This case study gives information on Pablo Gaborra and his wife aged 32 and 24 respectively who are living in a migrant camp at Maryland. They have two children named Roberto and Linda, and they have taken in Olga's younger sisters Florencia and Rosa. They are Mexicans and have stayed in America for a period of 13 years; in Texas for a duration of 6 years and Delaware for 1 year, and Maryland for five years. Pablo is knowledgeable, but Olga knows a few English words but is not determined to learn English. Regardless of the fact that the sisters of Olga have only attended United States' schools, the officially spoken language in their home is Spanish. Olga contracts anemia because of poor health in pregnancy. Pablo has tuberculosis and takes medication in a local clinic. They ascribe to the Hot and Cold theory of disease prevention and optimum health maintenance.
The level of social status and income are the determining socioeconomic factors for the health of a family. The others are; education level and social connection. The Gaborra family are poor because from the excerpt; it is indicated that they are from a poor background. Pablo helps the farmer in the maintenance of machinery and making repairs on the property. The whole family are active on the farm and the income for the entire year was $30,000. This gives them a low social status which in turn affects the manner in which they have access to healthcare services. This explains why they have Pablo and Olga have contracted tuberculosis and anemia respectively.
The health teaching interventions for Olga to handle anemia include individual, policy and community level interventions. These are program planning methods that have been used to having the remedy to diseases.
To improve the communication in English, the Gaborra family can resort to the following strategies. These strategies are connecting with native English speakers, practicing vocabulary with karaoke and improving their enunciation through interactions with others.
The interventions for fluid balance for an infant include monitoring and documenting of essential signs, assessing the turgor of the skin and oral mucous membrane for dehydration signs. The final strategy is evaluating alteration in sensorium.
The hot and cold theory of disease management has Hispanic origins. In this method, the ailments are believed to occur because of an imbalance between cold and hot humour. This means that particular conditions and diseases are regarded as cold and hot. The Gaborra family can obtain health data through interviews, focus groups and from public hearings and community forums (Leung, LaChapelle, Scinta & Olvera, 2014).
The health problems facing Mexican Americans are obesity, less colorectal screening, high blood pressure and lack of access to healthcare.
Ethnic and cultural groups that people come from determine folk illnesses. This means that the Gaborra family can seek help from a folk practitioner who is also Mexican.
The concept of feminism calls for the advocating of rights of women on the ground of the equality of sexes. In the Gaborra family, women are also actively participating in income-generating activities.
The interventions to encourage Mexicans to have to keep clinical appointments include the Andersen model, the improvement of healthcare services and the Medicare plan introduced by President Barack Obama.
Mexican Americans account for approximately 11.2% of the total American population. They live majorly in New Mexico, Colorado, Nevada, Texas and California.
Puerto Rican Case Study
The case study introduces Carmen Medina and Raul aged 39 and 43 respectively and working as a mechanic for the past 15 years after stepping into America. They are blessed with two children Jose and Miguel aged 16 and 18 respectively. Mrs. Medina is employed for 4 hours daily in a garden shop, and she stopped working in her fulltime job to take care of her ill mother. The family has health insurance through the role of Raul medina and live in an apartment with three bedrooms.
The attitude that Mrs. Median has towards her daughter is a negative one. This is evident in the fact that the daughter tries to avoid her and the family at all costs. She is preventing good people, and her daughter is finding difficulty in adapting to the environment. This type of attitude makes one have sentiment for one another, and they are always having doubts about credibility.
The strategies of ensuring Rosa have access to prenatal care include the expansion of the eligibility for Medicaid and management of case care. Some gifts and discounts have been introduced to provide that pregnant women visit hospitals to get them.
For medina family, the barriers to the access to healthcare include delayed appropriate care and lack of the initiative to visit hospitals.
The high risks behaviours include the strained relationship between Rosa and the family members, Miguel coming home late and has plans of moving out without informing the family (Ruiz, Hamann & OConnor, 2016). Mrs. Median smokes cigarettes and has been admitted for a respiratory infection. Miguel is starting to engage in smoking activities.
The communication barrier that exists in the family is developed because of the strain in the relationship between the parents and their daughter.
Puerto Ricans are very traditional, and women have more roles, and they are accompanied by chaperones in the form of an older sister or aunt. Labour is a divide by gender which has established an egalitarian relation. Women are essential economic produces in and outside the home. The nuclear family is widespread and the relatives often socialize.
The sociodemographic factors affecting the health of this family are ethnicity, race and language and their socioeconomic status.
The appropriate one is the phenomenon of spiritualism which is essential in health affairs.
If medinas family decided on visiting a folk healer, they could visit a white witch for benevolent purposes.
In case they visit a healthcare provider, they can anticipate receiving news on the state of their health which would impact profoundly on how they view their status.
Culturally congruent intervention helps in recognition that the interaction between providers and clients happens and that they influence their behaviours and attitudes. Mrs. Medina could find that her smoking behaviours and attitude towards her children have led to her health conditions (Purnell, 2013).
In the medina family, respect and family can help in the fostering of a healthy relationship.
Rosa should seek prenatal care and use counselling and guidance which can be useful.
The health and disease prevention interventions include rehabilitation, counselling and guidance and fostering a healthy relationship with his family.
Leung, P., LaChapelle, A. R., Scinta, A., & Olvera, N. (2014). Factors contributing to depressive symptoms among Mexican Americans and Latinos. Social work, 59(1), 42-51.
Purnell, L. (2013), Transcultural healthcare: A culturally competent approach (4th ed.). Philadelphia: F.A. Davis
Ruiz, J. M., Hamann, H. A., Mehl, M. R., & OConnor, M. F. (2016). The Hispanic health paradox: From epidemiological phenomenon to contribution opportunities for psychological science. Group Processes & Intergroup Relations, 19(4), 462-476.
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