Case Study: People of German, Irish, and Italian Heritage

Case Study: People of German, Irish, and Italian Heritage: Complete the following Case Studies: German case study, Irish case study…

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Case Study: People of German, Irish, and Italian Heritage

Paper details

Complete the following Case Studies:

• German case study
• Irish case study

Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.

Here is the textbook

Purnell, L. (2013). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia: F.A. Davis.

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Solution

People of German, Irish, and Italian Heritage

Irish Case Study

The O’Rourk family has integrated gender roles that specify the tasks that David and Mary should perform. For instance, David has a mandate to ensure that his family’s basic needs are addressed. Similarly, Mary takes care of the children and does other household duties. Therefore, gender dictates the individual roles that one is assigned in the O’Rourk family.

The monotonous diet can cause imbalances, excesses, and deficiencies that might lead to detrimental health impacts. The body needs various minerals and vitamins that are essential for preventing ailments and promoting body development (Purnell, 2013).

The body cannot produce them naturally; it has to obtain them from a balanced diet. Such deficiencies might lead to cardiovascular and digestion problems. David’s alcohol consumption and stress increase his potential health-risk factors, while the poor diet trends expose Bridget, Michael, and Mary to possible hereditary health complications.

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Irish Americans are vulnerable to cardiovascular conditions. Most of them have high carbohydrate and calories intake that aggravates their vulnerability to cardiovascular diseases (Van Doorn, Richardson & Osborne, 2017). Moreover, their tendency to smoke and drink increases the percentage of saturated fat intake in their bodies. 

Integrating cultural competency measures and patient-centered care will boost the delivery and research of clinical services to lower the Irish American’s death risk linked to heart diseases. Hence, to combat this racial and ethnic disparity, healthcare should be well-trained to utilize culture competency models to alter their patient’s health preferences, values, and beliefs (Van Doorn et al., 2017). Culturally competency initiatives should provide practical self-care management skills for mitigating cardiovascular risk factors. 

The O’Rourke rhythm family planning method is congruent with their Catholic beliefs and Irish background perspectives. Irish Catholics believe that the use of contraceptives is an inherent vice that should be prohibited regardless of its consequences (Purnell, 2013). Therefore, David and Mary, as staunch Catholics, have opted to use the rhythm family planning approach.

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The O’Rourke’s utilizes consensual communication that prioritizes open conversation and conformity within their family. Family members have the liberty to express their feelings and thought, but David makes the final decision concerning important issues (Van Doorn et al., 2017). His conflict orientation approach has led to tensions due to his desire to have control and be open on catering to the family’s needs without his wife’s intervention. 

Mental health is the leading health issue among most Irish descents living abroad. Isolation and loneliness are the main challenges Irish emigrants are prone to that leads to schizophrenia and psychosis (Van Doorn et al., 2017). In the recent past, the Irish government has initiated organizations that cater to the mental health welfare of emigrants. However, hemochromatosis and cystic fibrosis are common genetic disorders among Irish Americans. 

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The Great Potato Famine in Ireland led to an Irish immigration increase to the United States. It led to a significant rise in Irish Americans; for instance, by 1850, there were approximately 961,719 Irish descendants in the United States. New York recorded the highest Irish emigration rate. As a result, by 1900, the Irish American population in Manhattan had risen to almost 60% (Van Doorn et al., 2017). The Great Potato Famine increased the American labor force due to emigration.

Irish American Catholics advocate for integrative fertility practices that build family life and marriage. Therefore, Catholic physicians support natural family planning methods (Van Doorn et al., 2017). Some of the conventional family planning practices among Irish Americans include coitus interruptus, locational amenorrhea, and periodic abstinence methods.

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Some of the typical Irish medical remedies were connected to the use of herbs. Hence, to prevent illness and live a healthy life, one had to wear holy scapulars, to avoid sleeping with wet hair, to consume laxatives regularly, to take extra vitamins and tonics, and enjoy bountiful exercises (Van Doorn et al., 2017). Drinking hot whiskeys laced with honey and cloves, soothing a sore throat with lemon, and inhaling hot Balsam vapors are the primary sources of strength among the Irish Americans when they are ill.

German Case Study

German descent patients advocate for the use of herbal medicine to serve as Complementary and Alternative Medicines that should be endorsed across the globe. They prefer consulting physicians who can access herbal medicine using their self-initiated approach. Hence, among the German descent immigrants, herbal medicine comprises five key aspects Kneipp therapies, dietetic therapy, exercise therapy, hydrotherapy, and phototherapy (Joos, Glassen & Musselmann, 2012).

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Margret assumes that naturopathy is an essential qualification that all general practitioners should exploit in herbal medicine to cater to their patient’s conditions. The family members and the staff assume that Margret should take western drugs to attenuate the severe pain she is experiencing for her metastasized breast cancer condition.

I believe that homeopathic remedies should be used to cure trivial health issues. Still, if they are effective in treating a specific condition, they should be blended with modern medical practices. The use of medical intuitions and non-western health practices should be used logically by patients. Once they fail to deliver the intended outcome, a patient should use new health measures to mitigate their conditions (Purnell, 2013).

I assume that before modern technology was invented, sick people used herbal medicine to cure their ailments. Palliative hospice care was a correct decision that Margret chose to reduce her medical bills before her probable demise within six months. I was a wise and smart decision based on the prognosis feedback she had obtained. 

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As a physician, I am open-minded to the cultural health practice that patients propose; however, their complementary treatment strategies should be useful. Otherwise, I will undermine their suggestions and provide an appropriate prescription of the drugs that will cater to an ailment. Margret has an optimistic mindset that even though she has a few days to live, she will be reunited with her spouse in her afterlife.

Therefore, she does not panic that her homeopathic remedies might have failed, but she is well-prepared to embrace her death. Margret’s spiritual belief in the after death gives her the strength to meditate and request that supreme beings grant her peace and power in her sickening condition (Joos et al., 2012). Her belief in an afterlife gives her the strength to mentally prepare relatives and friends for her impending death, hoping they will meet in the afterlife. 

As a health practitioner, I can advise Margret and her family on the significance of being logical to utilize western treatment therapies by integrating herbal medicine to enhance her treatment process. My insight into German American culture will assist me in informing the patient that currently, herbal medicine has penetrated the mainstream medicine market. Still, few doctors have advised their patients on the emerging trend (Joos et al., 2012).

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However, the patients should be concerned about the use of conventional drugs and herbal medicine since the deficit might interfere with their safety. Hence, more research is required to determine the effectiveness of herbal medicine in certain conditions. 

Herbal medicine is valuable to patients who believe in its effectiveness based on its primary care context. However, medical practitioners should incorporate a qualitative approach that emphasizes on the patients’ motives and attitudes when determining the use of herbal medicine or conventional drugs (Joos et al., 2012). Therefore, communication and information are the key factors that influence the choices made by patients.

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References

• Joos, S., Glassen, K., & Musselmann, B. (2012). Herbal medicine in primary healthcare in Germany: The patient’s perspective. Evidence-Based Complementary and Alternative Medicine, 2012, 1-10. doi: 10.1155/2012/294638
• Purnell, L. (2013). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia: F.A. Davis.
• Van Doorn, D., Richardson, N., & Osborne, A. (2017). Farmers have hearts: The prevalence of risk factors for cardiovascular disease among a subgroup of Irish livestock farmers. Journal of Agromedicine, 22(3), 264-274. doi: 10.1080/1059924x.2017.1318728

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