Case study power powerpoint

Assignment:

For this assignment, create a PowerPoint presentation based on the following case studies.

Read the following two Case Studies and answer the questions presented.

African-American Case Study #2 – Mr. and Mrs. Evans
Questions:
1. Describe the organizational structure of this family and identify strengths and limitations of this family structure.
2. Describe and give examples of what you believe to be the family’s values about education.
3. Discuss this family’s views about child rearing.
4. Discuss the role that spirituality plays in this family.
5. Identify two religious or spiritual practices in which members of the Evans family may engage for treating hypertension, diabetes, and mental illness.
6. Identify and discuss cultural views that Dorothy and her parents may have about mental illness and medication.
7. To what extent are members of the Evans family at risk for illnesses associated with environmental hazards?
8. Susan has decided to become an organ donor. Describe how you think the Evans family will respond to her decision.
9. Discuss views that African Americans have about advanced directives.
10. Name two dietary health risks for African Americans.
11. Identify five characteristics to consider when assessing the skin of African Americans.
12. Describe two taboo views that African Americans may have about pregnancy.

Appalachian Case Study #1 – William and Gloria Kapp Questions:
1. Describe the migration patterns of Appalachians over the last 50 years.
2. Discuss issues related to autonomy in the workforce for Appalachians.
3. Identify high-risk behaviors common in the Appalachian region.
4. Describe barriers to health care for people living in Appalachia.
5. What might the nurse or physician do to encourage Mrs. Kapp to comply with her prescription regimen?
6. What would your advice be regarding each of the home remedies that Mrs. Kapp is taking? Would you encourage or discourage her from continuing them?
7. What might the nurse have done to help ensure that Ruth would make the appointments for herself and her daughter?
8. What advice would you give Ruth regarding the home remedies that she and her daughter are currently taking? Would you encourage or discourage their use?
9. Do you think Mrs. Kapp will return for her appointment next week? Why? What would you do if she did not return for her appointment?
10. Do you think that Ruth will make and keep appointments for herself and her daughter?
11. What would you do to encourage Mr. Kapp to consent to a health
assessment?
12. What additional services could you suggest to assist the Kapp family at this time?
13. What additional follow-up do you consider essential for the Kapp family?
14. What advice would you give Ruth regarding her daughter’s frequent bouts of diarrhea?
Your presentation should be 15-20 slides (not including title, objectives, and references slides) with detailed notes for each slide. No audio recording is required. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with citations throughout you prentation. Make sure to reference the citations using the APA ( 7 editopn)writing style for the presentation. Include a slide for your references at the end.

Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilize the Microsoft Overview and the Creating a Quality PowerPoint video.

Assignment Expectations
Length: 15-20 slides; answers must thoroughly address the questions in a clear, concise manner.
Structure:
Title slide (1 slide)
African-American Case Study #2: at least 5 slides
Appalachian Case Study #1: at least 5slides
References (1 slide)
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.
Format: Save your assignment as a Microsoft PowerPoint document
File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”)

AFRICAN AMERICAN CASE STUDY #1
Robert Collins is a 49-year-old African American. He resides in the inner city of Detroit, Michigan, with his extended family. He has a 43-year-old wife and five children, aged 26, 18, 16, 14, and 10. His wife, his elderly mother, three of his children (aged 16, 14, and 10), two grandchildren, and his sick sister-in-law represent the household membership.
Mr. Collins completed the 11th grade and maintains employment in a steel factory. Although he works more than 40 hours a week, his income places him at the poverty level. He cannot afford to purchase health insurance.
Mr. Collins’s 18-year-old daughter, Chloe, is pregnant for the third time and is a single parent. Mr. Collins is caring for her other two children. Chloe is going to night school to complete her high school education.
The Collins family goes to church every Sunday and is actively involved in the church.
Mrs. Collins was diagnosed with cancer, and she is receiving spiritual healing from her pastor and church for this illness. Mr. Collins is extremely concerned about his wife’s health and has increased his tobacco use.
Study Questions
1. Name one occupation-related disease for which Mr. Collins is at risk.
2. Identify one family member who is likely to be caring for the younger
children in the family.
3. Describe three cultural beliefs that Chloe may have regarding her
pregnancy.
4. Discuss the role of spirituality in this family.
5. Identify two religious or spiritual practices in which Mrs. Collins may be
engaging.
6. Because Mrs. Collins has cancer, discuss possible cultural thoughts she
may have regarding death and dying.
7. Identify two diseases common among African American men.
8. Identify the high school dropout rate among African American teens in the
inner city.
9. Name one tobacco-related disease found in the African American
population.
10. Name two dietary health risks for African Americans.
11. Identify five characteristics to consider when assessing the skin of African
American clients.
12. Name two skin conditions common among African Americans.
AFRICAN AMERICAN CASE STUDY #2
Mr. and Mrs. Evans are an African American couple who retired from the school system last year. Both are 65 years of age and reside on 20 acres of land in a large rural community approximately 5 miles from a Superfund site and 20 miles from two chemical plants. Their household consists of their two daughters, Anna, aged 40 years, and Dorothy, aged 42 years; their grandchildren, aged 25, 20, 19, and 18; and their 2- year-old great-grandson. Anna and Dorothy and their children all attended the university.
Mr. Evans’s mother and three of his nieces and nephews live next door. Mr. Evans’s mother has brothers, sisters, other sons and daughters, grandchildren, and great-grandchildren who live across the road on 10 acres of land. Other immediate and extended family live on the 80 acres adjacent to Mr. Evans’s mother. All members of the Evans family own the land on which they live.
Mrs. Evans has siblings and extended family living on 70 acres of land adjacent to Mr. Evans’s family, who live across the road. Mr. and Mrs. Evans also have family living in Chicago, Detroit, New York, San Francisco, and Houston. Once a year, the families come together for a reunion. Every other month, local family members come together for a social hour. The family believes in strict discipline with lots of love. It is common to see adult members of the family discipline the younger children, regardless of who the parents are.
Mr. Evans has hypertension and diabetes. Mrs. Evans has hypertension. Both are on medication. Their daughter Dorothy is bipolar and is on medication. Within the last 5 years, Mr. Evans has had several relatives diagnosed with lung cancer and colon cancer. One of his maternal uncles died last year from lung cancer. Mrs. Evans has indicated on her driver’s license that she is an organ donor.
Sources of income for Mr. and Mrs. Evans are their pensions from the school system and Social Security. Dorothy receives SSI because she is unable to work any longer. Mr. Evans and his brothers must assume responsibility for their mother’s medical bills and medication. Although she has Medicare parts A and B, many of her expenses are not covered.
Mr. and Mrs. Evans, all members of their household, and all other extended family in the community attend a large Baptist church in the city. Several family members, including Mr. and Mrs. Evans, sing in the choir, are members of the usher board, teach Bible classes, and do community ministry.
Study Questions
1. Describe the organizational structure of this family and identify strengths and limitations of this family structure.
2. Describe and give examples of what you believe to be the family’s values about education.
3. Discuss this family’s views about child rearing.
4. 5.
6.
7.
8.
9.
11. Identify five characteristics to consider when assessing the skin of African Americans.
12. Describe two taboo views that African Americans may have about pregnancy.
Discuss the role that spirituality plays in this family.
Identify two religious or spiritual practices in which members of the Evans
family may engage for treating hypertension, diabetes, and mental illness. Identify and discuss cultural views that Dorothy and her parents may have about
mental illness and medication.
To what extent are members of the Evans family at risk for illnesses associated
with environmental hazards?
Susan has decided to become an organ donor. Describe how you think the Evans
family will respond to her decision.
Discuss views that African Americans have about advanced directives. 10. Name two dietary health risks for African Americans.

APPALACHIAN CASE STUDY #1
William Kapp, aged 55 years, and his wife, Gloria, aged 37, have recently moved from an isolated rural area of northern Appalachia to Denver, Colorado, because of Gloria’s failing health. Mrs. Kapp has had pulmonary tuberculosis for several years. They decided to move to New Mexico because they heard that the climate was better for Mrs. Kapp’s pulmonary condition. For an unknown reason, they stayed in Denver, where William obtained employment making machine parts.
The Kapp’s oldest daughter, Ruth, aged 20, Ruth’s husband, Roy, aged 24, and their daughter, Rebecca, aged 17 months, moved with them so Ruth could help care for her ailing mother. After 2 months, Roy returned to northern Appalachia because he was unable to find work in Denver. Ruth is 3 months’ pregnant.
Because Mrs. Kapp has been feeling “more poorly” in the last few days, she has come to the clinic and is accompanied by her husband, William, her daughter Ruth, and her granddaughter, Rebecca. On admission, Gloria is expectorating greenish sputum, which her husband estimates to be about a teacupful each day. Gloria is 5 ft 5 in. tall and weighs 92 pounds. Her temperature is 101.4°F, her pulse is regular at 96 beats per minute, and her respirations are 30 per minute and labored. Her skin is dry and scaly with poor turgor.
While the physician is examining Mrs. Kapp, the nurse is taking additional historical and demographic data from Mr. Kapp and Ruth. The nurse finds that Ruth has had no prenatal care and that her first child, Rebecca, was delivered at home with the assistance of a neighbor. Rebecca is pale and suffers from frequent bouts of diarrhea and
colicky symptoms. Mr. Kapp declines to offer information regarding his health status and states that he takes care of himself.
This is the first time Mrs. Kapp has seen a health-care provider since their relocation. Mr. Kapp has been treating his wife with a blood tonic he makes from soaking nails in water; a poultice he makes from turpentine and lard, which he applies to her chest each morning; and a cough medicine he makes from rock candy, whiskey, and honey, which he has her take a tablespoon of four times a day. He feels this has been more beneficial than the prescription medication given to them before they relocated.
The child, Rebecca, has been taking a cup of ginseng tea for her colicky symptoms each night and a cup of red bark tea each morning for her diarrhea.
Ruth’s only complaint is the “sick headache” she gets three to four times a week. She takes ginseng tea and Epsom salts for the headache.
Mrs. Kapp is discharged with prescriptions for isoniazid, rifampin, and an antibiotic and with instructions to return in 1 week for follow-up based on the results of blood tests, chest radiograph, and sputum cultures. She is also told to return to the clinic or emergency department if her symptoms worsen before then. The nurse gives Ruth directions for making appointments with the prenatal clinic for herself and the pediatric well-child clinic for Rebecca.
Study Questions
1. Describe the migration patterns of Appalachians over the last 50 years.
2. Discuss issues related to autonomy in the workforce for Appalachians.
3. Identify high-risk behaviors common in the Appalachian region.
4. Describe barriers to health care for people living in Appalachia.
5. What might the nurse or physician do to encourage Mrs. Kapp to comply
with her prescription regimen?
6. What would your advice be regarding each of the home remedies that Mrs.
Kapp is taking? Would you encourage or discourage her from continuing
them?
7. What might the nurse have done to help ensure that Ruth would make the
appointments for herself and her daughter?
8. What advice would you give Ruth regarding the home remedies that she
and her daughter are currently taking? Would you encourage or discourage
their use?
9. Do you think Mrs. Kapp will return for her appointment next week? Why?
What would you do if she did not return for her appointment?
10. Do you think that Ruth will make and keep appointments for herself and
her daughter?
11. What would you do to encourage Mr. Kapp to consent to a health
assessment?
12. What additional services could you suggest to assist the Kapp family at
this time?
13. What additional follow-up do you consider essential for the Kapp family?
14. What advice would you give Ruth regarding her daughter’s frequent bouts
of diarrhea?
APPALACHIAN CASE STUDY #2
Leona Sperry, aged 74 years, lost her husband, a preacher, to emphysema 2 months ago. Since that time, she has been living alone on a limited income from her husband’s Social Security. Mrs. Sperry states that she has lived in the same West Virginia community all of her life, just like her parents and grandparents. She is known in the community as Miss Leona and is respected for her knowledge of folk medicine and “deliverin’ babies,” which she has done as long as she can remember, just like her mother and grandmother. All but one of her nine children live within 50 miles. Miss Leona does her own cooking, bakes biscuits and bread twice a week, and makes large pots of meat stew so she does not have to cook every day. A farmer neighbor supplies her with milk, eggs, and meat in trade for using the land from her small farm to pasture his cattle. Even though she only went to the third grade, she enjoys reading stories in the Reader’s Digest, which she keeps on her bedside table. She also enjoys talking on the telephone with her children and sister, who lives about 5 miles away. Miss Leona lives on top of a hill and has to cross a footbridge to get to her home. Her driveway ends at the footbridge, requiring her to carry her groceries up a steep incline with many steps. Sometimes, a neighbor or the postman delivers her groceries when her children are unable to bring them to her.
Miss Leona’s granddaughter, a nurse who lives out of the area, called the Visiting Nurse Association and requested that someone see her grandmother. Miss Leona tells the visiting nurse that she has had arthritis in her hands, hips, and knees for many years. She has also suffered from “low blood” all her life. Now, she has other
health problems as well, and some chest congestion, which is not responding to her usual treatment. Her most recent health concern, she says, is “heart problems,” which her physician, Dr. Adi, tells her is from her high-fat diet. However, Miss Leona believes her heart problems were brought on by her husband’s death, because she did not have them until after he died. Her physician also gave her a jar of salve to put on a leg wound caused by an insect bite, which became infected when she scratched it in her sleep.
On her last visit to her physician a month ago, he referred her to a heart specialist at a medical center 50 miles from her home. He also wanted her to make an appointment with an arthritis specialist. So far, she has not made an appointment with either specialist because she does not know when one of her children will be available to take her to the medical center. Besides, she says, her children have their own families and jobs, and she does not like to bother them with her problems. In addition, she tells you that she is looking forward to her 16-year-old granddaughter, who is 3 months’ pregnant, coming to live with her in a couple of months. After all, she misses being a midwife.
She admits not using the salve given to her by Dr. Adi because he told her to apply the salve according to the instructions on the jar. She has been drinking the brine from her home-canned pickles for her “low blood,” drinking ginseng tea for her arthritis, and applying a poultice made from bacon grease on the leg wound. She tells you that she does not want to return to Dr. Adi because she cannot understand him, he does not listen to her, and he did not help her when she last saw him. She explains that she is a good “Christianwoman,” has lived right all her life, and does not interfere with
her neighbors’ lives. She rarely misses Sunday church services because all her neighbors go to the same Baptist church and she “allus” has plenty of volunteers to carry (take) her to the church.
Study Questions
1. Why do the members of her community call Mrs. Sperry by the name Miss Leona?
2. What can the nurse do to assist Miss Leona to decrease the barriers to needed health care?
3. What might Dr. Adi do to ensure a more-trusting relationship with Miss Leona?
4. What historical precedence is there for distrust of “outsiders” in Appalachia?
5. What evidence do you see of the “ethic of neutrality” in this case study?
6. What is the difference between a minister and a preacher, as practiced by Baptists in Appalachia?
7. What do Appalachians mean by the term “low blood”? What are some folk treatments for this condition?
8. What advice would you give Miss Leona about her folk remedies?
9. What might you do to encourage Miss Leona to make appointments with the specialists recommended by Dr. Adi?
10. How might you help Miss Leona eat a more-nutritious diet?
11. What strategies might you encourage for Miss Leona to cope with her “heart problems” that began after her husband died?
12. What kind of prenatal advice would you give the granddaughter when she comes to live with Miss Leona?
ago. Her mother-in-law and her husband, Mr. Ahmed Said, accompanied her to th

Purnell, L., & Paulanka, B. (2013). Transcultural health care: A culturally competent approach (4th ed.). F. A. Davis. Read Chapters 6, 8, & 12.

SAMPLE SOLUTION