers due to language, finance, education OCHNA (2010). A look at health in Orange County’s Vietnamese community. Retrieved from http://www.ochna.org/publications/documents/VietnameseHealthReport.pubRevised.pdf.
Vietnamese American in nursing home:Cultural Barriers • 1. Perception: Different perceptions about nursing home depending on levels of acculturation and health literacy 2. Financial factor: Nearly half of the elderly Vietnamese living in OC lives in poverty. OCHNA (2010). A look at health in Orange County’s Vietnamese community. Retrieved from http://www.ochna.org/publications/documents/VietnameseHealthReport.pubRevised.pdf.
Vietnamese American in nursing home:Cultural Barriers • 3. Limited knowledge of general health information and health care system. 4. Language: Majority of Vietnamese American seniors are not proficient in English. OCHNA (2010). A look at health in Orange County’s Vietnamese community. Retrieved from http://www.ochna.org/publications/documents/VietnameseHealthReport.pubRevised.pdf.
Vietnamese American Seniors in nursing home: Cultural Barriers • 4. Advanced directive and end of life care. • 5. Traditional relationship among children in health care for parents: Oldest son is usually considered as the ultimate decision maker for their parents.
Vietnamese American Seniors in nursing home:Cultural Barriers 6. Complementary and alternative medicine in nursing home: not uncommon in Vietnamese American seniors in nursing home. 7. Family support: Strong family support in majority of Vietnamese American seniors in nursing home.
Vietnamese American Seniors in nursing home:Cultural Barriers 8. Traditional activities: all Vietnamese American seniors prefer to keep their Vietnamese traditional activities. 9. Religious and spiritual issues: sometimes, Vietnamese American seniors and family have some special needs due to their religions and spiritual beliefs.
Vietnamese American Seniors in nursing home:Cultural Barriers Video can be viewed at: http://www.meded.uci.edu/reynolds/educational-videos.asp