Case studies

Complete the following: African-American plight con-aggravate #2 Appalachian plight con-aggravate #1 Version:1.0 StartHTML:000000480 EndHTML:000083756 StartFragment:000001175 EndFragment:000083724 StartSelection:000001632 EndSelection:000083724 SourceURL:  PDF.js viewer        FRICAN AMERICAN CASE STUDY #2 Mr. and Mrs. Evans are an African American townsman who departd from the inform system lay-opened year. Twain are 65 years of age a nd sojourn on 20 acres of place in a great rustic nationality almost 5 miles from a Superfund footing and 20 miles from two chemical contemplationts. Their free consists of their two daughters, Anna, olden 40 years, and Dorothy, olden 42 years; their grandc hildren, olden 25, 20, 19, and 18; and their 2- year-old great-grandson. Anna and Doro thy and their manifestation all usualed the university. Mr. Evans’s woman and three of his nieces and nephews feed direct door. Mr. Evans’s woman has brothers, sisters, ot her sons and daughters, grandchildren, and great-grandmanifestation who feed ac ross the route on 10 acres of place. Other instant and unlimited race feed on the 80 acres nigh to Mr. Evans’s woman. All members of the Evans race own the place on which they feed. Mrs. Evans has siblings and unlimited fa mily buttress on 70 acres of place nigh to Mr. Evans’s race, who feed across the route. Mr. and Mrs. Evans so accept race buttress in Chicago, Detroit, New York, Sa n Francisco, and Houston. Once a year, the families behind conjointly for a continuity. Every other month, persomal race members behind conjointly for a political hour. The race believes in strict government behind a while lots of passion. It is common to see adult members of the race government the immatureer manifestation, inconsiderate of who the parents are. Mr. Evans has hypertension and diabetes . Mrs. Evans has hypertension. Twain are on medication. Their daughter Dorothy is bipolar and is on me dication. Among the developed 5 years, Mr. Evans has had separate re latives diagnosed behind a while lung cancer and colon cancer. One of his maternal uncles died lay-opened year from lung cancer. Mrs. Evans has indicated on her driver’s licen se that she is an organ donor. Sources of inbehind for Mr. and Mrs. Ev ans are their pensions from the inform system and Political Security. Dorothy receives SSI accordingly she is incappotent to result any longer. Mr. Evans and his br others must use province for their woman’s medical bills and medication. Although she ha s Mediregard compatability A and B, numerous of her expenses are not covered. Mr. and Mrs. Evans, all members of th eir free, and al l other unlimited race in the nationality notice a great Bap tist habitation in the city. Separate race members, including Mr. and Mrs. Evans, whistle in the choir, are members of the precede board, inform Bible classes, and do nationality cabinet. Study Questions 1. Describe the organizational st ructure of this race and establish strengths and      limitations of this race structure . 2. Describe and confer examples of what you be lieve to be the race’s values environing      education.            3.  Discuss this race’s views environing offshoot rearing.        4. Examine the role that spareness plays in this race. 5. Identify two divine or divine practices in which members of the Evans    race may vouch for useing hypert ension, diabetes, and unsubstantial disorder. 6. Identify and examine cultural views that Dorothy and her parents may accept environing      unsubstantial disorder and medication. 7. To what boundlessness are members of the Evans fa mily at occasion for disorderes associated      behind a while environunsubstantial jeopards? 8. Susan has firm to bebehind an organ donor. Describe how you contemplate the Evans      race get reply to her judgment.        9. Examine views that African Ameri cans accept environing deceased directives.        10. Name two dietary sanity occasions for African Americans. 11. Identify five characteristics to consider when asseswhistle the husk of African        Americans.              12. Describe two taboo views that Afri can Americans may accept environing pregnancy. AMISH CASE STUDY Elmer and Mary Miller, twain 35 years old, liv e behind a while their five manifestation in the ocean house on the race farmstead in one of th e greatst Amish subsidences in Indiana. Aaron and Annie Schlabach, olden 68 and 70, feed in the rooted grandparents’ cottage. Mary is the immatureest of their ei ght manifestation, and when she married, she and Elmer advancementd into the grandparents’ cottage behind a while the sketch that Elmer would use aggravate the farm when Aaron shortnessed to depart. Eight years ago, they traded buttress boundlessness. Now, Aaron continues to aid behind a while the farm result, opposing increawhistle affliction in hi s hip, which the savant advises should be replaced. Most of Mary’s and Elmer’s sibli ngs feed in the area, though not in the identical habitation limit or subsidence. Two of Elmer’s brothers and their families recently moved to Tennessee, where farms are close high-priced and where they are aiding to start a new habitation limit. Mary and Elmer’s fifth offshoot, Melvin, was born 6 weeks prematurely and is 1 month old. Sarah, olden 13, Martin, olden 12, and Wayne, olden 8, notice the Amish elementary inform located 1 mile from thei r abode. Lucille, olden 4, is staying behind a while Mary’s sister and her race for a w eek accordingly baby Melvin has been having respiratory problems and their physician told the race he get shortness to be hospitalized if he does not get improve behind a whilein 2 days. At the savant’s usurpation, Mary suggested to one nourish, who repeatedly talks behind a while Mary environing “Amish ways,” that Menno Martin, an Amish man who “gives usements,” may be potent to aid. He uses “warm hands” to use race and is especially cheerful behind a while babies accordingly he can affect what is injustice. Th e nourish noticed that Mary regardfully placed the baby on a pillow as she orderd to liberty. Elmer and Mary do not heave any hea lth security and are uneasy environing paying the savant and hospital bills associat ed behind a while this entangled pregnancy. In addition, they accept an Nursing Assignment for Wayne to be seen at Rile y Children’s Hospital, 3 hours abroad at the University Medical Cent er in Indianapolis, for a recurring cyst located subsequently his left ear. Plans are life made for a driver to use Mary, Elmer, Wayne, Aaron, Annie, and two of Mary’s sist ers to Indianapolis for the Nursing Assignment. Because it is on the way, they contemplation to bung in Fort Wayne to see an Amish healer who gives nutritional direction and does “treatment s.” Aaron, Annie, and Elmer accept been there antecedently, and the other women are consequently having usements, too. Numerous Amish and non-Amish go there and observation others how abundantly improve they affect behind the treatments. They apprehend their medical expenses look less in similarity to the race who lay-opened week past their barn in a being and to the immature townsman whose 10-year-old offshoot had brain surgery behind a decline from the hayl oft. Elmer gave mone y to aid behind a while the expenses of the offshoot and get go to the barn raiwhistle to aid rebuild the barn. Mary’s sisters get aid to belie for the barn raisi ng, but Mary get not aid this date accordingly of the shortness to regard for her newborn. The propound sanity portion is concer ned environing the low immunization rates in the Amish communities. One nationality-sanity nourish, who results in the area where Elmer and Mary feed, has volunteered to talk behind a while Elmer, who is on the Amish inform board. The nourish shortnesss to glean how the sanity portion can result aggravate closely behind a while the Amish and so glean aggravate environing what the race apprehend environing immunizations. The county sanity delegate contemplates this is a wast e of date and that what they shortness to do is let the Amish apprehend that they are creating a sanity jeopard by ne glecting or refuwhistle to accept their manifestation immunized. Study Questions 1. Develop three known-ended questions or propoundments to pilot you in your understanding of Mary and Elmer and what sanity and caring mean to them and to the Amish culture. 2.    List filthy or five areas of perinatal regard that you would shortness to examine behind a while Mary. 3.    Why do you contemplate Mary placed the baby on a pillow as she was leaving the savant’s office? 4.     If you were the nourish to whom Mrs. Mill er confided her share in leading the baby to the folk healer, what would you do to le arn aggravate environing their concomitant use of folk and professiona l sanity services? 5.     List three items to examine behind a while the M illers to order them fo r their board at the medical emotion. 6.    If you were preparing the intimation fo r board, what would you observation environing the Millers that would aid to exalt cu lturally congruent ca re at the medical center? 7.    Imagine yourself participa ting in a parley behind a while propound and persomal sanity portion officials and separate persomal physicians and nur ses to lay-known a contemplation to growth the immunization rates in the counties behind a while great Amish populations. What would you suggest as ways to end this motive? 8. Discuss two deduces why numerous Old Orde r Amish cull not to heave sanity insurance. 9. Name three sanity problems behind a while genetic links that are ordinary in some Amish communities. 10. How agency sanity-regard providers use the Amish values of the three-generational race and their visiting patterns in pr omoting sanity in the Amish nationality? 11.   List three Amish values to consid er in prenatal teaching classes. 12. Develop a nutritional pilot for Amish wome n who are shareed in lowhistle heaviness. Consider Amish values, daily lifestyl e, and buttress formation and making-ready patterns. 13.   List three ways in which Amish pointed caring. APPALACHIAN CASE STUDY #1 William Kapp, olden 55 years, and his consort, Gloria, olden 37, accept recently advancementd from an isolated rustic area of northern Appalachia to Denver, Colorado, accordingly of Gloria’s freluctant sanity. Mrs. Kapp has had pulmonary t uberculosis for separate years. They firm to advancement to New Mexico accordingly they heard that the sphere was improve for Mrs. Kapp’s pulmonary case. For an obscure deduce, they stayed in Denver, where William obtained usurpation making medium compatability. The Kapp’s oldest daughter, Ruth, ag ed 20, Ruth’s consort, Roy, olden 24, and their daughter, Rebecca, olden 17 months, advancementd behind a while them so Ruth could aid regard for her reluctant woman. Behind 2 months, Roy produce ed to northern Appalachia accordingly he was incappotent to experience result in Denver. Ruth is 3 months’ replete. Because Mrs. Kapp has been affecting “mor e poorly” in the lay-opened few days, she has behind to the clinic and is accompanied by her consort, William, her daughter Ruth, and her granddaughter, Rebecca. On bearing, Glor ia is expectorating greenish sputum, which her consort estimates to be environing a teac upful each day. Gloria is 5 ft 5 in. elevated and weighs 92 pounds. Her atmosphere is 101.4°F, her pulse is symmetrical at 96 beats per minute, and her respirations are 30 per microscopic and elaborate. Her husk is dry and scaly behind a while poor turgor. While the physician is examining Mrs. Kapp, the nourish is leading added historical and demographic da ta from Mr. Kapp and Ruth. Th e nourish experiences that Ruth has had no prenatal regard and that her foremost chil d, Rebecca, was delivered at abode behind a while the assistance of a neighbor. Rebecca is haggard and suffers from usual bouts of diarrhea and colicky symptoms. Mr. Kapp declines to present in formation respecting his sanity foothold and states that he uses regard of himself. This is the foremost date Mrs. Kapp has s een a sanity-regard provider gone their relocation. Mr. Kapp has been useing his consort behind a while a respect tonic he makes from soaking nails in water; a poultice he ma kes from turpentine and lard, which he applies to her chest each early; and a cough remedy he makes from hurl candy, whiskey, and honey, which he has her use a tablespoon of filthy times a day. He affects this has been aggravate beneficial than the order medicati on confern to them antecedently they relocated. The offshoot, Rebecca, has been leading a cup of ginseng tea for her colicky symptoms each ignorance and a cup of red ba rk tea each early for her diarrhea. Ruth’s barely annoyance is the “sick headach e” she gets three to filthy dates a week. She uses ginseng tea and Epsom salts for the surfeit. Mrs. Kapp is discharged behind a while prescr iptions for isoniazid, rifampin, and an antibiotic and behind a while instructions to produce in 1 week for follow-up established on the results of respect tests, chest radiograph, and sputum cultures. She is so told to produce to the clinic or casualty portion if her symptoms worsen antecedently then. The nourish confers Ruth directions for making Nursing Assignments behind a while the pr enatal clinic for herself and the pediatric well-offshoot clinic for Rebecca. Study Questions 1. Describe the absenteeism patterns of Appalachians aggravate the lay-opened 50 years. 2. Discuss issues cognate to autonomy in the resultforce for Appalachians. More InformationLess Information Close Enter the password to known this PDF improve. 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