Nursing assignment 195

Complete the following: Amish case study Jewish Case study #1 JEWISH CASE STUDY #1 Selecting a “typical” Jewish cl ient is difficult. An ultra-Or thodox Jew has a particular set of special needs. Yet, it is more common to see a Jew who is a middle-of-the-road Conservative. Sarah is an 80-year-old woman who is a first-generation American. She was raised in a traditional Conservative home. Her husband died after 50 years of a strong marriage. She has three children. Although her home is not kosher, she practices a variation of kosher-style eating, avoiding por k and not making dishes that combine meat and milk. Two months ago, she was diagnosed w ith pancreatic cancer. Surgery was attempted, but the cancer was already in an advanced stage. Chemotherapy was started, but the cancer has progressed and is not re sponding to the medications. She is having difficulty eating because of the pressure of the tumor on the gastrointestinal tract. Discussions are being held to determine whether or not treatme nts should be stopped and whether hospice care should be initiated. Her hospital room is always filled with visitors. Study Questions 1.    What must you anticipate in discussi ng with Sarah her wi shes regarding the continuation of medical care? 2.    How would you respond to her initial decision to ha ve surgery and initiate chemotherapy? 3.    What questions do you need to ask in the initial patient interview to assess her degree of religious practice? How will you determine her spirituality needs? 4.    What is your understanding of the reas on she has so many visitors in her room? 5.    Is hospice care appropriate for this patient? 6.   Sarah dies with her family at her bedsid e. What interventions can you take at the time of death to demonstrate religious sens itivity to the family? What questions do you need to ask the family? 7.    Describe three genetic or heredita ry diseases common with Ashkenazi Jews. 8.    Describe Jewish burial rituals and grieving process. 9.    Discuss the laws of Kashrut in regard to food practices for observant Jewish clients. 10. What should the health-care provider keep in mind when entering a Jewish home to provide care? 11.   Distinguish between the terms Sephardic and Ashkenazi . 12.   How might a non-Jewish and a Jewish cowo rker share holidays in the workforce? 13.   What is the official language the Jewish people use for prayer?  Version:1.0 StartHTML:000000480 EndHTML:000056317 StartFragment:000001223 EndFragment:000056285 StartSelection:000001533 EndSelection:000056285 SourceURL:  PDF.js viewer          AMISH CASE STUDY Elmer and Mary Miller, both 35 years old, liv e with their five children in the main house on the family farmstead in one of th e largest Amish settlements in Indiana. Aaron and Annie Schlabach, aged 68 and 70, live in the attached grandparents’ cottage. Mary is the youngest of their ei ght children, and when she married, she and Elmer moved into the grandparents’ cottage with the intention that Elmer would take over the farm when Aaron wanted to retire. Eight years ago, they traded living space. Now, Aaron continues to help with the farm work, despite increasing pain in hi s hip, which the doctor advises should be replaced. Most of Mary’s and Elmer’s sibli ngs live in the area, though not in the same church district or settlement. Two of Elmer’s brothers and their families recently moved to Tennessee, where farms are less expensive and where they are helping to start a new church district. Mary and Elmer’s fifth child, Melvin, was born 6 weeks prematurely and is 1 month old. Sarah, aged 13, Martin, aged 12, and Wayne, aged 8, attend the Amish elementary school located 1 mile from thei r home. Lucille, aged 4, is staying with Mary’s sister and her family for a w eek because baby Melvin has been having respiratory problems and their physician told the family he will need to be hospitalized if he does not get better within 2 days. At the doctor’s office, Mary suggested to one nurse, who often talks with Mary about “Amish ways,” that Menno Martin, an Amish man who “gives treatments,” may be able to help. He uses “warm hands” to treat people and is especially good with babies because he can feel what is wrong. Th e nurse noticed that Mary carefully placed the baby on a pillow as she prepared to leave. Elmer and Mary do not carry any hea lth insurance and are concerned about paying the doctor and hospital bills associat ed with this complicated pregnancy. In addition, they have an appointment for Wayne to be seen at Rile y Children’s Hospital, 3 hours away at the University Medical Cent er in Indianapolis, for a recurring cyst located behind his left ear. Plans are being made for a driver to take Mary, Elmer, Wayne, Aaron, Annie, and two of Mary’s sist ers to Indianapolis for the appointment. Because it is on the way, they plan to stop in Fort Wayne to see an Amish healer who gives nutritional advice and does “treatment s.” Aaron, Annie, and Elmer have been there before, and the other women are considering having treatments, too. Many Amish and non-Amish go there and tell others how much better they feel after the treatments. They know their medical expenses seem minor in comparison to the family who last week lost their barn in a fire and to the young couple whose 10-year-old child had brain surgery after a fall from the hayl oft. Elmer gave mone y to help with the expenses of the child and will go to the barn raising to help rebuild the barn. Mary’s sisters will help to cook for the barn raisi ng, but Mary will not help this time because of the need to care for her newborn. The state health department is concer ned about the low immunization rates in the Amish communities. One community-health nurse, who works in the area where Elmer and Mary live, has volunteered to talk with Elmer, who is on the Amish school board. The nurse wants to learn how the health department can work more closely with the Amish and also learn more about what the people know about immunizations. The county health commissioner thinks this is a wast e of time and that what they need to do is let the Amish know that they are creating a health hazard by ne glecting or refusing to have their children immunized. Study Questions 1. Develop three open-ended questions or statements to guide you in your understanding of Mary and Elmer and what health and caring mean to them and to the Amish culture. 2.    List four or five areas of perinatal care that you would want to discuss with Mary. 3.    Why do you think Mary placed the baby on a pillow as she was leaving the doctor’s office? 4.     If you were the nurse to whom Mrs. Mill er confided her interest in taking the baby to the folk healer, what would you do to le arn more about their simultaneous use of folk and professiona l health services? 5.     List three items to discuss with the M illers to prepare them fo r their consultation at the medical center. 6.    If you were preparing the reference fo r consultation, what would you mention about the Millers that would help to promote cu lturally congruent ca re at the medical center? 7.    Imagine yourself participa ting in a meeting with state and local health department officials and several local physicians and nur ses to develop a plan to increase the immunization rates in the counties with large Amish populations. What would you suggest as ways to accomplish this goal? 8. Discuss two reasons why many Old Orde r Amish choose not to carry health insurance. 9. Name three health problems with genetic links that are prevalent in some Amish communities. 10. How might health-care providers use the Amish values of the three-generational family and their visiting patterns in pr omoting health in the Amish community? 11.   List three Amish values to consid er in prenatal education classes. 12. Develop a nutritional guide for Amish wome n who are interested in losing weight. Consider Amish values, daily lifestyl e, and food production and preparation patterns. 13.   List three ways in which Amish express caring. APPALACHIAN CASE STUDY #1 William Kapp, aged 55 years, and his wife, Gloria, aged 37, have recently moved from an isolated rural area of northern Appalachia to Denver, Colorado, because of Gloria’s failing health. Mrs. Kapp has had pulmonary t uberculosis for several years. They decided to move to New Mexico because they heard that the climate was better for Mrs. Kapp’s pulmonary condition. For an unknown reason, they stayed in Denver, where William obtained employment making machine parts. The Kapp’s oldest daughter, Ruth, ag ed 20, Ruth’s husband, Roy, aged 24, and their daughter, Rebecca, aged 17 months, moved with them so Ruth could help care for her ailing mother. After 2 months, Roy return ed to northern Appalachia because he was unable to find work in Denver. Ruth is 3 months’ pregnant. Because Mrs. Kapp has been feeling “mor e poorly” in the last few days, she has come to the clinic and is accompanied by her husband, William, her daughter Ruth, and her granddaughter, Rebecca. On admission, Glor ia is expectorating greenish sputum, which her husband estimates to be about a teac upful each day. Gloria is 5 ft 5 in. tall and weighs 92 pounds. Her temperature is 101.4°F, her pulse is regular at 96 beats per minute, and her respirations are 30 per minute and labored. Her skin is dry and scaly with poor turgor. While the physician is examining Mrs. Kapp, the nurse is taking additional historical and demographic da ta from Mr. Kapp and Ruth. Th e nurse finds that Ruth has had no prenatal care and that her first chil d, Rebecca, was delivered at home with the assistance of a neighbor. Rebecca is pale and suffers from frequent bouts of diarrhea and paper needs to be written in a paper format-not just a list of the questions and replies. More InformationLess Information Close Enter the password to open this PDF file. OKCancel File name:- File size:- Title:- Author:- Subject:- Keywords:- Creation Date:- Modification Date:- Creator:- PDF Producer:- PDF Version:- Page Count:- Close @media print {   #printContainer div {     page-break-after: always;     page-break-inside: avoid;   } }     #mozPrintCallback-shim {   position: fixed;   top: 0;   left: 0;   height: 100%;   width: 100%;   z-index: 9999999;    display: block;   text-align: center;   background-color: rgba(0, 0, 0, 0.5); } #mozPrintCallback-shim[hidden] {   display: none; } @media print {   #mozPrintCallback-shim {     display: none;   } }  #mozPrintCallback-shim .mozPrintCallback-dialog-box {   display: inline-block;   margin: -50px auto 0;   position: relative;   top: 45%;   left: 0;   min-width: 220px;   max-width: 400px;    padding: 9px;    border: 1px solid hsla(0, 0%, 0%, .5);   border-radius: 2px;   box-shadow: 0 1px 4px rgba(0, 0, 0, 0.3);    background-color: #474747;    color: hsl(0, 0%, 85%);   font-size: 16px;   line-height: 20px; } #mozPrintCallback-shim .progress-row {   clear: both;   padding: 1em 0; } #mozPrintCallback-shim progress {   width: 100%; } #mozPrintCallback-shim .relative-progress {   clear: both;   float: right; } #mozPrintCallback-shim .progress-actions {   clear: both; }        Preparing document for printing…     0%  


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