21 Jun DISCUSS SOME APPROACHES A PUBLIC-HEALTH CASE MANAGER MIGHT TAKE IN RELATION TO THE HEALTH OF THE KIM FAMILY.
They blamed themselves, and Joon felt especially guilt-ridden for having hit his wife during her pregnancies. He enjoys drinking beer while watching television and frequently gets intoxicated on the weekends. The Kims are a religious family and attend their community’s Protestant church regularly. They are involved in many church activities. Study Questions 1. Discuss some approaches a public-health case manager might take in relation to the health of the Kim family. 2. Identify three areas of health teaching needed by this Korean American family. 3. Discuss two implications for Soony’s poor understanding of the English language. 4. Identify how traditional role relations in Korean American families might affect Yung-Hee’s alternatives in an abusive situation. 5. Name three health problems a health-care professional should be aware of when assessing the Kim family. 6. Discuss how the role of the church can be used in terms of health education. 7. Discuss the role of alcohol in Korean American society. 8. How might a health-care professional approach the topic of alcoholism with the Kim family? 9. Where do Koreans primarily live in the United States? 10. Discuss social support issues for Korean families not living in highly populated Korean areas of the United States. 11. How might the model-minority theory affect the Kim family in terms of health resources? Identify health problems common among Korean immigrants. 12. As a home-health caregiver, how might you handle the Korean American offer of food on your arrival? 13. Discuss contraceptive practices in the Korean American childbearing family. MEXICAN CASE STUDY #1 Mr. Sanchez is a 61-year-old Mexican American who was recently diagnosed with osteomyelitis, requiring 6 to 8 weeks of intravenous antibiotic treatment in the home. Mr. Sanchez is married and has three adult children—two daughters, aged 35 and 27, and a son, aged 33—and four grandchildren, aged 14, 12, 9, and 5. The youngest daughter lives with Mr. and Mrs. Sanchez. The two older children are married and live within 1 mile of the Sanchez family. Mr. Sanchez’s 85-year-old mother, Doña Reyna Sanchez (called Mama Reyna), lives with them. All members of the family were born in the United States, with the exception of Mama Reyna, who was born in San Juan Obispo, Mexico. Mr. Sanchez has worked in a steel mill for the last 40 years. All members of the family speak Spanish and English, except Doña Sanchez who speaks mainly Spanish. The Sanchezes are practicing Catholics, as is evidenced by the religious items hanging on the walls. A small shrine is dedicated to Our Lady of Guadalupe with a candle nearby. Mrs. Sanchez and Mama Reyna recently returned from a manda to pray for the safe recovery of Mr. Sanchez and for the health of the family. The family attends Mass every Sunday, and then they have breakfast as a family. Mr. Sanchez believes that his health is in the hands of God. The Sanchez family lives in a modest three-bedroom home, which they bought about 35 years ago. The home is located in a predominantly Mexican American community. Mr. and Mrs. Sanchez are active in the church community, and other family members and friends live in the neighborhood. The Sanchez home is usually occupied by many people and has always been known as the gathering place in the community. Mr. Sanchez is the sole provider of the family, except for a small Social Security check from Doña Reyna. Mrs. Sanchez worked for short periods as a secretary for the church, but she is not working at the present time. Doña Sanchez has been the caretaker of the family and has always known the ways of folk practices and home remedies. Members of the family and community seek Doña Reyna’s skills of healing. Even though she has the gift of healing and knowledge of herbs, the family practices both folk and Western health care. Mrs. Sanchez, the wife, has always taken care of the family, looking out for their emotional, spiritual, and physical well-being. In caring for family and friends, she shows concern, love, and attention to the needs of the ill person. Mrs. Sanchez will be caring for Mr. Sanchez during his treatment for osteomyelitis. Study Questions 1. What type of health-care provider is Doña Reyna? 2. When the home-health nurse comes to administer the intravenous medication to Mr. Sanchez and teach about the care of the line, who should be included in the teaching? 3. Explain the significance of family and kinship for the Sanchez family. 4. Identify two stereotypes about Mexican Americans that were dispelled in this case with the Sanchez family. 5. Describe the importance of religion for the Sanchez family. 6. Name three things that need to be assessed that would allow the nurse to promote culturally congruent care. 7. Identify strategies for assessment and treatment for the Sanchez family. 8. If the family believes in the hot and cold theory of illness, is Mr. Sanchez’s illness hot or cold? How would it be treated? 9. Identify four major health problems of Mexican Americans in the United States. 10. Explain the importance of familism in the Mexican American culture. 11. Using the hot and cold theory, what folk treatments might be prescribed for osteomyelitis? MEXICAN CASE STUDY #2 Pablo Gaborra, aged 32, and his wife, Olga, aged 24, live in a migrant-worker camp on the eastern shore of Maryland. They have two children: Roberto, aged 7, and Linda, aged 18 months. Olga’s two younger sisters, Florencia, aged 16, and Rosa, aged 12, live with them. Another distant relative, Rodolpho, aged 28, comes and goes several times each year and seems to have no fixed address. Pablo and Olga, born in Mexico, have lived in the United States for 13 years, first in Texas for 6 years and then in Delaware for 1 year, before moving to the eastern shore of Maryland 5 years ago. Neither of them have U.S. citizenship, but both children were born in the United States. Pablo completed the sixth grade and Olga the third grade in Mexico. Pablo can read and write enough English to function at a satisfactory level. Olga knows a few English words but sees no reason for learning English, even though free classes are available in the community. Olga’s sisters have attended school in the United States and can speak English with varying degrees of fluency. Roberto attends school in the local community but is having great difficulty with his educational endeavors. The family speaks only Spanish at home. Not much is known about the distant relative, Rodolpho, except that he is from Mexico, speaks minimal English, drinks beer heavily, and occasionally works picking vegetables. The Gaborra family lives in a trailer on a large vegetable farm. The house has cold running water but no hot water, has an indoor bathroom without a shower or bathtub, and is heated with a wood-burning stove. The trailer park has an outside shower, which the family uses in the summer. The entire family picks asparagus, squash, peppers, cabbage, and spinach at various times during the year. Olga takes the infant, Linda, with her to the field, where her sisters take turns watching the baby and picking vegetables. When the vegetablepicking season is over, Pablo helps the farmer to maintain machinery and make repairs on the property. Their income last year was $30,000. From the middle of April until the end of May, the children attend school sporadically because they are needed to help pick vegetables. During December and January, the entire Gaborra family travels to Texas to visit relatives and friends, taking them many presents. They return home in early February with numerous pills and herbal medicines. Olga was diagnosed with anemia when she had an obscure health problem with her last pregnancy. Because she frequently complains of feeling tired and weak, the farmer gave her the job of handing out “chits” to the vegetable pickers so that she did not have to do the more-strenuous work of picking vegetables. Pablo has had tuberculosis for years and sporadically takes medication from a local clinic. When he is not traveling or is too busy picking vegetables to make the trip to the clinic for refills, he generally takes his medicine. Twice last year, the family had to take Linda to the local emergency room because she had diarrhea and was listless and unable to take liquids. The Gaborra family subscribes to the hot and cold theory of disease and health-prevention maintenance. Study Questions 1. Identify three socioeconomic factors that influence the health of the Gaborra family. 2. Name three health-teaching interventions the health-care provider might use to encourage Olga to seek treatment for her anemia. 3. Identify strategies to help improve communications in English for the Gaborra family. 4. Identify three health-teaching goals for the Gaborra family. 5. Name three interventions Olga must learn regarding fluid balance for the infant, Linda. 6. Discuss three preventive maintenance–teaching activities that respect the Gaborra family’s belief in the hot and cold theory of disease management. 7. Identify strategies for obtaining health data for the Gaborra family. 8. Identify four major health problems of Mexican Americans that affect the Gaborra family. 9. If Olga were to see a folk practitioner, which one(s) would she seek? 10. Explain the concept of familism as exhibited in this family. 11. Distinguish between the two culture-bound syndromes el ataque and susto. 12. Discuss culturally conscious health-care advice consistent with the healthbelief practices of the pregnant Mexican American woman. 13. Discuss two interventions to encourage Mexican American clients with tuberculosis to keep clinic appointments and to comply with the prescribed medication regimen. 14. Identify where the majority of Mexican Americans have settled in the United States. NAVAJO CASE STUDY Mr. Begay, aged 78, lives with his wife in a traditional Navajo hogan. He has lived in the same area all his life and worked as a uranium miner until the government closed the mines. His hogan has neither electricity nor running water. Heat is provided by a fire, which is also used for cooking. Lighting is obtained from propane lanterns. Water is hauled from a windmill site 20 miles away and stored in 50-gallon steel drums. Because the windmill freezes and the roads are often too muddy to travel in the winter, sometimes he must travel an additional 10 miles to the trading post to obtain water. Because Mr. Begay does not own a car, he must depend on transportation from extended family members who live in the same vicinity. Mr. Begay has continually experienced shortness of breath, and it is getting worse. He has been hospitalized with pneumonia several times as a result of the uranium poisoning. He had a cholecystectomy at age 62. His diet is traditional and is supplemented by canned foods, which are obtained at the trading post. All health care is obtained at the Public Health Service Hospital in Shiprock. Neither Mr. Begay nor his wife obtain routine preventive-health care. He was admitted from the clinic to the hospital with a diagnosis of pneumonia. Mr. Begay shows clinical improvement after initial intravenous antibiotic therapy. However, his mental status continues to decline. His family feels that he should see a traditional medicine man and discusses this with his physician. The physician agrees and allows Mr. Begay to go to see the medicine man. Several members of the nursing staff disagree with the physician’s decision and have requested a patient-care conference with the physician. The physician agrees to the conference. Study Questions 1. Identify three physical barriers Mr. Begay must overcome to obtain health care. 2. Discuss the benefits of Mr. Begay’s seeing the traditional medicine man. 3. Identify some potential negative outcomes of Mr. Begay’s seeing the traditional medicine man. 4. Identify culturally relevant interventions to reduce the potential for the recurrence of pneumonia. 5. Identify at least two major health risks that the Begays face, based on their current lifestyle. 6. Discuss potential outcomes for negotiation during the conference. 7. Mr. Begay’s diet is described as traditional Navajo. What foods are included in this diet? 8. Because of his continued need for oxygen, what services do you anticipate for Mr. Begay when he returns home? 9. What might the nurse do to encourage preventive-health measures for the Begay family? 10. Identify at least three types of traditional Navajo healers. 11. Identify contextual speech patterns of the Navajo Indians. 12. Distinguish differences in gender roles among Navajo Indians. 13. Identify two culturally congruent teaching methods for the Navajo client. 14. Discuss the meaning of the First Laugh Ceremony for the Navajo. 15. Identify two culturally congruent approaches for discussing a fatal illness with a Navajo client. POLISH CASE STUDY Thomas Wyzinski came to America as a young boy in the 1930s and has lived in the same Polish neighborhood his entire life. He married his neighborhood girlfriend, Zosia, and has two children. He is proud of his ethnic heritage and the fact that his wife is a “healthy-looking woman and a good Polish cook.” He openly boasts about how proud he is of his wife and children, but he does not like the idea that his children moved to the suburbs 15 years ago. He states, “They act so stuck up sometimes.” Mr. Wyzinski has always prided himself on working hard and earning his seniority at the electronics factory. When Thomas was younger, he was a heavy drinker, and he smoked one pack of cigarettes daily for 30 years. He gave up smoking 10 years ago and drinking about 5 years ago. He stopped smoking because he felt “winded” and stopped drinking because “I just couldn’t hold it like I used to. I guess I’m just getting old.” Mr. Wyzinski has been feeling sick for the past month. Finally, his wife told him he had to go to the doctor because he was drinking so much water and was going to the bathroom all the time. Mr. Wyzinski was concerned that he could not hold his urine getting to the bathroom. At the physician’s office, his blood glucose level was 450 mg/dL. Thomas was told he had to go to the hospital.
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
About Writedemy
We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.
How It Works
To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Are there Discounts?
All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.