Health Promotion And Disease Prevention Case Study

1msn5550 Health Promotion Prevention Of Diseasecase Study Rubriccrite

Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed.

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 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?

Sample Paper For Above instruction

Introduction

The demographic shift towards an aging population presents unique challenges and opportunities in health promotion, particularly among immigrant seniors. Mr. and Mrs. Arahan exemplify many of these issues—they are active adults facing social isolation, health concerns, and cultural adaptations. Addressing their needs requires a comprehensive approach involving individual strategies, community engagement, family support, and health promotion activities. This paper explores pertinent strategies and resources to enhance their quality of life, foster social connectedness, and ensure health and well-being in their later years.

Strategies to Enhance Quality of Life

To improve the quality of life of Mr. and Mrs. Arahan, multifaceted strategies that promote physical, mental, and social well-being are essential. First, facilitating active engagement in community activities tailored to seniors can counteract feelings of isolation. Participation in senior centers, cultural clubs, or educational classes can restore a sense of purpose and belonging (Huang & Shiu, 2020). Second, establishing regular physical activity routines such as walking groups or tai chi classes suited for their age can improve physical health, mobility, and mood (Chen et al., 2019). Third, addressing their health concerns proactively via regular health screenings and personalized care plans can prevent or manage chronic conditions common among older adults (World Health Organization, 2020). Fourth, encouraging hobbies and lifelong learning—such as language classes or cultural activities—can promote cognitive health and life satisfaction (Gates et al., 2019). Fifth, fostering psychological resilience through counseling or support groups can help cope with cultural adaptation stresses and aging-related anxieties (Kim & Lee, 2020).

Community Resources for Support

The elders’ integration into community resources is crucial for their well-being. Parish nursing services offer health screenings, health education, and personalized care coordination (American Nurses Association, 2019). Senior centers provide social activities, educational opportunities, and meal services, reducing loneliness and improving nutrition (Johnson & Walker, 2021). Local health clinics and community health workers can assist in managing chronic conditions and facilitating access to healthcare (Lee et al., 2020). Religious institutions often serve as vital social hubs and spiritual support providers, especially for immigrant communities (Miller & Binder, 2018). Additionally, organizations such as AARP and local immigrant aid groups offer resources tailored to multicultural seniors, including translation services, legal aid, and transportation (AARP, 2019). Importantly, technology-based resources like telehealth services can bridge transportation or mobility barriers, ensuring continuous healthcare access (Smith et al., 2021).

Family's Role in Addressing Isolation

The daughter and her family play a pivotal role in mitigating the older couple’s feelings of loneliness. Regular family visits and scheduled quality time together reinforce emotional bonds (Nguyen & Hurtado, 2019). Encouraging the elders to participate in family activities, cultural traditions, and religious services fosters a sense of inclusion and continuity (Kumar et al., 2020). Implementing intentional communication strategies, such as video calls when physical visits are constrained, can maintain connection and lessen isolation (Sanchez et al., 2022). The family can also advocate for their parents’ participation in community events and health programs, empowering the elders with a sense of agency (Li & Zhang, 2021). Furthermore, they should consider supporting their parents’ involvement in social groups for immigrants, which can provide cultural familiarity, language practice, and peer support (Patel & Hernandez, 2020).

Health Promotion Activities for a Healthy Lifestyle

Health promotion activities tailored for older adults focus on prevention, education, and behavioral modification. For Mr. and Mrs. Arahan, culturally sensitive education about nutrition, physical activity, medication management, and fall prevention is fundamental (National Institute on Aging, 2020). Encouraging adherence to prescribed treatments and regular health checkups can reduce complications (Baker et al., 2021). Promoting vaccination against influenza, pneumonia, and COVID-19 protects against preventable illnesses (CDC, 2022). Mental health support, including stress reduction, mindfulness, or counseling, can improve emotional resilience (Liu & Tsai, 2019). Cognitive stimulation activities, such as puzzles, reading, or language learning, assist in maintaining mental agility (Valenzuela & Sachdev, 2019). Lastly, fostering social connectedness through group activities, volunteerism, and faith-based engagement enhances overall well-being (Umberson & Montez, 2019).

Conclusion

Improving the quality of life for older immigrant adults like Mr. and Mrs. Arahan involves a comprehensive and culturally sensitive approach. Strategies that promote physical activity, social engagement, and health management, combined with community resource utilization and strong family support, can significantly enhance their well-being. Health promotion activities tailored to their needs can foster independence, prevent decline, and support their desire for an active, fulfilling life. It is vital for healthcare professionals, community organizations, and families to collaborate and implement holistic interventions for this vulnerable population to ensure aging with dignity and joy.

References

• American Nurses Association. (2019). Community health nursing: Scope and standards of practice. ANA Publishing.
• Baker, D., et al. (2021). Strategies for managing chronic illnesses among older adults. Journal of Geriatric Medicine, 15(3), 245-259.
• Centers for Disease Control and Prevention (CDC). (2022). Vaccination of older adults. CDC Guidelines.
• Chen, Y., et al. (2019). Effects of physical activity interventions among older adults. Elderly Health Journal, 17(2), 112-119.
• Gates, N., et al. (2019). Lifelong learning and cognitive health. Ageing and Mental Health, 23(4), 420-427.
• Huang, L., & Shiu, C. (2020). Social participation and mental health in seniors. Aging & Society, 40(7), 1473-1489.
• Johnson, S., & Walker, K. (2021). Senior centers and community integration. Journal of Community Health, 46(1), 134-142.
• Katie, Kim, & Lee, S. (2020). Psychological resilience and aging in minority populations. Journal of Aging Studies, 52, 100867.
• Kumar, S., et al. (2020). Family cohesion and social support among immigrant elders. Journal of Family Psychology, 34(3), 295-303.
• Lee, R., et al. (2020). Community health workers as health advocates. Public Health Nursing, 37(4), 558-566.
• Li, Y., & Zhang, P. (2021). Family caregiving and health outcomes for seniors. Gerontologist, 61(5), 599-610.
• Liu, Y., & Tsai, J. (2019). Mindfulness and emotional well-being in older adults. Aging & Mental Health, 23(9), 1240-1247.
• Miller, D., & Binder, J. (2018). Role of faith communities in health promotion for minorities. Journal of Religion and Health, 57(3), 1024-1038.
• National Institute on Aging. (2020). Healthy aging: Promoting a healthy lifestyle. NIH Publications.
• Nguyen, A., & Hurtado, A. (2019). Family influence on social connectedness among seniors. Journal of Aging & Social Policy, 31(2), 108-122.
• Patel, V., & Hernandez, M. (2020). Cultural integration and social support for older immigrants. Social Science & Medicine, 252, 112970.
• Sanchez, T., et al. (2022). Telehealth and social connectivity among elderly populations. Journal of Telemedicine and Telecare, 28(1), 17-25.
• Smith, J., et al. (2021). Telehealth services and aging in place. Journal of Aging & Health, 33(9), 771-790.
• Umberson, D., & Montez, J. K. (2019). Social relationships and health outcomes in aging. Journal of Health and Social Behavior, 60(4), 407-418.
• World Health Organization. (2020). Ageing and health. WHO Publications.
• Valenzuela, M., & Sachdev, P. (2019). Cognitive training for the elderly. Neuropsychology Review, 29(4), 287-299.