descent, was recently admitted to a hospice service and is receiving care at home. Diagnosed

Create your APA formatted essay-style submission, with references, be sure to cite your sources and check your spelling. GERMAN CASE STUDY Margaret Schmidt, a terminally ill 60-year-old American of German descent, was recently admitted to a hospice service and is receiving care at home. Diagnosed with metastatic breast cancer, Margaret’s prognosis is less than 6 months. Margaret’s cancer has metastasized to her ribs and liver and often causes intense pa in. Although Margaret speaks freely of her impending death, her family has expressed their discomfort at her decision to secure hospice care. Over the last 10 years, Margaret, a nurs e, has practiced homeopathy (for herself and others) and consults frequently with a medical intuitionist. She follows the medical intuitionist’s recommendations to attenuate her symptoms but avoids, when she can, the traditional cancer pain –management therapies. Medical staff and her family have entere d into continuous discussions with her about her lack of acceptance of traditiona l medical approaches. Margaret remains unconvinced of their value within her scheme of care. Margaret main tains a strong belief in an afterlife, believing that she will be reunited with her husband. Margaret meditates daily, calling upon her spiritual guides and angels for strength and peace in the dying process. She often asks those around her to join her during this time. Study Questions 1. What experiences have you had with patients of German descent? 2. How does Margaret’s German ancest ry mold her beliefs about medical treatment? 3. What Western medicine concepts complicate the staff and family’s understanding of Margaret’s self -prescribed medical regimen? 4. How do you, as a health-care prof essional, feel about the use of homeopathic remedies? 5. What is your view of the use of medical intuitionists and other non- Western health practices? 6. How do Margaret’s health-care c hoices differ or match your own? 7. How do you deal with cultural health practices unlike your own? 8. Discuss Margaret’s desire to contro l her life even through terminal illness. 9. Relate Margaret’s strong spiritual beli efs in an afterlife to her ability to cope with her impending death. 10. Describe a plan of care that is cultu rally sensitive to the patient and her family. 11. How can your knowledge of the German American culture positively influence health outcomes for Margaret? 12. Discuss the cultural filters you may use as you assist Margaret in her health-care decisions. 13. Describe the enculturation you, as a health-care professional, have experienced and how this influences your own health-care decisions. RISH CASE STUDY The O’Rourke family lives on a small farm in Iowa and comprises David, aged 30; his wife, Mary, aged 29; and two children: Bridge t, aged 7, and Michael, aged 6. Both David and Mary are second-generation Irish. Before purchasing their farm 5 years ago, David sold farm equipment in Ohio. The O’R ourkes are Catholic; Mary converted to Catholicism when they married. David, who works long hours outdoors, is concerned about profitability from his corn crop because of the unpredictable size of the harvest, and thus, his income varies depending on the weather. Mary di d not work outside the home because she wanted to be with their children until they started school. However, because both children are now school age, Mary has discus sed with David the possibility of working part time to supplement the family income. He would prefer that she stay at home, but Mary is anxious to return to the wo rkforce and believes the timing is right. Both David and Mary are happy with ju st two children and do not desire more. They use the rhythm method for family planning. Eating a healthy breakfast is important to the O’Rourkes. Because eggs are readily available on the farm, they have frie d eggs with potato bread and juice at least four times a week. Their main meal in the evening usually includes meat, potatoes, and a vegetable. David enjoys a glass of beer with dinner. David has been a little edgy lately becau se of his concerns about the corn crop. He admits to having some minor chest pain, wh ich he attributes to indigestion. s last visit to a physician was before their marri age. Mary knows David is concerned about finances and believes it would help if she had a job. Bridget and Michael spend a lot of time outside playing and doing some minor chores for their parents. Both children enjoy school and are looking forward to returning in the fall. Bridget is starting to show concern over her appearance. She does not like her red hair and all the freckles on he r face. Her teacher has noted that Bridget has trouble reading and may need glasses. Michael wants to be a farmer like his Dad but worries about his Da d being tired at night. The O’Rourkes have not taken a vacati on since they were married. They go to the state fair in the summer, which is the extent of their trips away from home. They are active in the church and attend services every Sunday. Study Questions 1.    Describe the O’Rourke family st ructure in terms of individual roles. 2.    Identify two potential health problems re lated to the O’Rourke ’s dietary practices. 3.    Identify potential health-risk factors for the O’Rourkes as a family unit and for each family member. 4.    Explain the relationship be tween risk factors a nd ethnicity specific to the O’Rourke family and their Irish heritage. 5. Describe culturally competent health-promotion strategies for the identified risk factors for the O’Rourke family. 6.    Describe the O’Rourke family’s fertility practices. Are they congruent with their Irish background and religious beliefs? 7. Describe the O’Rourke fam ily’s communication patterns. Version:1.0 StartHTML:000000480 EndHTML:000034171 StartFragment:000001175 EndFragment:000034139 StartSelection:000001610 EndSelection:000034139 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%3DVKpiZ9F0GFqdiHYmYx8e5YyYc%26ou%3D43768&lang=en-us&container=d2l-fileviewer-rendered-pdf&fullscreen=d2l-fileviewer-rendered-pdf-dialog&height=1145  PDF.js viewer 8. What are the predominant health conditions among Irish immigrants? 9.    Explain the significance of the Great Potato Famine for Irish Americans. 10.   Name two genetic diseases common among Irish Americans. 11. Identify accepted fertility practices for Irish American Catholics. 12.   Identify three sources of strength for the Irish American in times of illness. 13.   Identify traditional home remedies commonly used by Irish Americans. ITALIAN CASE STUDY #1 Rosa and Mario Gianquito live on the ground fl oor of a three-family house in Brooklyn, New York. Although they completed only gram mar school in Italy, they speak English and have little difficulty understanding mo st verbal communication. They have a daughter, Lucia, aged 25, and a son, An thony, aged 28, who were born in this neighborhood but now live in Manhattan. Both children speak fluent Italian. Anthony is an attorney and does not visit with his si ster very often. Luci a is a grammar school teacher, married to an Italian man, Guido Venetto, who recently immigrated from southern Italy and is 10 years older than Lu cia. Guido speaks mostly Italian at home but does speak broken English. In addition to sm oking two packs of cigarettes a day, Guido is emotionally abusive to Lucia. He is ve ry jealous and does not want Lucia to go out after work with her friends or to spend much time visiting with her parents. Lucia has allergies, and the last time she visited the docto r, he told her that her blood pressure was elevated. She has noticed lately that, after st anding all day at work, she often has swollen ankles and leg pain. Lucia’s husband works 12 hours a day as a construction worker and expects her to cook Old-Country–style Italian food, which re quires that she use a great deal of salt. She is often depressed and feel s isolated and powerless. She has been trying to have a baby for 3 years. Rosa comes to visit her daughter wh en she can. She often brings homemade manicotti or tortellini when she comes. She is very concerned about Guido’s behavior toward her daughter but does not feel that she can challenge Guido because he is the capo di famiglia . Rosa is concerned about Lucia’s swollen feet and suggests that she drink red wine and eat more garlic and dandeli ons. She tells Lucia to pray to the Virgin Mary to ask for help in conceiving a ch ild and to make Guido treat her better. Lucia and Guido attend the neighborhood Catholic Church on Sunday. Lucia always wears the cornicelli around her neck that her mother gave her to protect her from il mal occhio . Lucia says her faith and her fa mily help her cope with life challenges with pazienza . Study Questions 1.    Identify three problems and a related plan of care for Lucia. 2. Identify two health-teaching goals for this family that are congruent with family order and rituals. 3. Identify three socioeconomic factors that in fluence the health of the Venetto family. 4. How might the health-care provider involve Lucia in a mutual-planning process for her holistic health-care needs, including mind, body, and spirit? 5.    Knowing that many first-generation Italia ns generally mistrust health-care providers, how would you encourage Lucia to enga ge in health-promotion behaviors? 6.    Discuss at least two preventive health maintenance–teaching activities that respect the folk practices used to treat illness in this family. 7.    Define the Italian’s unique relationship w ith food and discuss implications this could have on the health of the Venetto family, particularly Lucia. 8. Discuss the status and role of elderl y Italians in the extended family. 9.     Identify two practices common among Ital ian women that might affect conception and pregnancy. 10.   Name two dietary health-car e risks and two dietary health -care assets for Italians. 11.   What are some of the primary religious practices and use of prayer for Italian people? 12.   Define the terms capo di famiglia , il mal occhio , and pazienza . More InformationLess Information Close Enter the password to open this PDF file. 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