Engage diversity and difference in practice
Assignment #2: All 3 cases are compulsory.Assignment # 2(2nd assignment is 4 to 5 pages) Each case in this paper has to be 1 ½ page paper typed in double space using Times Roman and in font 12.
| PB 16 – Recognize and communicate their understanding of the importance of difference in shaping life experiences (Educational Policy 2.1.4—Engage diversity and difference in practice) | ||||||
| Case 2-A
Assignment title:Individual Case Study of A Case of a Young Chinese woman who delivered a child in the hospital. |
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Assignment description: Analysis of discrimination related to cultural differences in medical practice and importance of difference in shaping life experiences.
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A Case of a Young Chinese woman
A Chinese woman in her mid-twenties had just given birth. The staff became concerned when she would not eat the hospital food and did not bathe. She would only eat foods that her family brought to her. The patient later explained her custom prevented her from bathing for seven days after childbirth and permitted her to eat only certain foods. This patient was practicing the traditional lying-in period observed in much of Asia and Latin America. It is believed that for a period of time after childbirth, a woman’s body is weak and susceptible to outside forces that may cause illness. In addition, pregnancy is thought to be a hot condition. Giving birth causes a loss of yang, or heat, which must be restored. This is accomplished by eating yang foods such as chicken and avoiding cold liquids. The woman is to rest, stay very warm, and avoid bathing and exercise. Compromises can be made in the care of this patient. The use of boiled water, which removes impurities, may make a sponge bath more acceptable. Do not assume that the patient will follow orders that would violate the traditions and wisdom of her own culture. — Fernandez, V.M. & Fernandez, K.M. (Nov. 1999), Transcultural Nursing: Basic Concepts and Case Studies (online). Used by permission. |
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| PB 23 – Utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation (Educational Policy 2.1.7—Apply knowledge of human behavior and the social environment) | ||||||
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Assignment # 2 Case 2-B |
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Assignment title:Reflection Paper on Developmental Theories |
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| Assignment description:Application of Fowler’s Stages of Faith & Levinson’s Theory of Development to a case study. Students construct a time line to trace overall growth patterns and transitions pivotal to spiritual development. A Case Study of SAL’s Case (74 years old who is in a assisted living facility)formulate assessment, intervention and evaluation. | ||||||
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Assignment # 2-B Description PB 23- Utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation (Educational policy 2.1.7-Apply knowledge of human behavior and the social environment) Assignment title:Reflection paper on Developmental Theories Assignment Description: Application of Fowler’s Stages of Faith & Levinson’s Theory of Development to a case study. Students construct a time line to trace overall growth patterns and transitions pivotal to spiritual development. This paper has to be a 1 ½ paged paper typed in double space using Times Roman and in font 12. v Students will apply Fowler’s theory and Levinson’s theory for the case mentioned below. Mention the theory briefly. v Formulate the time line for the case. Tracking the overall growth patterns and transitions using various life-events.How these life-events can help achieve spiritual development and mention interventions. v Mention the course competency related to this assignment. v APA Style and reference.
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SAL’s CASE Sal Franco is a 74-year old man, living alone in an apartment complex for older adults. You are the Senior Services social worker associated with the housing units. Sal and his wife, Maria, owned and operated a small, local grocery for 44 years (they emigrated from Italy when they were newlyweds at age 19). They sold the business to their son Dominic when Sal turned 70. The plan was to enjoy travel and retired life together. However, shortly after retiring, Maria was diagnosed with an aggressive leukemia, and she died within 4 months. Mr. Franco has been living alone for over 3 years. Because Sal and Maria spent most of their time working and involved with family activities, there are few close friends in his life. Dominic’s family has Sal to dinner every Sunday, but has little time during the week because of competing demands. Sal’s other children include a daughter living in another state who calls daily (but seldom visits because of the cost), a daughter oversees in military service, and a son with Down’s syndrome who lives in a group home about an hour away. Sal indicates that he was a “hard drinker” during his 20s and 30s, when he developed stomach problems and high blood pressure. At that point, he limited his use of alcohol to his Friday night poker club and to Sunday dinner with the family. Since Maria’s death, Sal has regularly consumed 3 to 4 drinks a day. He says it alleviates some of the pain, stress, and loneliness. It also helps him sleep, along with the over-the-counter medications that he takes for arthritis pain and as sleep aides. He came to the clinic because his hypertension and gastritis have become extremely labile and intractable. When you ask Mr. Franco how he is doing, he says, “Oh, I guess I’m okay for an old widower. I don’t think it really matters how I feel or what I do anymore at my age. |
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| PB 24 – Critique and apply knowledge to understand person and environment (Educational Policy 2.1.7—Apply knowledge of human behavior and the social environment) | ||||||
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Assignment # 2 Case 2-C
Case Study on DAVE (38-year-old who is dealing with alcohol problem).
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| Assignment title:Reflection Paper on Application of Theory of person and environment to a Case Study. | ||||||
| Assignment description:Students apply person & environment theoretical perspectives to a case study.
Ø Students can refer and mention the person and environment theory from the text. Ø Analyze the case according to person and environment theory. Ø Mention the practice behavior in the course competency. Ø APA style of citing the sources in writing the paper and the reference in the list of references at the end of the paper. |
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DAVE’s CASE
Dave is a 38-year-old small-parts factory worker who came into the treatment center after being arrested for drinking and driving (DUI/DWI). His attorney has suggested that he quit drinking and enter treatment, at least until his trial which is scheduled in two months. Dave does not anticipate serving jail time, but he believes that treatment could strengthen his legal case. After his first arrest for DUI two years ago, he simply paid a fine and attended a special driver’s education program for six weeks. Dave found the program to be “a waste of time.”
Dave has been married for 10 years and has two sons aged 8 and 6 years. He has had numerous arguments with his wife, Melanie, concerning his drinking. He gets very angry and defensive when she confronts him about his heavy drinking, and asserts that he is not an alcoholic. He knows this is true because his father was an alcoholic and Dave says that he is not like his father. His father died as the result of a fight that occurred in traffic when he was drunk. Dave says that his father used to “beat the tar out” of him and his brother when he was drunk, and that his father always belittled, taunted, and threatened their mother, whether he was drunk or sober.
Dave’s work history is very good; he misses less than one day per year. He works the day shift on weekdays, putting in time-and-a-half overtime on most Saturdays. He is well regarded by his supervisors and peers at work. He is fearful that his employer will find out about his treatment (it is being covered by his HMO), and that people at work will learn about the second DUI arrest.
Dave drinks with his buddies from the plant, and does not think that his drinking is any more than what they do. He was just “unlucky” and got caught doing what everyone else seems to get away with. Dave’s drinking is very predictable: he drinks 8 or 9 beers on a weeknight. Several of these are consumed at the bar with friends, the remainder at home over the course of the evening. He usually falls asleep in front of the television. On weekends, he often drinks 3-4 twelve packs between Friday and Sunday. A typical Saturday involves getting up at 10:00 a.m., playing soccer with friends, and going to the bar for the rest of the day and night. This pattern leads to arguments with Melanie, who calls him a “lousy father.” At times, Dave has had unsettling episodes of being unable to recall what happened while drinking. He has commented to friends that “maybe I overdo it a bit.” Several times, he has attempted to cut down on his drinking, especially after the last DUI. He once attended a few AA meetings, but did not feel that it was helpful: “It was listening to a lot of guys whining” and he especially did not care for the prayers.
Despite these attempts, Dave has experienced increased consumption levels over the past two years. He admits that, as a result of the drinking, he has become increasingly estranged from his wife and sons. Dave feels that his marriage has been basically good, but that he would not blame Melanie for leaving him, the way things have been going lately. She will no longer “sleep” with him while he is intoxicated, which occurs regularly. She complains that the house is “falling apart” because Dave does not keep up with his chores. He believes that his marriage would become solid again, if he stopped over doing the drinking. But, he complains about her hassling him about the alcohol.
Dave is not close to his remaining family members. His mother is very religious and wishes Dave would see religion as a way out of his problems. His siblings live in other communities and they rarely get together. His wife and sons regularly attend his mother’s church, but Dave only attends on Christmas Eve and Easter Sunday.
Dave is distraught about having to remain abstinent in preparation for the trial. He has trouble getting to sleep without alcohol. He also “gets jumpy” when he tries to stay away from drinking, feeling “closed in” or “like he is suffocating.” He also cannot imagine how to explain to his buddies why he is not joining them in the bars.
