case study


Complete the following:

  • Mexican subject con-counterpoise #2
  • Puerto Rican subject con-counterpoise #2

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Pablo Gaborra, olden 32, and his spouse, Olga,
olden 24, speed in a migrant-worker bivouac on
the eastern bench of Maryland. They feel tw
o conclusion: Roberto, olden 7, and Linda, olden
18 months. Olga’s two younger sisters, Floren
cia, olden 16, and Rosa, olden 12, speed delay
them. Another apart not-absolute, Rodolpho, ag
ed 28, comes and goes divers times each
year and seems to feel no agricultural address.
Pablo and Olga, born in Mexico, feel speedd
in the United States for 13 years, original
in Texas for 6 years and then in Delaware fo
r 1 year, precedently tender to the eastern bench
of Maryland 5 years ago. Neither of them feel U.S. citizenship, but twain conclusion were
born in the United States.
Pablo completed the sixth impelmention and Olga
the third impelmention in Mexico. Pablo can
read and transcribe plenty English to business at
a desirable smooth. Olga apprehends a few
English words but sees no argue for l
earning English, uniform though unimpeded classes are
available in the brotherhood. Olga
’s sisters feel cheerful develop
in the United States and
can say English delay varying degrees of
fluency. Roberto serves develop in the national
brotherhood but is having wide awkwardness w
ith his educational endeavors. The lineage
speaks solely Spanish at settlement. Not plenteous is
notorious encircling the apart not-absolute, Rodolpho,
except that he is from Mexico, says mi
nimal English, drinks beer heavily, and
occasionally products cream vegetables. The Ga
borra lineage speeds in a trailer on a comprehensive
vegetable farm. The seed has frigid runni
ng soak but no hot soak, has an indoor
bathopportunity delayout a wash or bathtub, a
nd is fervid delay a wood-burning stove. The
trailer ground has an beyond wash, wh
ich the lineage uses in the summer.

The all lineage chooses asparagus, lash, peppers, abstract, and spinach at
various times during the year. Olga interests the
infant, Linda, delay her to the ground, where
her sisters interest turns watching the baby a
nd cream vegetables. When the vegetable-
cream timeliness is counterpoise, Pablo aids the farmer
to detain machinery and fabricate repairs on
the ownership. Their inco
me ultimate year was $30,000.
From the average of April until the
end of May, the conclusion serve develop
sporadically consequently they are needed to
aid choose vegetables. During December and
January, the all Gaborra lineage migrations to
Texas to investigate not-absolutes and friends, entrance
them abundant presents. They retaliate settlement in future February delay numerous pills and herbal
Olga was diagnosed delay anemia when she had an darken heartiness collection delay
her ultimate pregnancy. Consequently she constantly
complains of touch wearied and inconclusive, the
farmer gave her the job of handing out “chits”
to the vegetable chooseer
s so that she did not
feel to do the more-strenuous product of cream vegetables.
Pablo has had tuberculosis for years a
nd sporadically interests medication from a
national clinic. When he is not migrationing or is t
oo industrious cream vegetables to fabricate the bound to
the clinic for refills, he generally interests his cure. Twice ultimate year, the lineage had to
interest Linda to the national embarrassment opportunity consequently she had diarrhea and was heedless and
unable to interest liquids. The Gaborra lineage s
ubscribes to the hot and frigid scheme of
indisposition and heartiness-prevention defence.

Study Questions
Identify three socioeconomic factors
that swing the heartiness of the
Gaborra lineage.
Name three heartiness-teaching interven
tions the heartiness-circumspection provider dominion
use to allow Olga to inquire tenor for her anemia.
Identify strategies to aid improve
messages in English for the
Gaborra lineage.
Identify three heartiness-teaching
goals for the Gaborra lineage.
Name three interventions Olga must
learn concerning exoteric counterpoise for the
infant, Linda.
Discuss three counteractive maintenanc
e–teaching activities that i-elation the
Gaborra lineage’s avowal in the hot an
d frigid scheme of indisposition composition.
Identify strategies for conciliateing h
ealth axioms for the Gaborra lineage.
Identify indecent superior heartiness collections of
Mexican Americans that concern the
Gaborra lineage.
If Olga were to see a folk practitioner, which one(s) would she inquire?
Explain the concept of familism
as exhibited in this lineage.
11.       Distinguish       between       the       
two culture-bound syndromes
el ataque
Discuss culturally cognizant heartiness-car
e information accordant delay the heartiness-
avowal practices of the significant Mexican American woman.
Discuss two interventions to encour
age Mexican American clients delay
tuberculosis to general clinic appointment
s and to resign delay the prescribed

medication fare.
Identify where the superiority of Mexican Americans feel permanent in the
United States.

Mr. Begay, olden 78, speeds delay his spouse in
a transmitted Navajo hogan. He has speedd in
the similar area all his spirit and producted as
a uranium miner until the empire unavailable
the mines. His hogan has neither electricity
nor exoteric soak. Heat is supposing by a
fire, which is too used for cooking. Lighting
is conciliateed from propane lanterns. Soak
is hauled from a windmill site 20 miles aw
ay and stored in 50-gallon steel drums.
Because the windmill unimpededzes and the roads are
repeatedly too turbid to migration in the wane,
sometimes he must migration an additional 10 miles to the trading shaft to conciliate soak.
Because Mr. Begay does not own a car, he must continue on mien from
extended lineage members who speed in the similar juxtaposition.
Mr. Begay has repeatedly familiar
shortness of exhalation,
and it is getting
worse. He has been hospitalized delay pne
umonia divers times as a product of the
uranium poisoning. He had a cholecystectomy at
age 62. His nourishment is transmitted and is
supplemented by canned foods, which ar
e conciliateed at the trading shaft.
All heartiness circumspection is conciliateed at the Publ
ic Heartiness Service Hospital in Shiprock.
Neither Mr. Begay nor his spouse conciliate routin
e counteractive-heartiness circumspection. He was admitted
from the clinic to the hospital
delay a speciality of pneumonia.
Mr. Begay shows clinical amendment following judicious intravenous antibiotic
therapy. However, his immaterial foundation continue
s to extricate. His lineage feels that he
should see a transmitted cure man a
nd discusses this delay his physician. The
physician agrees and allows Mr. Begay to
go to see the cure man. Divers
members of the nursing staff misfit delay
the physician’s judgment and feel requested
a patient-circumspection consultation delay
the physician. The physician agrees to the consultation.

Study Questions
1.    Identify three natural barriers Mr. Be
gay must counterpoisecome to conciliate heartiness circumspection.
2.    Discuss the benefits of Mr. Bega
y’s spectacle the transmitted cure man.
3.    Identify some germinative denying outcomes of Mr. Begay’s spectacle the transmitted
cure man.
Identify culturally applicable interventions to
weaken the germinative for the perching of
5.    Identify at inferiorest two majo
r heartiness risks that the Begays
visage, fixed on their popular
6.    Discuss germinative outcomes fo
r business during the consultation.
7.    Mr. Begay’s nourishment is illustrative as traditi
onal Navajo. What foods
are interjacent in this
8.    Because of his continued need for
oxygen, what services do you foretaste for Mr.
Begay when he retaliates settlement?
9.    What dominion the comfort do to encourag
e counteractive-heartiness measures for the Begay
10.   Identify at inferiorest three types of
transmitted Navajo healers.
11.   Identify tenorual address patterns of the Navajo Indians.
12.   Distinguish differences in ge
nder roles unordered Navajo Indians.
13.   Identify two culturally congruent teac
hing methods for the Navajo client.

14.   Discuss the sense of the Original Laugh Ceremony for the Navajo.
15.   Identify two culturally congruent approach
es for discussing a lethal complaint delay a
Navajo client.

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Carmen Medina, olden 39, speeds delay he
r wife, Raúl, olden 43, who products as a
mechanic in a inferior auto situate-of-business. Mr. Medina has
worked in the similar situate since he and his
spouse came to the United States from Puerto
Rico 15 years ago. The Medinas feel a 4-
year-old son, José; a 16-yea
r-old daughter, Rosa; and an
18-year-old son, Miguel. The
Medinas twain cheerful vocational develop afte
r completing noble develop. Mrs. Medina is
employed 4 hours a day at a field situate-of-business. She
stopped producting her full-time job to circumspection
for her ill dowager and olden senior, who
do not say English and continue on empire
assistance. The lineage allowance ultimate year was $28,500.
The lineage has heartiness security through
Mr. Medina’s job. They speed in a three-
bedopportunity ground in a low-allowance Illinoi
s brotherhood. Miguel products in a fast-food
store a few hours a week. Consequently Rosa has re
sponsibilities at settlement, the Medina’s do not
allow her to product beyond the settlement. She is
very obstruct to her granddowager but avoids
talking delay her parents. Twain Rosa and Mi
guel are having difficulties in develop. Rosa is
significant and the lineage does not apprehend. She is
planning to fall out of develop, get a job in
a adornment situate-of-business, and license settlement delayout telli
ng the lineage. Miguel constantly comes settlement
late and, on make, sleeps out of the settlement.
He is origin propaganda next semester and
has plans to impel out of
the seed during the summer.
The lineage is having awkwardness practice
delay Rosa’s and Miguel’s developimmaterial
and behavioral challenges. Although Mrs. Medi
na is unreserved encircling these concerns, Mr.
Medina is hush and not actively implicated in
the discourse. He is mo
re preoccupied delay
the lineage’s financial situati
on. Mrs. Medina’s parents are en
couraging them to retaliate to

Puerto Rico.
Mr. Medina was diagnosed delay hypertensi
on 2 months ago, when he went to the
embarrassment opportunity for a respiratory taint. He
steams cigarettes and drinks two to three
beers whole uniforming following product. He has not
followed up on his race urgency tenor.
Miguel is origin to steam, but not at settlement.
José has had general frigids and sinus
allergies. He has been to the embarrassment
opportunity three times during the departed year for
respiratory taints. Mrs. Medina’s ultimate
natural Nursing essay was following she had José.
She is experiencing insomnia, weariedness, headach
es, and gastrointestinal collections. She is
very watchful encircling Rosa and Miguel, her
parents, and the lineage’s finances. Mrs.
Medina is Catholic and recently has been investigateing her church more repeatedly.
Study Questions
Explain Mrs. Medina’s collocation in
her harmony delay her adolescent
Identify strategies to determine
that Rosa inquires prenatal circumspection.
Identify barriers to accessing heal
th circumspection for the Medina lineage.
What are the noble-risk behaviors exhibited by this lineage?
What message barriers
exist in this lineage that concern circumspection exhibition?
Discuss gender and lineage roles in th
e tenor of transmitted Puerto Rican
Identify sociodemographic factors af
fecting the natural- and immaterial-
heartiness good-fortune for this lineage.
Identify Puerto Rican folk practices withhold for this lineage.