Question

Bogg County is a rural area whose residents rely on farming for income. The most popular crop in Bogg County is tobacco, a very labor-intensive plant. To save money, many farmers employ Hispanic migrant farm workers who come to the county looking for work. Migrant farm workers are cheaper to employ than other farm workers because many of them are illegal immigrants who cannot afford to complain about the low wages.

Understanding that a lack of access to health care is a concern to migrant farm workers, Nurse Steven opens a mobile health clinic that visits farms in the evening. Two nurse practitioners and two registered nurses staff the traveling clinic. All staff members are fluent in Spanish and one of the nurses can speak Chinese. Medical and Social Security cards are not needed for clients to be seen at the mobile clinic. Nurses primarily see clients for injuries (cuts, sprains, strains) resulting from falls or accidents while in the field and for relief of pain associated with chronic back and neck muscle strain.

Use the above case study to answer the following questions:

1) What health promotion activities could Nurse Steven encourage for this group of migrant workers?

2) What barriers to health care limit Hispanic migrant workers' access to health services? How is Nurse Steven addressing this?

3) What cultural considerations should be addressed when one is working with this group of Hispanic migrant workers?

Answer 1

1, Migrant farmworkers have the potential risk of inhalation exposure that leads to asthma, chronic bronchitis, wheezing, lung cancer, etc. Occupational exposure assessment, related questions, assessing respiratory and allergic symptoms, identifying and decreasing symptoms due to allergens and nonwork-related behavior changes, occupational activity precautions by use of personal protective equipment, exercise, smoking habits, etc. Assess, diagnose and providing health care services to improve the health and avoiding symptoms and severity of the illness can promote health. educate the labor they should be physically fit for throughout the agricultural season.
2, Langauge, communication, knowledge and transport barrier limits the extent of engaging with host communities. Bogg county farmworkers are a unique working population due to the isolated area they work in. they lack in kowldege about their illness espeiclly in tobacco crop activities and harvesting. nurse steven addressing this barrier by mobile health clinics that fulfill their needs for health promotion.
3, Hispanic migrant workers are minority populations they culturally sensitive. culturally competent social work practice ensures effective access for health promotion. Making cultural influence it is important to practice with their own personal cultural and values. need continuous development in providers' activity by culturally sensitive, knowledge, skills, and awareness to address these issues. sensitive practice should be needed by understanding their culture.