Reflective Exercises
11.1
The process of acculturation can be challenging, especially for children like Pedrito. Pedrito’s behavior is a common pattern among immigrant children because of the challenges associated with acculturation, such as difficulties in understanding languages and developing interactions with peers (Purnell, 2012). Pedrito is well versed in Spanish and faces the challenge of understanding the new language and communicating through it effectively in class. Secondly, Pedrito comes from an environment where he had friends and could easily interact with one where he finds it challenging to interact with peers, which fosters loneliness.(Transcultural Health Care)
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Pedrito’s parents can create a supportive environment that allows Pedrito to learn to communicate in English better. Learning to express himself better in English will help Pedrito adjust to the new life. Besides, the parents should engage Pedrito’s teachers in making adjustments for him in class.(Transcultural Health Care)
Pedrito’s behavior can have adverse effects on his future professional and personal development. Pedrito may develop a negative attitude toward school and learning. This attitude may lead to poor educational outcomes, which will limit his professional development. Secondly, Pedrito may end up feeling isolated and left out. This increases the risks of poor mental health outcomes and hinders his personal development and adversely impacts his relationship with his parents, family members, and peers. Lastly, Pedrito may end with limited opportunities for professional development because of the language barriers, which increases the chances of unemployment.(Transcultural Health Care)
11.2
The group that migrated 20 years ago is more accustomed to the American way of living and is a strong opponent of Cuban politics despite embracing Cuba’s culture and practices. Despite being in America for long, they still uphold traditions with the premise of teaching future generations. However, the population from Cuba 5 to 6 years ago is more acculturated to the American society and has embraced social change to embrace American beliefs. Unlike the older population, they are less involved in political issues than on social issues facing immigrant Cubans and Cubans in Cuba.(Transcultural Health Care)
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The children of immigrants have embraced the American way of life more than their parents. Even though they hold their culture with high regard, they have embraced a more progressive approach that fuses American life than their parents, who still uphold Cuban traditions in day to day life. Their way of thinking has changed in social issues and politics as the children embrace a more liberal approach than their parents, who still hold an anti-communist approach. Consequently, the strife between Mr. Gonzaga and his son might lead to the son moving from his parents’ place. This can be challenging since Alberto supports his parents financially. The confrontations and divisions highlight that the Castro government’s political issues are still separating families, as different generations have different views on addressing the political issues back in Cuba.(Transcultural Health Care)
11.3
The Cuban healthcare system is based on the principles that health care is a basic human right and is delivered to the population through polyclinics in schools, communities, and workplaces. The American healthcare system is founded on accessibility and preventive health behavior. The Cuban health care is fully government-run, with six levels, with the lowest being micropolyclinics that serve 600-700 people in communities. This is unlike the US health care system, which has private and public hospitals and clinics.
Before joining the US healthcare system, Dr. Perez should improve his English skills and take intermediate courses to improve their written and oral communication skills. They should also try to understand US healthcare policies and culture, which will help improve their capability to care for US patients. Lastly, moving to Miami will reduce the Perez family problems. By moving to the community, Dr. Perez might get better practice opportunities due to his vast experience. However, Dr. Perez should move first alone, and upon getting a job in the healthcare field and one for his wife, they can join him fully.(Transcultural Health Care)
11.4
The primary physician should allow Mrs. Luna to visit Cuba and stay for a few days. However, the physician should conduct a holistic assessment of her to make sure she can travel and understands that she has no family members in Cuba. It is also essential to emphasize that Cuba might have changed over the years.(Transcultural Health Care)
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Transcultural Health Care
Mrs. Luna’s family should be actively involved in her treatment. They should be allowed to visit and stay with her, bring her flowers, and her favorite meals per the Cuban culture. Close family members should also be involved in decision making on any issues related to Mrs. Luna’s well-being. Lastly, family members should be allowed to take care of Mrs. Luna as she is more responsive to a family caregiver. Creating a treatment plan that takes into account these considerations is critical to Mrs. Luna’s well-being.(Transcultural Health Care)
Besides nutrition and medications, Mrs. Luna will need family affection and connections throughout her treatment process. This will improve her emotional wellness. The primary physician should also create a treatment plan that incorporates traditional remedies and uses appropriate and safe use. This will foster a collaborative effort to treatment that optimizes Mrs. Luna’s healing and well-being.
Reference
Purnell, L. D. (2012). Transcultural health care: A culturally competent approach. FA Davis.
Question
Objective: 7. Examine the impact of culture, socioeconomic status, lifestyle, environment, and violence on the health of the community
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