Puerto Rico Carmen Medina, aged 39, lives together with her husband, Raúl, aged 43, who works as a mechanic in a small auto store. Mr. Medina has labored in the identical place since he and his spouse got here to america from Puerto Rico 15 years in the past. The Medinas have a Four- year-old son, José; a 16-year-old daughter, Rosa; and an 18-year-old son, Miguel. The Medinas each attended vocational college after finishing highschool. Mrs. Medina is employed Four hours a day at a backyard store. She stopped working her full-time job to take care of her ailing mom and aged father, who don't communicate English and rely upon authorities help. The household revenue final yr was $28,500. The household has medical insurance by Mr. Medina’s job. They dwell in a threebedroom condo in a low-income Illinois group. Miguel works in a fast-food retailer a number of hours every week. As a result of Rosa has duties at house, the Medina’s don't permit her to work outdoors the house. She may be very near her grandmother however avoids speaking together with her dad and mom. Each Rosa and Miguel are having difficulties at school. Rosa is pregnant and the household doesn't know. She is planning to drop out of college, get a job in a magnificence store, and depart house with out telling the household. Miguel continuously comes house late and, every now and then, sleeps out of the house. He's starting faculty subsequent semester and has plans to maneuver out of the home throughout the summer time. The household is having issue coping with Rosa’s and Miguel’s developmental and behavioral challenges. Though Mrs. Medina is outspoken about these issues, Mr. Medina is quiet and never actively concerned within the dialogue. He's extra preoccupied with the household’s monetary state of affairs. Mrs. Medina’s dad and mom are encouraging them to return to Puerto Rico. Mr. Medina was identified with hypertension 2 months in the past, when he went to the emergency room for a respiratory an infection. He smokes cigarettes and drinks two to 3 beers each night after work. He has not adopted up on his blood stress remedy. Miguel is starting to smoke, however not at house. José has had frequent colds and sinus allergic reactions. He has been to the emergency room thrice throughout the previous yr for respiratory infections. Mrs. Medina’s final bodily examination was after she had José. She is experiencing insomnia, tiredness, complications, and gastrointestinal issues. She may be very involved about Rosa and Miguel, her dad and mom, and the household’s funds. Mrs. Medina is Catholic and not too long ago has been visiting her church extra typically. Research Questions
1. Clarify Mrs. Medina’s perspective in her relationship together with her adolescent daughter.
2. Determine methods to make sure that Rosa seeks prenatal care.
three. Determine limitations to accessing well being take care of the Medina household.
Four. What are the high-risk behaviors exhibited by this household?
5. What communication limitations exist on this household that have an effect on care supply?
6. Focus on gender and household roles within the context of conventional Puerto Rican tradition.
7. Determine sociodemographic elements affecting the physical- and mentalhealth well-being for this household.
eight. Determine Puerto Rican people practices acceptable for this household.
9. If the Medina household selected to go to a people healer, which one(s) do you assume they may go to? Why?
10. If Mrs. Medina’s dad and mom go to a health-care supplier, what would possibly they count on?
11. Determine culturally congruent interventions to make sure compliance with Western well being prescriptions for Mr. Medina.
12. Focus on the significance of respeto and familism within the Medina household.
13. Determine culturally congruent interventions for Rosa’s being pregnant.
14. Determine health-promotion and disease-prevention interventions wanted for José.
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