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African-American plight con-aggravate #2
Appalachian plight con-aggravate #1
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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.
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