Differences that affect Cuban-American Patients

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.

Submission Instructions:

• Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources

A. Differences Affecting Cuban-American Patients Based on Immigration Time

Cuban-American patients’ experiences and needs can vary significantly based on when they immigrated. The key factors influencing these differences include:

1. Historical Context:
   • Early Immigrants (1959-1970s): Those who fled Cuba after the 1959 revolution often came from higher socioeconomic backgrounds and were more likely to be professionals or business owners. They were motivated by political oppression and had strong anti-communist sentiments.
   • Mariel Boatlift (1980): This wave included more diverse socioeconomic backgrounds, including many who were considered political prisoners or marginalized by the Cuban government.
   • Post-Soviet Collapse (1990s-present): More recent immigrants often leave due to economic hardships and seek better opportunities. They might have fewer resources and less formal education compared to earlier waves.
2. Acculturation and Assimilation:
   • Language Proficiency: Earlier immigrants may have had more time to learn English and integrate into American society, whereas recent immigrants might still be grappling with language barriers.
   • Cultural Retention: Recent immigrants are likely to retain stronger ties to Cuban culture, customs, and language, requiring culturally sensitive care that respects these traditions.
3. Health Beliefs and Practices:
   • Traditional Medicine: Recent immigrants might rely more on traditional Cuban medicine and remedies, necessitating a respectful integration of these practices with Western medicine.
   • Health Access and Utilization: Earlier immigrants may have better knowledge of the U.S. healthcare system and higher insurance coverage rates, while recent arrivals might face significant barriers to access due to legal status or economic constraints.

B. Making Hospital Life Culture-Specific for an Amish Client

When caring for an Amish client, nurses should consider the following strategies to ensure culturally sensitive care:

1. Understanding Amish Beliefs and Practices:
   • Religious Practices: The Amish value simplicity, humility, and community. They often avoid modern technology and may refuse certain medical interventions.
   • Communication: The Amish primarily speak Pennsylvania Dutch, with English as a second language. Use clear, simple English, and consider involving a translator if necessary.
2. Creating a Respectful Environment:
   • Privacy and Modesty: Provide private rooms and ensure modesty during examinations and procedures.
   • Family and Community Involvement: Encourage family members to be present and involved in the care process, as the Amish place a high value on community support.
3. Accommodating Dietary and Lifestyle Preferences:
   • Diet: Provide food options that align with their dietary restrictions and preferences, avoiding processed and heavily seasoned foods.
   • Minimizing Technology Use: Respect their preference for minimal use of electronic devices, ensuring necessary medical equipment is used discreetly.
4. Spiritual Care:
   • Chaplain Services: Offer access to chaplain services or allow their own spiritual leaders to visit and provide support.

C. Etiological Reasons for Alcoholism in Irish-American Families

1. Genetic Predisposition:
   • Studies suggest a genetic component to alcoholism, with certain genes increasing susceptibility to addiction. Irish-American families with a history of alcoholism might have inherited genetic traits that predispose them to substance abuse disorders.
2. Cultural and Social Influences:
   • Social Drinking Norms: Irish culture traditionally includes alcohol as a significant part of social interactions and celebrations, which can normalize excessive drinking.
   • Coping Mechanisms: Historically, Irish immigrants faced significant socio-economic challenges and discrimination in the U.S., leading some to use alcohol as a coping mechanism for stress and adversity. This coping behavior can be passed down through generations as a learned method of dealing with life’s difficulties.

References

• American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). American Psychological Association.
• Harwood, E. M., & Myers, M. G. (2019). Genetic factors in alcohol dependence. Journal of Studies on Alcohol and Drugs, 80(4), 515-526.
• Krumholz, H. M., & Brooks, H. J. (2018). Cultural competence in healthcare: A review of the literature and clinical applications. Medical Care Research and Review, 75(6), 685-711.