Complete the following:<\/p>\n
African-American case study #2
\nAppalachian case study #1<\/p>\n
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\nFRICAN AMERICAN CASE STUDY #2
\nMr. and Mrs. Evans are an African American couple who retired from the school
\nsystem last year. Both are 65 years of age a
\nnd reside on 20 acres of
\nland in a large rural
\ncommunity approximately 5 miles from a Superfund site and 20 miles from two
\nchemical plants. Their household consists of
\n their two daughters, Anna, aged 40 years,
\nand Dorothy, aged 42 years; their grandc
\nhildren, aged 25, 20, 19, and 18; and their 2-
\nyear-old great-grandson. Anna and Doro
\nthy and their children all attended the
\nuniversity.
\nMr. Evans\u2019s mother and three of his
\nnieces and nephews live next door. Mr.
\nEvans\u2019s mother has brothers, sisters, ot
\nher sons and daughters, grandchildren, and
\ngreat-grandchildren who live ac
\nross the road on 10 acres of land. Other immediate and
\nextended family live on the 80 acres adjacent
\nto Mr. Evans\u2019s mother. All members of
\nthe Evans family own the land on which they live.
\nMrs. Evans has siblings and extended fa
\nmily living on 70 acres of land adjacent
\nto Mr. Evans\u2019s family, who live across the road. Mr. and Mrs. Evans also have family
\nliving in Chicago, Detroit, New York, Sa
\nn Francisco, and Houston. Once a year, the
\nfamilies come together for a reunion. Every other month, local family members come
\ntogether for a social hour. The family believes in
\nstrict discipline with
\nlots of love. It is
\ncommon to see adult members of the family
\ndiscipline the younger children, regardless
\nof who the parents are. <\/p>\n
Mr. Evans has hypertension and diabetes
\n. Mrs. Evans has hypertension. Both
\nare on medication. Their daughter Dorothy is
\nbipolar and is on me
\ndication. Within the
\nlast 5 years, Mr. Evans has had several re
\nlatives diagnosed with lung cancer and colon
\ncancer. One of his maternal uncles died last
\n year from lung cancer. Mrs. Evans has
\nindicated on her driver\u2019s licen
\nse that she is an organ donor.
\nSources of income for Mr. and Mrs. Ev
\nans are their pensions from the school
\nsystem and Social Security. Dorothy receives SSI because she is unable to work any
\nlonger. Mr. Evans and his br
\nothers must assume responsibility for their mother\u2019s
\nmedical bills and medication. Although she ha
\ns Medicare parts A and B, many of her
\nexpenses are not covered.
\nMr. and Mrs. Evans, all members of th
\neir household, and al
\nl other extended
\nfamily in the community attend a large Bap
\ntist church in the city. Several family
\nmembers, including Mr. and Mrs. Evans, sing
\nin the choir, are members of the usher
\nboard, teach Bible classes,
\nand do community ministry.
\nStudy Questions
\n1.
\nDescribe the organizational st
\nructure of this family and identify strengths and \u00a0
\n \u00a0\u00a0\u00a0limitations of this
\nfamily structure
\n.
\n2.
\nDescribe and give examples of what you be
\nlieve to be the family\u2019s values about \u00a0
\n \u00a0\u00a0\u00a0education. \u00a0\u00a0\u00a0
\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a03. \u00a0Discuss this family\u2019s
\n views about child rearing. <\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a04. Discuss the role that spirituality plays in this family.
\n5.
\nIdentify two religious or spiritual practices in which members of the Evans
\n \u00a0\u00a0\u00a0family may engage for treating hypert
\nension, diabetes, and mental illness.
\n6.
\nIdentify and discuss cultural
\n views that Dorothy and her parents may have about \u00a0
\n \u00a0\u00a0\u00a0mental illness and medication.
\n7.
\nTo what extent are members of the Evans fa
\nmily at risk for illnesses associated \u00a0
\n \u00a0\u00a0\u00a0with environmental hazards?
\n8.
\nSusan has decided to become an organ donor. Describe how you think the Evans \u00a0
\n \u00a0\u00a0\u00a0family will respond to her decision.
\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a09. Discuss views that African Ameri
\ncans have about advanced directives.
\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a010. Name two dietary health risks for African Americans.
\n11.
\nIdentify five characteristics to consider
\n when assessing the skin of African \u00a0
\n \u00a0\u00a0\u00a0\u00a0\u00a0Americans. \u00a0\u00a0\u00a0\u00a0\u00a0
\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a012. Describe two taboo views that Afri
\ncan Americans may have about pregnancy. <\/p>\n
AMISH CASE STUDY
\nElmer and Mary Miller, both 35 years old, liv
\ne with their five children in the main
\nhouse on the family farmstead in one of th
\ne largest Amish settlements in Indiana.
\nAaron and Annie Schlabach, aged 68 and 70, live in the attached grandparents\u2019
\ncottage. Mary is the youngest of their ei
\nght children, and when she married, she and
\nElmer moved into the grandparents\u2019 cottage
\nwith the intention that Elmer would take
\nover the farm when Aaron wanted to retire.
\nEight years ago, they traded living space.
\n Now, Aaron continues to help with
\nthe farm work, despite increasing pain in hi
\ns hip, which the doctor advises should be
\nreplaced. Most of Mary\u2019s and Elmer\u2019s sibli
\nngs live in the area, though not in the same
\nchurch district or settlement. Two of Elmer\u2019s brothers and their families recently
\nmoved to Tennessee, where farms are less expensive and where they are helping to
\nstart a new church district.
\nMary and Elmer\u2019s fifth child, Melvin,
\nwas born 6 weeks prematurely and is 1
\nmonth old. Sarah, aged 13, Martin, aged
\n12, and Wayne, aged 8, attend the Amish
\nelementary school located 1 mile from thei
\nr home. Lucille, aged 4, is staying with
\nMary\u2019s sister and her family for a w
\neek because baby Melvin has been having
\nrespiratory problems and their physician told
\nthe family he will need to be hospitalized
\nif he does not get better within 2 days.
\nAt the doctor\u2019s office, Mary suggested
\nto one nurse, who often talks with Mary
\nabout \u201cAmish ways,\u201d that Menno Martin, an
\n Amish man who \u201cgives treatments,\u201d may
\nbe able to help. He uses \u201cwarm hands\u201d to
\n treat people and is
\nespecially good with <\/p>\n
babies because he can feel what is wrong. Th
\ne nurse noticed that Mary carefully placed
\nthe baby on a pillow as she prepared to leave.
\nElmer and Mary do not carry any hea
\nlth insurance and are concerned about
\npaying the doctor and hospital bills associat
\ned with this complicated pregnancy. In
\naddition, they have an appointment for Wayne
\nto be seen at Rile
\ny Children\u2019s Hospital,
\n3 hours away at the University Medical Cent
\ner in Indianapolis, for a recurring cyst
\nlocated behind his left ear. Plans are being
\nmade for a driver to take Mary, Elmer,
\nWayne, Aaron, Annie, and two of Mary\u2019s sist
\ners to Indianapolis
\nfor the appointment.
\nBecause it is on the way, they plan to stop in
\n Fort Wayne to see an Amish healer who
\ngives nutritional advice and does \u201ctreatment
\ns.\u201d Aaron, Annie, and Elmer have been
\nthere before, and the other women are considering having treatments, too. Many
\nAmish and non-Amish go there and tell others
\n how much better they feel after the
\ntreatments.
\nThey know their medical expenses seem minor in comparison to the family
\nwho last week lost their barn in a fire
\nand to the young couple whose 10-year-old child
\nhad brain surgery after a fall from the hayl
\noft. Elmer gave mone
\ny to help with the
\nexpenses of the child and will go to the barn raising to help rebuild the barn. Mary\u2019s
\nsisters will help to cook for the barn raisi
\nng, but Mary will not help this time because
\nof the need to care for her newborn.
\nThe state health department is concer
\nned about the low immunization rates in
\nthe Amish communities. One community-health nurse, who works in the area where
\nElmer and Mary live, has volunteered to talk
\n with Elmer, who is on the Amish school
\nboard. The nurse wants to learn how the health
\n department can work more closely with <\/p>\n
the Amish and also learn more about what
\n the people know about immunizations. The
\ncounty health commissioner thinks this is a wast
\ne of time and that what they need to do
\nis let the Amish know that they are creating
\na health hazard by ne
\nglecting or refusing
\nto have their children immunized.
\nStudy Questions
\n 1.
\nDevelop three open-ended questions or
\n statements to guide you in your
\nunderstanding of Mary and Elmer and what
\nhealth and caring mean
\n to them and to
\nthe Amish culture.
\n 2. \u00a0\u00a0\u00a0List four or five areas of perinatal
\ncare that you would want to discuss with Mary.
\n 3. \u00a0\u00a0\u00a0Why do you think Mary placed the baby
\non a pillow as she was leaving the doctor\u2019s
\noffice?
\n 4. \u00a0\u00a0\u00a0\u00a0If you were the nurse to whom Mrs. Mill
\ner confided her interest in taking the baby
\nto the folk healer, what would you do to le
\narn more about their simultaneous use of
\nfolk and professiona
\nl health services?
\n 5. \u00a0\u00a0\u00a0\u00a0List three items to discuss with the M
\nillers to prepare them fo
\nr their consultation at
\nthe medical center.
\n 6. \u00a0\u00a0\u00a0If you were preparing the reference fo
\nr consultation, what would you mention about
\nthe Millers that would help to promote cu
\nlturally congruent ca
\nre at the medical
\ncenter?
\n 7. \u00a0\u00a0\u00a0Imagine yourself participa
\nting in a meeting with state
\nand local health department
\nofficials and several local physicians and nur
\nses to develop a plan to increase the <\/p>\n
immunization rates in the
\ncounties with large Amish
\npopulations. What would you
\nsuggest as ways to accomplish this goal?
\n 8.
\nDiscuss two reasons why many Old Orde
\nr Amish choose not to carry health
\ninsurance.
\n 9.
\nName three health problems with genetic
\nlinks that are prevalent in some Amish
\ncommunities.
\n10.
\nHow might health-care providers use the
\nAmish values of the three-generational
\nfamily and their visiting patterns in pr
\nomoting health in the Amish community?
\n11. \u00a0\u00a0List three Amish values to consid
\ner in prenatal education classes.
\n12.
\nDevelop a nutritional guide for Amish wome
\nn who are interested in losing weight.
\nConsider Amish values, daily lifestyl
\ne, and food production and preparation
\npatterns.
\n13. \u00a0\u00a0List three ways in which Amish express caring. <\/p>\n
APPALACHIAN CASE STUDY #1
\nWilliam Kapp, aged 55 years, and his wife, Gloria, aged 37, have recently moved from an
\nisolated rural area of northern Appalachia
\nto Denver, Colorado, because of Gloria\u2019s
\nfailing health. Mrs. Kapp has had pulmonary t
\nuberculosis for several years. They decided
\nto move to New Mexico because they heard that the climate was better for Mrs. Kapp\u2019s
\npulmonary condition. For an unknown reason, they stayed in Denver, where William
\nobtained employment making machine parts.
\nThe Kapp\u2019s oldest daughter, Ruth, ag
\ned 20, Ruth\u2019s husband, Roy, aged 24, and
\ntheir daughter, Rebecca, aged 17 months, moved with them so Ruth could help care for
\nher ailing mother. After 2 months, Roy return
\ned to northern Appalachia because he was
\nunable to find work in Denver. Ruth is 3 months\u2019 pregnant.
\nBecause Mrs. Kapp has been feeling \u201cmor
\ne poorly\u201d in the last few days, she has
\ncome to the clinic and is accompanied by her husband, William, her daughter Ruth, and
\nher granddaughter, Rebecca. On admission, Glor
\nia is expectorating greenish sputum,
\nwhich her husband estimates to be about a teac
\nupful each day. Gloria is 5 ft 5 in. tall and
\nweighs 92 pounds. Her temperature is 101.4\u00b0F,
\nher pulse is regular at 96 beats per
\nminute, and her respirations are 30 per minute
\nand labored. Her skin is dry and scaly with
\npoor turgor.
\nWhile the physician is examining Mrs. Kapp, the nurse is taking additional
\nhistorical and demographic da
\nta from Mr. Kapp and Ruth. Th
\ne nurse finds that Ruth has
\nhad no prenatal care and that her first chil
\nd, Rebecca, was delivered at home with the
\nHelpance of a neighbor. Rebecca is pale and
\nsuffers from frequent bouts of diarrhea and <\/p>\n
colicky symptoms. Mr. Kapp declines to offer in
\nformation regarding his health status and
\nstates that he takes care of himself.
\nThis is the first time Mrs. Kapp has s
\neen a health-care provider since their
\nrelocation. Mr. Kapp has been treating his wife
\nwith a blood tonic he makes from soaking
\nnails in water; a poultice he ma
\nkes from turpentine and lard,
\nwhich he applies to her chest
\neach morning; and a cough medicine he makes from rock candy, whiskey, and honey,
\nwhich he has her take a tablespoon of four
\ntimes a day. He feels this has been more
\nbeneficial than the prescription medicati
\non given to them before they relocated.
\nThe child, Rebecca, has been taking a
\ncup of ginseng tea for her colicky
\nsymptoms each night and a cup of red ba
\nrk tea each morning for her diarrhea.
\nRuth\u2019s only complaint is the \u201csick headach
\ne\u201d she gets three to four times a week.
\nShe takes ginseng tea and Epsom salts for the headache.
\nMrs. Kapp is discharged with prescr
\niptions for isoniazid, rifampin, and an
\nantibiotic and with instructions to return in
\n 1 week for follow-up based on the results of
\nblood tests, chest radiograph, and sputum cultures.
\nShe is also told to return to the clinic
\nor emergency department if her symptoms
\nworsen before then. The nurse gives Ruth
\ndirections for making appointments with the pr
\nenatal clinic for herself and the pediatric
\nwell-child clinic for Rebecca.
\nStudy Questions
\n1.
\nDescribe the migration patterns of
\nAppalachians over the last 50 years.
\n2.
\nDiscuss issues related to autonomy
\nin the workforce for Appalachians. <\/p>\n
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Complete the following: African-American case study #2 Appalachian case study #1 Version:1.0 StartHTML:000000480 EndHTML:000083756 StartFragment:000001175 EndFragment:000083724 StartSelection:000001632 EndSelection:000083724 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%3DFeuJBWYKC5d0CfstmT4x6NuRM%26ou%3D43768&lang=en-us&container=d2l-fileviewer-rendered-pdf&fullscreen=d2l-fileviewer-rendered-pdf-dialog&height=1186 \u00a0PDF.js viewer \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 FRICAN AMERICAN CASE\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10099,10681,7636,615,10892,10680,10891],"tags":[10553,10616,10254,10896,10897,10247,10295,10898,10893,10894,10895,10899,10551],"class_list":["post-126945","post","type-post","status-publish","format-standard","hentry","category-buy-essay","category-cheap-dissertation-help-online","category-cheap-essay-writer-usa","category-homework-help-writing-service-usa","category-page-paper","category-university-dissertation-writing-service","category-write-my-assignment-ireland","tag-1-assignment-help-online-service-for-students-in-the-usa","tag-australian-best-tutors","tag-can-someone-write-my-assignment-for-me","tag-case-study-in-nursing-writing-a-nursing-case-study-essay","tag-free-nursing-case-studies","tag-help-me-write-my-dissertation","tag-homework-for-you","tag-nursing-case-study-assignment-examples","tag-nursing-case-study-examples","tag-nursing-case-study-presentation-example","tag-nursing-case-study-questions-and-answers","tag-student-nurse-case-study-assignments","tag-write-my-assignment-help-for-college-students"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/126945","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=126945"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/126945\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=126945"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=126945"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=126945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}