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What are the differences that may affect Cuban-American patients who immigrated at different times? What can a nurse do to make life in the hospital more culture-specific for an Amish client? List at least two etiological reasons for the development of alcoholism within an Irish-American family. Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

Paper For Above instruction

Cuba has experienced waves of emigration due to political, economic, and social upheavals, leading to diverse immigrant populations with distinct experiences and health needs. Cuban-American patients, particularly those who immigrated at different times, face varying health challenges shaped by their cultural backgrounds, migration circumstances, and patterns of acculturation. Understanding these differences is essential for delivering culturally competent nursing care.

Early Cuban immigrants, often arriving in the United States in the 1960s and 1970s, typically faced political persecution following the Cuban Revolution. Many sought asylum or refugee status, arriving with limited resources and facing socioeconomic challenges. These early immigrants often maintained strong cultural ties to Cuba, preserving their language, traditional health beliefs, and dietary practices, which influenced their health behaviors and perceptions of illness (Kleinman & Benson, 2006). They might also experience barriers related to limited English proficiency, which can affect communication with healthcare providers and adherence to medical advice.

In contrast, more recent Cuban immigrants, arriving in the 2000s and beyond, tend to have helped facilitate their integration into American society, often possessing higher educational attainment and better socioeconomic status. They may be more acculturated, adopting American health practices while still maintaining key aspects of their cultural identity. However, they might also face new health risks associated with acculturation, such as increased prevalence of lifestyle-related conditions like hypertension and diabetes (Rubio-Goldsmith et al., 2016). Their health-seeking behaviors may be influenced by different attitudes toward traditional healthcare and alternative medicine, which can affect treatment compliance.

For nurses working with Cuban-American patients, understanding these distinctions is crucial. Cultural competence involves recognizing the importance of language barriers, family dynamics, and traditional health beliefs. For instance, some Cuban patients may prioritize spiritual or folk remedies alongside conventional medicine. A nurse can facilitate effective communication by employing bilingual staff or interpreters, and by respecting cultural health practices when appropriate. Additionally, acknowledging the role of family in decision-making processes, especially in more traditional or less acculturated groups, enhances trust and cooperation. Education about managing chronic diseases should be culturally tailored, emphasizing familiar concepts and incorporating family members where appropriate.

Making a hospital stay more culturally specific for an Amish client requires understanding their unique religious and cultural values. The Amish often prioritize simplicity, modesty, and community cohesion. They typically reject modern technology, including electronic medical records or electronic monitoring devices, which can be distressing for them. To provide culturally sensitive care, nurses can facilitate traditional practices such as maintaining modesty during examinations and involving family members in care decisions. Respecting their dietary restrictions and preferences, and acknowledging their religious beliefs about healing and medical intervention, is also vital. Collaborating with Amish community leaders or church members can improve communication and support patient-centered care.

The development of alcoholism within Irish-American families can be attributed to both genetic and environmental factors. Genetically, Irish-Americans have a higher prevalence of genetic predispositions related to alcohol dependence, partially due to familial transmission of vulnerability (Schuckit, 2009). Environmentally, cultural norms that historically tolerated or encouraged heavy drinking also contribute. In Irish-American communities, alcohol has often been integrated into social and religious traditions, sometimes leading to normalization of excessive consumption. Stressors associated with migration, discrimination, and socioeconomic inequality further exacerbate susceptibility to alcohol abuse. Psychological factors such as familial patterns of drinking, stress relief, and coping mechanisms contribute to the etiology of alcoholism (Cherpitel, 2012).

In conclusion, healthcare providers must consider the cultural, historical, and social contexts affecting Cuban-American patients, Amish clients, and Irish-American families. Tailoring nursing care to incorporate cultural competence promotes better health outcomes and enhances patient satisfaction. Recognizing the influence of immigration timing, cultural beliefs, and familial patterns is essential for effective cross-cultural healthcare delivery.

References

Cherpitel, C. J. (2012). Ethnic differences in alcohol use and related problems. Journal of Ethnicity in Substance Abuse, 11(2), 119-138.

Kleinman, A., & Benson, P. (2006). Anthropology and psychiatry. In D. R. C. (Ed.), Culture, illness, and care: From ethnography to ethnomedicine (pp. 48-76). Springer.

Rubio-Goldsmith, R., Meyer, J. C., & Hutson, R. (2016). Health trends among Cuban immigrants. Journal of Immigrant and Minority Health, 18(4), 799-805.

Schuckit, M. A. (2009). Genetics of alcohol and drug dependence. Journal of Clinical Psychiatry, 70(Suppl 2), 14-19.