Differences that may affect Cuban-American patients who immigrated at different times
1.) What are the differences that may affect Cuban-American patients who immigrated at different times?
2.) What can a nurse do to make life in the hospital more culture-specific for an Amish client?
3.) List at least two etiological reasons for the development of alcoholism within an Irish-American family.
Sample Solution
Differences in Cuban-American Patients by Immigration Time (1)
Pre-Revolution (Before 1959):
- Socioeconomic Status: These immigrants often came from wealthier backgrounds and may have had better access to healthcare in Cuba. They might have higher expectations for care and potentially experience language barriers less frequently.
- Medical Conditions: This group might have chronic conditions associated with aging.
Full Answer Section
- Cultural Adjustment: They may have already acclimated to American culture and healthcare practices.
- Socioeconomic Status: These immigrants may have faced economic hardship after leaving Cuba. They might have limited access to preventative care and may be unfamiliar with the American healthcare system.
- Medical Conditions: Younger immigrants might have different health concerns compared to pre-revolution arrivals. They may also have experienced stress and trauma related to migration.
- Language Barriers: These immigrants are more likely to have limited English proficiency, requiring additional communication strategies from nurses.
- Nostalgia and Family Ties: They might experience a strong sense of nostalgia for Cuba and have complex family dynamics due to separation.
- Respect for Privacy and Modesty: Provide private rooms for examinations and offer gowns that ensure full coverage.
- Religious Beliefs: Be aware of Amish beliefs about technology and blood transfusions. Discuss treatment options beforehand and respect their decisions.
- Family Involvement: Recognize the importance of family in Amish culture. Involve family members in discussions and decision-making processes whenever possible.
- Communication Style: Speak clearly and directly, avoiding medical jargon. Be patient and allow time for processing information.
- Genetic Predisposition: Research suggests a possible genetic link to alcoholism, which may be more prevalent in some Irish families.
- Cultural Factors: Irish culture has a complex relationship with alcohol. Historical events like the Potato Famine might have contributed to a reliance on alcohol for coping. Social pressures and celebrations often involve heavy drinking, which can be a risk factor for some individuals.