Diversity

 

discuss the following:

Jay and Sue Kim, ages 29 and 26 years and married for 2 years, immigrated from South Korea and settled in Los Angeles. They have lived in a small one-bedroom apartment since their arrival. Both graduated from the same Korean university with baccalaureate degrees in English literature. They have one child, Joseph, age 1 year. When they arrived in the United States, Jay was unable to find a job because of his poor proficiency in English, despite his major in English literature. He eventually obtained a job with a moving company through a church friend. Sue is not working because of their son. Although the Kim’s did not attend a church before immigration, they are now regularly attending a Korean Protestant church in their neighborhood.

Sue is pregnant again, determined by a home pregnancy kit, with their second child and concerned about the medical costs. They did not use any contraceptives because she was breastfeeding. Because of financial limitations, Sue did not initially have prenatal care with her first pregnancy. However, she did keep up with the Korean traditional prenatal practice, tae-kyo. Eventually, she received help from her church and delivered a healthy son. She is not sure whether she can get financial help from her church again but is confident that her second child will be healthy if she follows the Korean traditional prenatal practices.

Jay is concerned about job security because he recently heard from colleagues that the moving company might soon go bankrupt. Although Jay has not been satisfied with his current job (he thinks that he is overqualified), this news is still a cause for concern. Moreover, Sue’s recent pregnancy has made Jay more stressed, and he has started drinking alcohol. Joseph cannot stand up by himself and still wants to be breastfed. Although Sue has tried to give foods such as oranges, apples, steamed rice, and milk (because she is now pregnant), Joseph refuses to eat them and cries for breastfeeding. Joseph’s weight is low-normal for same-age babies.

Describe the Korean cultural practice tae-kyo. Is this practice congruent with allopathic recommendations for prenatal care?
How do food choices among Koreans differ with pregnancy and postpartum?
Describe cultural attitudes toward drinking among Koreans.
Identify two or three culturally congruent strategies a healthcare provider might use to address Jay’s drinking.

Sample Solution

Korean Cultural Practice of Tae-kyo

Tae-kyo is a traditional Korean cultural practice that is performed by pregnant women. It is said to promote a healthy pregnancy and delivery. Tae-kyo involves a series of exercises and stretches that are designed to strengthen the pelvic muscles and improve flexibility.

Tae-kyo is typically practiced for 30 minutes each day, starting in the second trimester of pregnancy. The exercises are performed on a mat or on the floor. Tae-kyo practitioners also focus on breathing exercises and visualization techniques.

Tae-kyo is generally considered to be safe for pregnant women. However, it is important to talk to your doctor before starting any new exercise program, especially if you have any health concerns.

Congruence of Tae-kyo with Allopathic Recommendations for Prenatal Care

Tae-kyo is generally considered to be congruent with allopathic recommendations for prenatal care. The exercises and stretches in tae-kyo can help to improve the health of the pregnant woman and her baby. Additionally, the focus on breathing and visualization can help to reduce stress and anxiety.

However, it is important to note that tae-kyo is not a substitute for regular prenatal care. Pregnant women should still see their doctor for regular checkups and screenings.

Food Choices Among Koreans During Pregnancy and Postpartum

Korean food is generally healthy and nutritious. However, there are some specific food choices that Koreans make during pregnancy and postpartum.

During pregnancy, Korean women often eat a diet that is high in protein, iron, and calcium. They also avoid certain foods that are believed to be harmful to the fetus, such as raw fish, raw meat, and spicy foods.

After giving birth, Korean women typically follow a diet that is high in nutrients and easy to digest. They also avoid foods that are believed to be harmful to the newborn, such as cold foods and drinks.

Here are some specific examples of Korean food choices during pregnancy and postpartum:

  • Pregnancy: Pregnant women in Korea often eat soups, stews, and grilled meats. They also eat a lot of vegetables, such as kimchi and seaweed.
  • Postpartum: After giving birth, Korean women often eat rice porridge, seaweed soup, and steamed vegetables. They also eat snacks such as nuts and dried fruits.

Cultural Attitudes Toward Drinking Among Koreans

Drinking is a common social activity in Korea. It is also used to celebrate special occasions and to show respect for elders.

However, there are some cultural attitudes toward drinking that are important to be aware of. For example, it is considered rude to refuse a drink when it is offered. It is also considered rude to get drunk.

Culturally Congruent Strategies to Address Jay’s Drinking

Here are two or three culturally congruent strategies that a healthcare provider might use to address Jay’s drinking:

  • Talk to Jay about the cultural context of drinking in Korea. It is important to understand that drinking is a common social activity in Korea and that it is often used to show respect for elders.
  • Help Jay to develop coping strategies for dealing with stress. Jay is concerned about his job security and his family’s well-being. It is important to help him find healthy ways to cope with stress.
  • Encourage Jay to involve his church in his recovery. The Kims are active members of their church. The church can provide Jay with support and accountability as he works to overcome his drinking problem.

It is also important to remember that Jay is a Korean immigrant. It is important to be respectful of his culture and to use strategies that are culturally congruent.

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