Home>Homework Answsers>Nursing homework helpAssignment:Complete the following:Mexican case study #2Puerto Rican case study #2Version:1.0 StartHTML:000000480 EndHTML:000049909 StartFragment:000001223 EndFragment:000049877 StartSelection:000001535 EndSelection:000049877 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%3DglW6MPAb8f19FLpB5Bx8XsIpt%26ou%3D43768&lang=en-us&container=d2l-fileviewer-rendered-pdf&fullscreen=d2l-fileviewer-rendered-pdf-dialog&height=1186 PDF.js viewerMEXICAN CASE STUDY #2Pablo Gaborra, aged 32, and his wife, Olga,aged 24, live in a migrant-worker camp onthe eastern shore of Maryland. They have two children: Roberto, aged 7, and Linda, aged18 months. Olga’s two younger sisters, Florencia, aged 16, and Rosa, aged 12, live withthem. Another distant relative, Rodolpho, aged 28, comes and goes several times eachyear and seems to have no fixed address.Pablo and Olga, born in Mexico, have livedin the United States for 13 years, firstin Texas for 6 years and then in Delaware for 1 year, before moving to the eastern shoreof Maryland 5 years ago. Neither of them have U.S. citizenship, but both children wereborn in the United States.Pablo completed the sixth grade and Olgathe third grade in Mexico. Pablo canread and write enough English to function ata satisfactory level. Olga knows a fewEnglish words but sees no reason for learning English, even though free classes areavailable in the community. Olga’s sisters have attended schoolin the United States andcan speak English with varying degrees offluency. Roberto attends school in the localcommunity but is having great difficulty with his educational endeavors. The familyspeaks only Spanish at home. Not much isknown about the distant relative, Rodolpho,except that he is from Mexico, speaks minimal English, drinks beer heavily, andoccasionally works picking vegetables. The Gaborra family lives in a trailer on a largevegetable farm. The house has cold running water but no hot water, has an indoorbathroom without a shower or bathtub, and is heated with a wood-burning stove. Thetrailer park has an outside shower, which the family uses in the summer.The entire family picks asparagus, squash, peppers, cabbage, and spinach atvarious times during the year. Olga takes theinfant, Linda, with her to the field, whereher sisters take turns watching the baby and picking vegetables. When the vegetable-picking season is over, Pablo helps the farmerto maintain machinery and make repairs onthe property. Their income last year was $30,000.From the middle of April until theend of May, the children attend schoolsporadically because they are needed tohelp pick vegetables. During December andJanuary, the entire Gaborra family travels toTexas to visit relatives and friends, takingthem many presents. They return home in early February with numerous pills and herbalmedicines.Olga was diagnosed with anemia when she had an obscure health problem withher last pregnancy. Because she frequentlycomplains of feeling tired and weak, thefarmer gave her the job of handing out “chits”to the vegetable pickers so that she did nothave to do the more-strenuous work of picking vegetables.Pablo has had tuberculosis for years and sporadically takes medication from alocal clinic. When he is not traveling or is too busy picking vegetables to make the trip tothe clinic for refills, he generally takes his medicine. Twice last year, the family had totake Linda to the local emergency room because she had diarrhea and was listless andunable to take liquids. The Gaborra family subscribes to the hot and cold theory ofdisease and health-prevention maintenance.Study Questions1.Identify three socioeconomic factorsthat influence the health of theGaborra family.2.Name three health-teaching interventions the health-care provider mightuse to encourage Olga to seek treatment for her anemia.3.Identify strategies to help improvecommunications in English for theGaborra family.4.Identify three health-teachinggoals for the Gaborra family.5.Name three interventions Olga mustlearn regarding fluid balance for theinfant, Linda.6.Discuss three preventive maintenance–teaching activities that respect theGaborra 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 ofMexican Americans that affect theGaborra family.9.If Olga were to see a folk practitioner, which one(s) would she seek?10.Explain the concept of familismas exhibited in this family.11. Distinguish between thetwo culture-bound syndromesel ataqueandsusto.12.Discuss culturally conscious health-care advice consistent with the health-belief practices of the pregnant Mexican American woman.13.Discuss two interventions to encourage Mexican American clients withtuberculosis to keep clinic appointments and to comply with the prescribedmedication regimen.14.Identify where the majority of Mexican Americans have settled in theUnited States.NAVAJO CASE STUDYMr. Begay, aged 78, lives with his wife ina traditional Navajo hogan. He has lived inthe same area all his life and worked asa uranium miner until the government closedthe mines. His hogan has neither electricitynor running water. Heat is provided by afire, which is also used for cooking. Lightingis obtained from propane lanterns. Wateris hauled from a windmill site 20 miles away and stored in 50-gallon steel drums.Because the windmill freezes and the roads areoften 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 fromextended family members who live in the same vicinity.Mr. Begay has continually experiencedshortness of breath,and it is gettingworse. He has been hospitalized with pneumonia several times as a result of theuranium poisoning. He had a cholecystectomy atage 62. His diet is traditional and issupplemented 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 admittedfrom the clinic to the hospitalwith a diagnosis of pneumonia.Mr. Begay shows clinical improvement after initial intravenous antibiotictherapy. However, his mental status continues to decline. His family feels that heshould see a traditional medicine man and discusses this with his physician. Thephysician agrees and allows Mr. Begay togo to see the medicine man. Severalmembers of the nursing staff disagree withthe physician’s decision and have requesteda patient-care conference withthe physician. The physician agrees to the conference.Study Questions1. 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 traditionalmedicine man.4.Identify culturally relevant interventions toreduce the potential for the recurrence ofpneumonia.5. Identify at least two major health risks that the Begaysface, based on their currentlifestyle.6. Discuss potential outcomes for negotiation during the conference.7. Mr. Begay’s diet is described as traditional Navajo. What foodsare included in thisdiet?8. Because of his continued need foroxygen, 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 Begayfamily?10. Identify at least three types oftraditional 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 aNavajo client.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%PUERTO RICAN CASE STUDY #2Carmen Medina, aged 39, lives with her husband, Raúl, aged 43, who works as amechanic in a small auto shop. Mr. Medina hasworked in the same place since he and hiswife came to the United States from PuertoRico 15 years ago. The Medinas have a 4-year-old son, José; a 16-year-old daughter, Rosa; and an18-year-old son, Miguel. TheMedinas both attended vocational school after completing high school. Mrs. Medina isemployed 4 hours a day at a garden shop. Shestopped working her full-time job to carefor her ill mother and aged father, whodo not speak English and depend on governmentassistance. The family income last year was $28,500.The family has health insurance throughMr. Medina’s job. They live in a three-bedroom apartment in a low-income Illinois community. Miguel works in a fast-foodstore a few hours a week. Because Rosa has responsibilities at home, the Medina’s do notallow her to work outside the home. She isvery close to her grandmother but avoidstalking with her parents. Both Rosa and Miguel are having difficulties in school. Rosa ispregnant and the family does not know. She isplanning to drop out of school, get a job ina beauty shop, and leave home without telling the family. Miguel frequently comes homelate and, on occasion, sleeps out of the home.He is beginning college next semester andhas plans to move out ofthe house during the summer.The family is having difficulty dealingwith Rosa’s and Miguel’s developmentaland behavioral challenges. Although Mrs. Medina is outspoken about these concerns, Mr.Medina is quiet and not actively involved inthe discussion. He is more preoccupied withthe family’s financial situation. Mrs. Medina’s parents are encouraging them to return toPuerto Rico.Mr. Medina was diagnosed with hypertension 2 months ago, when he went to theemergency room for a respiratory infection. Hesmokes cigarettes and drinks two to threebeers every evening after work. He has notfollowed up on his blood pressure treatment.Miguel is beginning to smoke, but not at home.José has had frequent colds and sinusallergies. He has been to the emergencyroom three times during the past year forrespiratory infections. Mrs. Medina’s lastphysical examination was after she had José.She is experiencing insomnia, tiredness, headaches, and gastrointestinal problems. She isvery concerned about Rosa and Miguel, herparents, and the family’s finances. Mrs.Medina is Catholic and recently has been visiting her church more often.Study Questions1.Explain Mrs. Medina’s attitude inher relationship with her adolescentdaughter.2.Identify strategies to ensurethat Rosa seeks prenatal care.3.Identify barriers to accessing health care for the Medina family.4.What are the high-risk behaviors exhibited by this family?5.What communication barriersexist in this family that affect care delivery?6.Discuss gender and family roles in the context of traditional Puerto Ricanculture.7.Identify sociodemographic factors affecting the physical- and mental-health well-being for this family.8.Identify Puerto Rican folk practices appropriate for this family.6 years ago16.09.201915Report issueAnswer(1)Catherine Owens4.8(28k+)4.8(2k+)ChatPurchase the answer to view itStudyQuestions2.docxturnitinreport435678976543223423.pdf6 years agoplagiarism checkPurchase $15Bids(59)Great-WritersAmanda SmithMath GuruuTutor RisperDENNISWRIGHTElprofessoriprofessor mitchRosie Septembersmart-tutorUrgent TutorDr Mervin M.Dr. AmeerahProf Sapolskybrilliant answersUSH soluTionswriter respectCatherine OwensDr R Judy MarkWendy LewisDr Marvin CJother Questions(10)Investigate a vulnerable population within your local community. The population in this question can be the one you have chosen for your health promotion proposal. Support your choice of population through use of archival data and research. What would youProcess Improvement PresentationSmall assignmentBUS 475 Week 3 Strategic Plan III Balanceneed answer in 15 min or lessBIO 240 Week 3 Dna StructureKIN QUIZWhy Write about Literature ,MLA FROMAT ONLY English SPECIALIST ONLYweek 3Explain the three phases and their related factors of the Haddon Matrix Theory.
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