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Excerpt from Case Study:
CUBAN CASE STUDY Mrs. Demetilla Hernandez a 63-year- Cuban girl seeks consultation Liberty health-maintenance organization (HMO) clinic some weakness, lethargy, fatigue experienced a couple of months. This morning, cooking evening meal daughter, Mariana’s house, momentarily lost equilibrium slipped kitchen floor.
CUBAN CASE STUDY
Like a health-care company, what are the typical Cuban connection patterns you need to be aware of in dealing with Mrs. Hernandez?
Latino family members are often multigenerational in their composition. As the grandmother, Mrs. Hernandez presumes control over the family dishes. This is an essential part of her identity. Rather than communicating immediately, food can be love and emotions and feelings are communicated through food.
Q2. Describe the traditional Cuban meals patterns. Just how would you assist Mrs. Hernandez
in having a plan for a 1500-calorie diet and regular exercise?
People who have adult in poor, food-insecure adjustments often develop patterns of eating junk, high-carbohydrate ease and comfort foods and a lot of Latino civilizations have this attitude embedded within them, especially if the individuals in question was raised under difficult circumstances. Mrs. Hernandez must be given a food plan that reflects her cultural tastes and ingredients and still satisfies her need to be a fantastic cook.
Q3. Would you inspire Mrs. Hernandez to go to the fitologia to purchase a lot of herbs? How would you strategy her prefer to use natural herbs instead of the recommended oral hypoglycemic agent?
We would try to show Mrs. Hernandez the medical rationale on her prescription. I would note that herbal therapy was common ahead of current medical advances although well-intentioned, the lady should get herself of the best medical assistance feasible to be healthy.
Q4. Go over some common folk techniques that Cuban families might use to maintain health or get rid of common illnesses.
Herbs and using foodstuff as medication are common, thus is dealing with illnesses with food plus the act of eating itself.
Q5. Describe how period orientation may possibly influence Mrs. Hernandez’s compliance with follow-up clinic trips.
Cuban traditions has a incredibly flexible frame of mind towards time which can be challenging both in conditions of timing medication and in addition in terms of meeting clinic meetings.
Q6. Produce three essential goals in teaching Mrs. Hernandez and her family members about health care.
Mrs. Hernandez and her family need to understand the medical importance of weight-loss, the effect of food upon her blood glucose and the issues that diabetes may cause, along with the importance of sticking to a rigorously-timed medical treatment to address her ailment.
Q7. Identify the typical family and worth structure amongst Cuban People in america.
Family, custom, and classic foods are crucial to Cuban Americans, ones own maintaining individuals traditions and an extended friends and family network.
Q8. List three major health issues among Cuban Americans.
Unhealthy weight, diabetes, and side effects at home medicines utilized in the place of conventional drugs.
Q9. In the event that you where the health-education specialist at the clinic, what would you instruct the staff about Cuban traditions to help them give culturally-competent attention?
I would make an effort to help them understand the importance of foodstuff within Cuban culture to fret why faith to a diet regime may be more challenging just for this ethnic group, particularly if traditional foods tended to be high in glucose and carbohydrates.
10. Talk about traditional child-rearing practices amongst Cuban People in the usa.
Child rearing is a communautaire endeavor, accepted by both grandparents and also parents in an equal trend. Mrs. Hernandez’s pride in her grandchildren’s prosperous plumpness is therefore more difficult to eradicate than they would take an Anglo grandmother even more influenced by simply common mass media messages regarding the importance of slenderness.
PHILIPPINE CASE STUDY #2
Q1. Recognize three socioeconomic factors that influence the healthiness of the Gaborra family.
To start with, the Gaborra family is affected by lower income which limitations their capability to buy healthy food and live under secure health-promoting conditions. They are also limited in their English proficiency which makes it difficult so they can obtain top quality health knowledge. Finally, their particular migrant position makes them not able to obtain health care insurance or a stable health service provider.
Q2. Name three health-teaching interventions the health-care supplier might use for encourage Olga to seek treatment for her anemia.
Olga could be urged to get treatment aid her power, which she needs to operate; to be able to certainly be a better mom and partner (consistent with her social values); as well as have more energy to find high-paying work.
Q3. Identify strategies to help improve marketing and sales communications in English for the Gaborra friends and family.
Stressing the value of learning English because 1 ) It will help associated with their kid’s school work; installment payments on your It will help all their children’s fluency in English language and thus their particular futures in the us; 3. It will eventually enable most family members to have higher-paying jobs.
Q4. Recognize three health-teaching goals pertaining to the Gaborra family.
To acquire a stable well being provider; to get financial assistance for healthcare; and to be familiar with importance and value of conventional medicine.
Q5. Name three interventions Olga must learn regarding fluid balance for the infant, Hermosa.
Olga has to understand the importance of sanitary drinking water for your child; of replenishing the child’s electrolytes and fluids if the child is sick; and keeping the kid protected coming from heat direct exposure (dehydration) although working in the field.
Q6. Discuss three preventive maintenance – teaching activities that respect the Gaborra family’s belief in the hot and cold theory of disease management.
Offered these beliefs, the need for hygienic water (both hot and cold); keeping themselves plus the baby from being over-exposed to hot and frosty; and the must make sure that the baby has suitable fluid equilibrium are all essential (Ortiz ainsi que al. 2007).
Q7. Recognize strategies for obtaining health info for the Gaborra family members.
Interviews with the family using a culturally competent translator; interviews with Roberto’s teacher regarding his health; and selection interviews with health-related providers and healthcare records obtained throughout the family’s trips to the ER.
Q8. Discover four major health problems of Mexican-Americans that affect the Gaborra family.
Poverty; a lack of access to preventative treatment because of migrant status; unclean living conditions; deficiencies in health knowledge.
Q9. If perhaps Olga would have been to see a folk practitioner, which will one(s) will she search for?
Likely a mature relative – if not merely one in their own family, then within trusted relatives.
Q10. Describe the concept of familism as exhibited in this relatives.
This family stays with each other under incredibly dire situations – they will always function as a unit. This can be very positive relatively but also means that Olga is less motivated than most likely she should be to learn The english language and increase her employability.
Q11. Separate the two culture-bound syndromes el ataque and susto.
Un ataque can be analogous to ‘anxiety’ and is the term additionally articulated by simply higher-income Latinos while ‘susto’ or alarm is a even more generic term for being disappointed and troubled which is often used more amongst lower-class members with this ethnic group (Dura-Vila, Hodes 2012)
Q12. Discuss widely conscious health-care advice like health perception practices with the pregnant Mexican-American woman.
Straining the importance penalized a good mom (an significant cultural value) and looking after the uncreated, unbegotten, unconceived child respects the beliefs of Mexican-American woman.
Q13. Discuss two interventions to encourage Mexican-American clients with tuberculosis to hold clinic sessions and to conform to the prescribed medication regimen.
Having clinicians visit the fields exactly where these laborers work and supply on-site health care would be helpful, given the down sides of transport for people with no access to cars working extended stays. Offering free food in the clinic (such as a carrier of loaf of bread, peanut rechausser, apples, and so forth) would be another attraction.
Q14. Discover where the many Mexican-Americans have settled in the United States.
Mexican-American immigrants tend to concentrate at edge areas and in areas where there exists low-skilled operate that requires nominal labor abilities: the Freebie southwest and Western world.
PUERTO RICAN CASE STUDY #2
Q1. Make clear Mrs. Medina’s attitude in her romance with her adolescent child.
Unfortunately, Mrs. Medina provides a relatively paternalistic attitude towards her girl: she is at present preventing her daughter coming from getting a job so the young lady will be more linked with the home which is unaware that her girl is sexually active and pregnant. Communication is poor.
Q2. Identify strategies to ensure that Rosa attempts prenatal proper care.
Given that Rosa wants to seem to be more adult, stressing that seeking prenatal care may be the responsible point for an adult expecting a young child is likely to be even more persuasive.
Q3. Identify obstacles to being able to access health care intended for the Medina family.
Funds is ‘tight; ‘ there is also a lack of matter about detrimental behaviors between adults along with adolescents; the family is unmotivated to seek treatment.
Q4. Exactly what are the high-risk behaviors exhibited by this relatives?
Unprotected love-making; smoking and drinking; screwing up to seek professional medical help also after health problems reach specialized medical significance.
Q5. What interaction barriers exist in this friends and family that have an effect on care delivery?
It is assumed the children, specifically Rosa, should remain childlike and dependent even though the little one’s actions and behaviors aren’t consistent
