Health Care > CASE STUDY > MSN 5550 Health Promotion: Prevention of Disease Case Study Module 2 (All)

MSN 5550 Health Promotion: Prevention of Disease Case Study Module 2

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MSN 5550 Health Promotion: Prevention of Disease Case Study Module 2 MSN 5550 Health Promotion: Prevention of Disease Case Study Module 2 Instructions: Read the following case study and answer... the reflective questions. Please provide rationales for your answers. Make sure to provide a citation for your answers. CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter, her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to the United States as a registered nurse and met her husband, a drug company representative. The older couple moved to the United States when their daughter became a U.S. citizen and petitioned them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come to the United States. The Arahans found life in the United States different from that in their home country, but their adjustment was not as difficult because both were healthy and spoke English fluently. Most of their time was spent taking care of their two grandchildren and the house. As the grandchildren grew older, the older couple found that they had more spare time. The daughter and her husband advanced in their careers and spent a great deal more time at their jobs. There were few family dinners during the week. On weekends, the daughter, her husband, and their children socialized with their own friends. The couple began to feel isolated and longed for a more active life. Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where they still had relatives and friends. However, political and economic issues would have made it difficult for them to live there. Besides, they had become accustomed to the way of life in the United States with all the modern conveniences and abundance of goods that were difficult to obtain in their country. However, they also became concerned that they might not be able to tolerate the winter months and that minor health problems might worsen as they aged. They wondered who would take care of them if they became very frail and where they would live, knowing that their daughter had only saved money for their grandchildren’s college education. They expressed their sentiments to their daughter, who became very concerned about how her parents were feeling. This older couple had been attending church on a regular basis, but had never been active in other church-related activities. The church bulletin announced the establishment of parish nursing with two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic. Here, they met one of the registered nurses, who had a short discussion with them about the services offered. The registered nurse had spent a great deal of her working years as a community health nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related issues. Reflective Questions 1. What strategies could be suggested for this older adult couple to enhance their quality of life? 2. What community resources can they utilize? 3. What can the daughter and her family do to address the feelings of isolation of the older couple? 4. What health promotion activities can ensure a healthy lifestyle for them? CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan Reflective Questions Answer & Explanation 1.What strategies could be suggested for this older adult couple to enhance their quality of life? • Create a Sense of Purpose No matter a person's age, we need a sense of purpose, of belonging, and of being valued. Senior adults are often dismissed as no longer having as much to offer as they did when they were younger, and unfortunately, this attitude becomes adopted by the seniors themselves. Seniors have a lot to give in terms of knowledge, love, and creativity, but they have to feel they are respected and involved to share with others. • Recognize and Treat Signs of Depression Seniors are particularly susceptible to depression. It can be caused by the loss of their child-caring role, loss of employment through retirement, a move from home to a retirement community, chronic illness or pain, death of a spouse or close friends, loss of independence, medications, disease, or cognitive impairment. Depression is a serious, debilitating disorder that is not a natural part of aging. Family and friends should encourage a senior loved one to seek out treatment if they seem depressed. There are many types of depression, but some common symptoms include: • Persistent sadness • Feelings of hopelessness • Irritability • Loss of interest • Fatigue • Difficulty sleeping and concentrating • Aches and pains without a physical cause At a vulnerable stage in their life, depression may threaten their physical and emotional health. However, they and those that love them can create a new beginning to make life fulfilling again. • Find Usefulness in Daily Tasks If you want to help your senior adult find purpose, put them to work! They have probably spent their entire life-defining themselves by what they accomplish and contribute. It doesn't have to be anything more than helping cook a meal, babysitting a grandchild, taking care of a pet, tending a garden, folding laundry, or helping with some shopping. If they are able to do it, don't always do it for them. • Make Connections to Improve Quality of Life for Seniors Loneliness (a major cause of depression) is often associated with aging, and you do not have to be over age 65 to feel its effects. Of course, regularly connecting with family and friends is somewhat obvious, but the senior should also seek out opportunities to engage with people around them. One study showed that just greeting a neighbor cut the percentage of people feeling lonely by half. Loneliness can spiral in on itself as seniors continue to further isolate themselves in response. Encourage them to make contact with the world outside their home. Suggest they join a group with like interests. • Stay in Physical Motion The connection between emotional and physical health is well established. Even mild exercise not only builds and maintains physical abilities to go about the daily activities of living but also creates pride, confidence, and an increased sense of independence, all of which are vital to feeling good about life. • Stay in Mental Motion Family and friends can play a role in helping the senior stay mentally sharp for as long as possible. Seniors can create goals like learning a new hobby or taking a trip to someplace new. They should think about the interests and activities that provide them with a sense of purpose and explore them further. Family and friends can help by calling upon the knowledge and experience their senior gathered over a lifetime. Ask their opinion. Encourage them to talk about what they have been through. A person doesn't go through 60-plus years without learning a lot of valuable information and gaining unique perspectives. 2.What community resources can they utilize? • Look for Opportunities for Senior Service There are a number of opportunities for seniors to contribute to others. Some can be found on the National & Community Service website, including the following: • Foster Grandparents volunteer as role models, mentors, and friends to children with exceptional needs. [Show More]

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