MSN 5550 Health Promotion: Prevention of Disease
Case Study Module 2
Instructions: Read the following case study and answer the reflective questions. Please provide
evidence-based rationales for your answers. APA, 7th ed. must be followed.
Due: Saturday by 23:59 pm
CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan
Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter,
her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income
neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and
worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring
of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to
the United States as a registered nurse and met her husband, a drug company representative. The
older couple moved to the United States when their daughter became a U.S. citizen and petitioned
them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come
to the United States.
The Arahans found life in the United States different from that in their home country, but their
adjustment was not as difficult because both were healthy and spoke English fluently. Most of their
time was spent taking care of their two grandchildren and the house. As the grandchildren grew older,
the older couple found that they had more spare time. The daughter and her husband advanced in
their careers and spent a great deal more time at their jobs. There were few family dinners during
the week. On weekends, the daughter, her husband, and their children socialized with their own
friends. The couple began to feel isolated and longed for a more active life.
Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where
they still had relatives and friends. However, political and economic issues would have made it
difficult for them to live there. Besides, they had become accustomed to the way of life in the United
States with all the modern conveniences and abundance of goods that were difficult to obtain in their
country. However, they also became concerned that they might not be able to tolerate the winter
months and that minor health problems might worsen as they aged. They wondered who would take
care of them if they became very frail and where they would live, knowing that their daughter had
only saved money for their grandchildren’s college education. They expressed their sentiments to
their daughter, who became very concerned about how her parents were feeling.
This older couple had been attending church on a regular basis, but had never been active in other
church-related activities. The church bulletin announced the establishment of parish nursing with
two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic.
Here, they met one of the registered nurses, who had a short discussion with them about the services
offered. The registered nurse had spent a great deal of her working years as a community health
nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related
1. What strategies could be suggested for this older adult couple to enhance their quality of life?
2. What community resources can they utilize?
3. What can the daughter and her family do to address the feelings of isolation of the older couple?
4. What health promotion activities can ensure a healthy lifestyle for them?
Strategies that could be suggested for this older adult couple to enhance their quality of life include:
Encouraging social engagement and connection through activities such as joining a senior center, participating in community events, or joining a social club or group
Promoting physical activity through exercise classes, walking groups, or other forms of physical activity tailored to older adults
Encouraging cognitive stimulation through activities such as reading, puzzles, or classes on topics of interest
Providing opportunities for volunteerism and giving back to the community, which can boost self-esteem and sense of purpose
Assisting with financial planning and access to resources, such as assistance with benefits or financial counseling, to address concerns about aging and financial security
Encouraging them to maintain their independence by providing them with assistance with transportation and household tasks
Community resources that the older couple can utilize include:
Senior centers, which often offer a wide range of activities and services such as meals, exercise classes, and transportation
Area Agencies on Aging, which can provide information and assistance with programs and services for older adults
Faith-based organizations, such as the parish nursing program mentioned in the case study, which can provide social and spiritual support
Community health clinics, which can provide access to primary care and health promotion services
Support groups, such as those for older adults or caregivers, which can provide emotional and social support
The daughter and her family can address the feelings of isolation of the older couple by:
Encouraging regular family dinners and spending time together on weekends
Including the older couple in family activities and events
Encouraging the older couple to participate in social activities and groups, and accompanying them to events if possible
Encouraging the older couple to be more involved in the community and encouraging them to volunteer
Encouraging the older couple to maintain their independence by providing them with assistance with transportation and household tasks
Health promotion activities that can ensure a healthy lifestyle for the older couple include:
Encouraging regular physical activity, such as exercise classes, walking groups, or other forms of physical activity tailored to older adults
Providing education on healthy eating and nutrition
Encouraging regular screenings for health conditions such as hypertension, diabetes, and cancer
Assisting with access to primary care and preventive health services
Encouraging regular self-care activities such as stress management, sleep, and mental health
Promoting healthy relationships and social connections.
MSN 5550 Health Promotion: Prevention of Disease