case study
Home>Homework Answsers>Nursing homework helpcasestudyCreate your APA formatted essay-style submission, with references, be sure to cite your sources and check your spelling.Assignment:Complete the following:German case studyIrish case studyGERMAN CASE STUDYMargaret Schmidt, a terminally ill 60-year-old American of German descent, wasrecently admitted to a hospice service and isreceiving care at home. Diagnosed withmetastatic breast cancer, Margaret’s prognosisis less than 6 months. Margaret’s cancerhas metastasized to her ribs and liver andoften causes intense pain. Although Margaretspeaks freely of her impending death, her familyhas expressed their discomfort at herdecision to secure hospice care.Over the last 10 years, Margaret, a nurse, has practiced homeopathy (for herselfand others) and consults frequently with amedical intuitionist. She follows the medicalintuitionist’s recommendations to attenuateher symptoms but avoids, when she can, thetraditional cancer pain–management therapies.Medical staff and her family have entered into continuous discussions with herabout her lack of acceptance of traditional medical approaches. Margaret remainsunconvinced of their value within her schemeof care. Margaret maintains a strong beliefin an afterlife, believing thatshe will be reunited withher husband. Margaret meditatesdaily, calling upon her spiritual guides and angels for strength and peace in the dyingprocess. She often asks those aroundher to join her during this time.Study Questions1.What experiences have you had with patients of German descent?2.How does Margaret’s German ancestry mold her beliefs about medicaltreatment?3.What Western medicine conceptscomplicate the staff and family’sunderstanding of Margaret’s self-prescribed medical regimen?4.How do you, as a health-care professional, feel about the use ofhomeopathic remedies?5.What is your view of the use ofmedical intuitionists and other non-Western health practices?6.How do Margaret’s health-care choices differ or match your own?7.How do you deal with cultural health practices unlike your own?8.Discuss Margaret’s desire to control her life even through terminal illness.9.Relate Margaret’s strong spiritual beliefs in an afterlife to her ability tocope with her impending death.10.Describe a plan of care that is culturally sensitive to the patient and herfamily.11.How can your knowledge of the German American culture positivelyinfluence health outcomes for Margaret?12.Discuss the cultural filters you mayuse as you assist Margaret in herhealth-care decisions.13.Describe the enculturation you, asa health-care professional, haveexperienced and how this influencesyour own health-care decisions.RISH CASE STUDYThe O’Rourke family lives on a small farm in Iowa and comprises David, aged 30; hiswife, Mary, aged 29; and two children: Bridget, aged 7, and Michael, aged 6. Both Davidand Mary are second-generation Irish. Beforepurchasing their farm 5 years ago, Davidsold farm equipment in Ohio. The O’Rourkes are Catholic; Mary converted toCatholicism when they married.David, who works long hours outdoors, isconcerned about profitability fromhis corn crop because of the unpredictable size of the harvest, and thus, his incomevaries depending on the weather. Mary did not work outside the home because shewanted to be with their children until they started school. However, because bothchildren are now school age, Mary has discussed with David the possibility of workingpart time to supplement the family income. Hewould prefer that she stay at home, butMary is anxious to return to the workforce and believes the timing is right.Both David and Mary are happy with just two children and do not desire more.They use the rhythm method for family planning.Eating a healthy breakfast is importantto the O’Rourkes. Because eggs arereadily available on the farm, they have fried eggs with potato bread and juice at leastfour times a week. Their main meal in theevening usually includes meat, potatoes, anda vegetable. David enjoys aglass of beer with dinner.David has been a little edgy lately because of his concerns about the corn crop.He admits to having some minor chest pain, which he attributes to indigestion. His lastvisit to a physician was before their marriage. Mary knows David is concerned aboutfinances and believes it would help if she had a job.Bridget and Michael spenda lot of time outside playing and doing some minorchores for their parents. Both childrenenjoy school and are looking forward toreturning in the fall. Bridget is starting toshow concern over her appearance. She doesnot like her red hair and all the freckles on her face. Her teacher has noted that Bridgethas trouble reading and may need glasses.Michael wants to be a farmer like his Dadbut worries about his Dad being tired at night.The O’Rourkes have not taken a vacation since they were married. They go tothe state fair in the summer, which is the extent of their trips away from home. Theyare active in the church andattend services every Sunday.Study Questions1. Describe the O’Rourke family structure in terms of individual roles.2. Identify two potential health problems related to the O’Rourke’s dietary practices.3. Identify potential health-riskfactors for the O’Rourkes as a family unit and for eachfamily member.4. Explain the relationship between risk factors and ethnicity specificto the O’Rourkefamily and their Irish heritage.5.Describe culturally competent health-promotion strategies for the identified riskfactors for the O’Rourke family.6. Describe the O’Rourke family’s fertilitypractices. Are they congruent with theirIrish background and religious beliefs?7.Describe the O’Rourke family’s communication patterns.Version:1.0 StartHTML:000000480 EndHTML:000034171 StartFragment:000001175 EndFragment:000034139 StartSelection:000001610 EndSelection:000034139 SourceURL:https://classroom.aspen.edu/d2l/common/assets/pdfjs/1.0.0.30/web/viewer.html?file=%2Fcontent%2Fenforced%2F43768-N512-KK8-08-20-19-Sect2%2FCaseStudies.pdf%3Fd2lSessionVal%3DVKpiZ9F0GFqdiHYmYx8e5YyYc%26ou%3D43768&lang=en-us&container=d2l-fileviewer-rendered-pdf&fullscreen=d2l-fileviewer-rendered-pdf-dialog&height=1145 PDF.js viewer8.What are the predominant healthconditions among Irish immigrants?9. Explain the significance of the GreatPotato Famine for Irish Americans.10. Name two genetic diseases common among Irish Americans.11.Identify accepted fertility practicesfor Irish American Catholics.12. Identify three sources of strength forthe Irish American in times of illness.13. Identify traditional home remedies commonly used by Irish Americans.ITALIAN CASE STUDY #1Rosa and Mario Gianquito live on the ground floor of a three-family house in Brooklyn,New York. Although they completed only grammar school in Italy, they speak Englishand have little difficulty understanding most verbal communication. They have adaughter, Lucia, aged 25, and a son, Anthony, aged 28, who were born in thisneighborhood but now live in Manhattan. Bothchildren speak fluent Italian. Anthony isan attorney and does not visit with his sister very often. Lucia is a grammar schoolteacher, married to an Italian man, GuidoVenetto, who recently immigrated fromsouthern Italy and is 10 years older than Lucia. Guido speaks mostly Italian at home butdoes speak broken English. In addition to smoking two packs of cigarettes a day, Guidois emotionally abusive to Lucia. He is very jealous and does not want Lucia to go outafter work with her friends orto spend much time visiting with her parents. Lucia hasallergies, and the last time she visited the doctor, he told her that her blood pressure waselevated. She has noticed lately that, after standing all day at work, she often has swollenankles and leg pain.Lucia’s husband works 12 hours a day as a construction worker and expects herto cook Old-Country–style Italian food, which requires that she use a great deal of salt.She is often depressed and feels isolated and powerless. She has been trying to have ababy for 3 years.Rosa comes to visit her daughter when she can. She often brings homemademanicotti or tortellini when she comes. Sheis very concerned about Guido’s behaviortoward her daughter but does not feel thatshe can challenge Guido because he is thecapo di famiglia. Rosa is concerned about Lucia’sswollen feet and suggests that shedrink red wine and eat more garlic and dandelions. She tells Lucia to pray to the VirginMary to ask for help in conceiving a child and to make Guido treat her better.Lucia and Guido attend the neighborhood Catholic Church on Sunday. Luciaalways wears thecornicelliaround her neck that her mother gave her to protect herfromil mal occhio. Lucia says her faith and her family help her cope with lifechallenges withpazienza.Study Questions1. Identify three problems and arelated plan of care for Lucia.2.Identify two health-teaching goals for this family that are congruent with familyorder and rituals.3.Identify three socioeconomic factors that influence the health of the Venetto family.4.How might the health-care provider involveLucia in a mutual-planning process forher holistic health-care needs,including mind, body, and spirit?5. Knowing that many first-generation Italians generally mistrust health-care providers,how would you encourage Lucia to engage in health-promotion behaviors?6. Discuss at least two preventive healthmaintenance–teaching activities that respectthe folk practices used to treat illness in this family.7. Define the Italian’s unique relationship with food and discuss implications this couldhave on the health of the Venetto family, particularly Lucia.8.Discuss the status and role of elderly Italians in the extended family.9. Identify two practices common among Italian women that might affect conceptionand pregnancy.10. Name two dietary health-care risks and two dietary health-care assets for Italians.11. What are some of the primary religiouspractices and use of prayer for Italianpeople?12. Define the termscapo di famiglia,il mal occhio, andpazienza.More InformationLess InformationCloseEnter the password to open this PDF file.OKCancelFile name:-File size:-Title:-Author:-Subject:-Keywords:-Creation Date:-Modification Date:-Creator:-PDF Producer:-PDF Version:-Page Count:-Close@media print { #printContainer div { page-break-after: always; page-break-inside: avoid; } } #mozPrintCallback-shim { position: fixed; top: 0; left: 0; height: 100%; width: 100%; z-index: 9999999; display: block; text-align: center; background-color: rgba(0, 0, 0, 0.5); } #mozPrintCallback-shim[hidden] { display: none; } @media print { #mozPrintCallback-shim { display: none; } } #mozPrintCallback-shim .mozPrintCallback-dialog-box { display: inline-block; margin: -50px auto 0; position: relative; top: 45%; left: 0; min-width: 220px; max-width: 400px; padding: 9px; border: 1px solid hsla(0, 0%, 0%, .5); border-radius: 2px; box-shadow: 0 1px 4px rgba(0, 0, 0, 0.3); background-color: #474747; color: hsl(0, 0%, 85%); font-size: 16px; line-height: 20px; } #mozPrintCallback-shim .progress-row { clear: both; padding: 1em 0; } #mozPrintCallback-shim progress { width: 100%; } #mozPrintCallback-shim .relative-progress { clear: both; float: right; } #mozPrintCallback-shim .progress-actions { clear: both; } Preparing document for printing… 0%6 years ago07.10.201915Report issueAnswer(2)Madam Michelle4.9(3k+)4.9(312)ChatPurchase the answer to view itNOT RATEDHealthprovider.docx6 years agoplagiarism checkPurchase $20FAST ANSWERS_PHD4.8(50)(Not rated)ChatPurchase the answer to view itNOT RATEDHealthprovider.docx3 years agoplagiarism checkPurchase $5Bids(49)Great-WritersMadam MichelleBethuel BestDoctor OkumuSara WaynesAtta ur RehmanProf SapolskySuper GeekRESPECT WRITERwizard kimbrilliant answersElprofessoriWendy LewisAngelina MayBill_WilliamsTerry RobertsEmily BluntJamie AckerFavouritewriterprof avrilother Questions(10)Interpreting Financial ResultsBusiness Processes”marketing discussion questionhwhtyStrayer FIn534 Discussions Week 8PM586 Project Management Capstone Week 3 Assignment Project Plan Part 2Read 182Cisco Networking—WAN Implementation with SOHO Configurationresearch methods W5A2
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