Caring for Cuban, Amish, & Irish Populations

Full Answer Section

         

• 1990s and Beyond "Balseros": The "rafters" or "balseros" of the 1990s and later came to the U.S. during a time of great economic hardship in Cuba. This group is often younger and more willing to assimilate into American culture. They may be more comfortable with the American healthcare system but may also face significant economic and social barriers. As a group, they are more likely to have family members still in Cuba, which may cause stress and anxiety.

 

Making a Hospital Stay Culturally Specific for an Amish Client

  A nurse can take several steps to make a hospital stay more culturally specific and comfortable for an Amish client. The key is to respect their values of community, modesty, and self-sufficiency.

1. Respect Modesty and Community: Amish clients are very private and value modesty. A nurse should:
   • Ensure that the client has a private room if possible.
   • Respect their preference for same-sex caregivers when possible, especially for personal care.
   • Allow family members and community leaders to visit and participate in decision-making, as the Amish value communal support.
   • Provide culturally appropriate hospital gowns or allow them to wear their own clothing, which covers the body.
2. Understand Their Health Beliefs: Many Amish people rely on traditional and folk remedies. A nurse should:
   • Inquire about any home remedies or alternative therapies they are using and respect their beliefs.
   • Explain medical procedures and treatments in simple, clear language, avoiding technical jargon.
   • Be aware that they may be hesitant to accept certain medical interventions like blood transfusions or vaccinations, and be prepared to discuss these issues with them in a non-judgmental way.
   • Recognize that they may not have health insurance, and be prepared to help them navigate the financial aspects of their care.

 

Etiological Reasons for Alcoholism in an Irish-American Family

  There are several etiological reasons for the development of alcoholism within an Irish-American family. These are often rooted in a combination of cultural, social, and genetic factors.

1. Cultural and Social Norms: In Irish culture, alcohol consumption has historically been a significant part of social gatherings, celebrations, and even mourning rituals. For many Irish-American families, this cultural pattern of alcohol use can be passed down through generations. The social pressure to drink, or the belief that drinking is a normal and expected part of social life, can lead to the development of problematic alcohol use. This is often linked to the concept of "wet culture," where alcohol is integrated into daily life rather than being seen as a special-occasion substance.
2. Intergenerational Trauma and Immigration Stress: The history of the Irish in America is marked by poverty, discrimination, and the trauma of leaving their homeland. For some families, alcohol may have been used as a coping mechanism for these hardships. The stress of adapting to a new culture, coupled with economic struggles, can lead to increased alcohol consumption. If alcoholism is present in one generation as a result of these factors, it can be passed down through modeling and family dynamics, making subsequent

Sample Answer

         

Cuban-American Patients: Immigration Timing and Its Effects

  The differences that may affect Cuban-American patients who immigrated at different times are largely due to the political and social climate in Cuba and the United States at the time of their migration. These factors shape their worldview, cultural identity, and health beliefs.

• 1960s "Golden Exiles": This group, which includes the first wave of Cuban immigrants, were primarily from the upper and middle classes. They fled Cuba after the revolution, expecting a quick return. They often held onto a more traditional, pre-revolution Cuban culture and were less likely to fully integrate into American society. As patients, they may have a deep distrust of government institutions and a preference for traditional remedies or a family-centric approach to care. They may also be more financially secure and have better access to private healthcare.
• 1980s Mariel Boatlift: The "Marielitos" were a more diverse group, including many from the working class and some who had been released from Cuban prisons. They faced significant prejudice and economic hardship upon arrival in the U.S. This group may be less educated and have fewer resources, which can impact their health literacy and access to care. They may also have experienced more trauma and mental health challenges