Etiological Reasons for Development of Alcoholism

1. What are the differences that may affect Cuban-American patients who immigrated at different times?
2. What can a nurse do to make life in the hospital more culture-specific for an Amish client?
3. 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.

Differences Affecting Cuban-American Patients Who Immigrated at Different Times

Cuban-American patients who immigrated at different times may experience diverse health-related challenges influenced by various factors such as historical context, socio-economic status, and acculturation levels.

1. Historical Context: The political climate and economic conditions in Cuba at the time of emigration significantly influence the experiences of Cuban-American patients. Those who immigrated during the early waves of the Cuban Revolution (1959-1962) were primarily political exiles and often middle- to upper-class individuals who faced abrupt transitions but had substantial resources and networks. Conversely, those who immigrated during the Mariel Boatlift (1980) or the Balseros crisis (1994) may have encountered more economic hardships and social stigma due to the nature of their departure and subsequent reception in the U.S.
2. Socio-Economic Status and Access to Healthcare: Earlier immigrants often had better socio-economic standing and possibly higher levels of education, allowing them more immediate access to healthcare and other social services. In contrast, later immigrants, especially those who arrived under more desperate circumstances, might struggle with lower socio-economic status, affecting their access to healthcare, insurance, and overall health outcomes.
3. Acculturation and Health Behaviors: The level of acculturation, or the degree to which individuals adopt the culture of their new country, varies among Cuban-American patients. Earlier immigrants might exhibit higher acculturation levels, leading to a greater likelihood of adopting American health behaviors and attitudes towards healthcare. Later immigrants might retain more traditional Cuban health beliefs and practices, potentially influencing their interactions with healthcare providers and their acceptance of medical advice.

Making Life in the Hospital More Culture-Specific for an Amish Client

To provide culturally competent care to an Amish client, nurses should understand and respect the unique aspects of Amish culture and healthcare beliefs.

1. Respect for Privacy and Modesty: The Amish value modesty and privacy. Nurses should ensure that the patient’s privacy is maintained during examinations and treatments. This includes providing appropriate gowns and ensuring that only necessary personnel are present during procedures.
2. Communication and Decision Making: The Amish community often relies on the family and church leaders for decision-making. Nurses should involve the patient’s family and respect the community’s collective decision-making process. It’s essential to communicate clearly and allow ample time for the patient and family to discuss medical decisions.
3. Dietary Preferences: The Amish may have specific dietary preferences or restrictions. Nurses should accommodate these preferences by coordinating with the hospital’s dietary services to provide meals that align with the patient’s cultural practices.
4. Transportation and Financial Considerations: Many Amish patients do not use modern transportation and may have financial constraints due to their traditional lifestyle. Nurses should consider these factors when planning discharge and follow-up care, ensuring that resources like home visits or transportation assistance are available.

Etiological Reasons for the Development of Alcoholism within an Irish-American Family

Alcoholism in Irish-American families can be attributed to both genetic and environmental factors.

1. Genetic Predisposition: Research indicates a genetic component to alcoholism, suggesting that individuals with a family history of alcoholism are at higher risk. Irish-American families may have a higher genetic predisposition to alcoholism, which can be passed down through generations.
2. Cultural and Social Influences: Irish culture historically normalizes alcohol consumption, often associating it with social gatherings and celebrations. This cultural acceptance can contribute to higher rates of alcohol use and potential abuse within Irish-American families. The social environment, including peer pressure and societal expectations, can reinforce drinking behaviors, leading to the development of alcoholism.

Conclusion

Understanding the diverse backgrounds and cultural specificities of patients is crucial for providing effective and empathetic care. For Cuban-American patients, nurses must consider the historical and socio-economic context of their immigration, while for Amish patients, respecting privacy, decision-making processes, dietary preferences, and logistical constraints are key. Addressing alcoholism in Irish-American families requires acknowledging genetic predispositions and cultural influences. By integrating cultural competence into nursing practice, healthcare providers can improve patient outcomes and foster a more inclusive healthcare environment.

References

• Galanti, G. (2014). Caring for Patients from Different Cultures. University of Pennsylvania Press.
• Purnell, L. D. (2013). Transcultural Health Care: A Culturally Competent Approach. F.A. Davis Company.
• Moore, R. D., & Gerstein, D. R. (2020). Genetic and Environmental Factors Influencing Alcohol Use and Dependence. Journal of Studies on Alcohol and Drugs, 81(2), 207-214