Developmental and Cultural Comprehensive Healthcare Analysis
The Garcia’s are a Cuban American family who have been making regular visits for healthcare. The family of four presents with different persistent problems that require that they see a doctor frequently. Nursing care for the family must be consistent with both their stage-of-life needs and respect their culture at the same time. this paper is a view of the cultural and developmental aspects of each member of the family that must be considered by the nurse during each visit.
Gerardo is a 25-year-old male who is second first generation born in the United States. His presenting issue have been strep and tonsillitis. Gerardo has also informed the nurse that he is gay and that this has caused a rift between himself and his father.
As a 25-year he is trying to work through intimacy vs. isolation. This means that he is learning how to establish relationships, but that there is a danger of isolation if he is not successful (Springhouse Corporation, 1990). From the information that the nurse has, Gerardo has just ended a long-term, monogamous relationship and he is going to gay bars to find dates. This probably means that he desires to have another long-term relationship and he is trying to find that.
One issue that he is having is that his father is having difficulty accepting the fact that he is gay. This issue brings culture and developmental stage together for Gerardo and it is critical that the nurse realize this. Family is incredibly important in Cuban American culture (Franco & Wilson, 2008), and his relationship with his father is a very important aspect of his development. Since his relationship is troubled, this could affect him physically and should be a consideration.
This is the grandmother of the group. Mercedes is a 70-year-old woman who is a native of Cuba. She is somewhat bilingual, but because English is her second language, she is much more comfortable communicating in Spanish.
The developmental stage for this age group is a fight between integrity and despair. Older adults are trying to maintain their dignity while realizing that they are nearing the end of their lives and the physical issues that this entails. The integrity side of this stage occurs when the individual realizes the issues that come with aging, but is able to maintain their dignity. A person who progresses unsuccessfully through this stage will despair about the prospects of death, physical ills and loss (Springhouse Corporation, 1990). The nurse needs to understand that the individual can be worried about any issue which occurs and present problems in a caring, confidential manner.
This stage is complicated by the fact that Mercedes does not speak English very well and other cultural concerns. The text (Franco & Wilson, 2008) relates that older Cuban Americans are likely to either leave out personal information of just not answer personal questions. For this reason and because Mercedes does not speak English well, it would be advisable for the nurse to have Mercedes’ daughter-in-law, Lourdes, as both a source and an interpreter (Franco & Wilson, 2008). This will allow the nurse to gather the correct information and relay correct information.
Antonio is the patriarch of the family, a successful businessman, and he is currently 47 years old. It was recently discovered that he had an MI and he was treated for the condition. He continues to smoke three packs of cigarettes per day, and he works approximately 60 hours per week at a stressful job.
Antonio is in the middle age adult developmental stage in which he is working out generativity vs. stagnation (Springhouse Corporation, 1990). He is the primary breadwinner for the family and this is how he identifies himself. He seems to be a type A personality who prides himself on the work that he does and the fact that he is able to care for his family.
As a Cuban American, Antonio comes from a patriarchal system in which he is looked on as the provider for the family (Franco & Wilson, 2008). However, it seems that this fact is killing him. Cigarettes are a habit, but they are often used by people who are overly stressed to combat the anxiety that occurs (Dichter, 1947). Thus, the fact that he is stressed by both his responsibility and by his actual job contribute to the smoking. The nurse needs to understand how his culture affects his need to continue working.
This is a 45-year-old woman who is a native of Cuba who works from home as a publisher of historical novels. She is the primary caretaker of Mercedes and she carries the burden of trying to be a go between for her husband and son. She has hypertension which is being controlled by medication.
Lourdes is, along with her husband, in the middle age adult stage of life. She is trying to work out generativity vs. stagnation, and she seems to feel that she is caught in the middle of a lot of issues. Lourdes is having issues with completing her work because of the demands placed upon her and this may increase her hypertension. Her developmental angst (trying to make something lasting of herself, while in danger of stagnating into traditional roles), may cause her medical issues to worsen.
Traditionally, the Cuban American wife is submissive to her husband and is likely to work as a homemaker (Franco & Wilson, 2008). This is true of Lourdes in one way because she does care for the home, but she is also trying to establish a business at home which is non-traditional. This could increase her angst since she is not following a typical Cuban American way.
The family has a myriad of health issues which can be overcome with some directed interventions. Someone needs to help with Mercedes and the stress that Lourdes feels could be alleviated if Mercedes went to a senior center three times per week. This would give Lourdes a break. The family also needs to seek counseling (at least Antonio, Lourdes and Gerardo) about the fact that Gerardo is gay. This could reduce the tension in the family further. Antonio needs to continue the smoking cessation, but he also needs to look into cutting his hours at work. Mercedes needs to have someone with her that she trusts during these visits also.
Dichter, E. (1947). Why do we smoke cigarettes? The Psychology of Everyday Living. Retrieved from http://smokingsides.com/docs/whysmoke.html
Springhouse Corporation. (1990). Erikson’s development stages. Retrieved from http://honolulu.hawaii.edu/intranet/committees/FacDevCom/guidebk/teachtip/erik son.htm
Text book chapter 28 on Cuban Americans.
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!