Question

Mr. Wang is a 75 year old first generation Chinese American and lives with his 70 year old Chinese wife. Mr. Wang, speaks very limited English, while his wife speaks only Chinese. Mr. Wang visited a clinic, where he was told by his physician that he had lung cancer. The physician wanted Mr. Wang to be hospitalized for further treatment and chemotherapy. Mr. Wang gave no response.

1. What barriers might exist for Mr. Wang in deciding to accept hospitalization and seek treatment?

2. What concerns might the nurse have regarding a support system for Mr. Wang if he decides to have his lung cancer treated?

3. With the limited English-language ability of Mr. Wang and his wife, how can a health care professional ensure effective communication?

4. If Mr. Wang prefers traditional Chinese medical treatment, how high the nurse respond?

Alberto Gonzaga isa 43 year old Cuban American male. He migrated 18 years ago with his wife and 3 year old son. Before he emigrated to the US, Mr. Gonzaga was imprinted in Cuba for political reasons. He did not complete the 20 year sentence imposed by the Castro regime and was released from jail after 12 years for good behavior. He immediately granted a US visa for himself and his family. Since his arrival, her has been an active member of the Republican Party and has participated in the local Miami area in the anti communist movement. his son is now 21 and he still lives with his parents helping them financially. he works full time and pursues a law degree in a local college. There have been several confrontations between Mr. Gonzaga and his son. the new more liberal open era has brought Cuban musicians from the island to perform in public concerts in Miami. Mr. Gonzaga is totally opposed to this. He claims that thee Communist musicians will take our money and our taxes and give it to Castro and prohibits his son from going to the concerts. Alberto states that the music has nothing to do with politics and that many of these musicians are opposed to the regime but this is a way to travel outside of Cuba and earn some money. He confronts his father, telling him. that he is an adult and he will go to the concerts despite his father's opposition.

1. How different is the Cuban population that migrated 20 years ago compared with those who arrived 5 or 6 years ago?

2. Are the children of the Cubans who arrived in the 1980's maintaining their traditions? Is their way of thinking the same as their parents?

3. What could be the consequences of the confrontations between Mr. Gonzaga and his son?

4. Is the Castro gov't still separating the family even outside of Cuba or is this situation just a matter of character?

Please provide synopsis of the scenario, then discuss questions

Answer 1

Answer

Part 1

Answer 1.

Language barrier arises to Mr.wang in accepting hospitalization and seeking treatment, as language is the key to exchange ideas , thoughts, views , etc. Mr. Wang is not able to understand what is going to be happening as he doesn't know the language spoken by the doctors.

Answer 2.

It is the responsibility of health care professionals to make patient understand each and every thing regarding cancer treatment, as the treatment and the disease itself is very depressing for the patient and his family members , nurses responsibility .

1. Listen to the patient effectively.

2. Clear his/ her doubts regarding treatment if any.

3. Be sensitive to the patient and watch the signs of anxiety.

4. Be with patient and make sure patient is not depressed or alone.

5. Maintain asepsis in handling patient .

Answer 3.

Delivering accurate information in health care regarding treatment plays a very important role for patient and health care professionals.

Before making decisions and coming to the conclusion make sure patient understood everything regarding his health and it's treatment.

It can be overcome by.

1. Bilingual staff can help in making understand the problem clearly.

2. Professional interpreter can help on solving this problem .

3. Universal symbols and sign should be used by the hospital, that is easy to understand by every one universally.

4. Establish a language bank in hospital , and train individual regarding various languages.

5. If you are using written material make sure patient understand.

Answer 4.

A nurse will respect the wish and decision of the client , if the client wants to be treated by traditional method then it's the responsibility of nurse to tell the client to consult with the physician first, physicians will discuss severity of disease and method of treatment , likewise he will clear all your doubts , and will tell you the correct and effective method of treatment.

Part 2

Answer 1.

Those who arrived before 20 years were because of economic crisis, unmet demands and other necessary needs, they were the migrants of Cuba arriving to US in order to fullfill their needs, they migrated to the US by water ways throught rafting and started doing boat lifting ,which was later declared as national crisis and both the government decided to end it. But before 5 to 6 years it has changed as migrant of Cuba to the US are considered as migrant of any other countries, and they will be removed if they will not fullfill the criteria of humanitarian relief.

Answer 2.

They are maintaining their culture in order to get some money by showing their talent , it has nothing to do with terrorism,

Their children just consider it as the form of music and a kind of art which has no relationship with politics, it's just a source of income and a way of showing talent.

Answer 3.

Consequences will be that his son will oppose him and some misunderstanding will be arises between them , as his son mentioned that it's just a music show and has nothing to do with politics.its very important for his son to make his father understand that now different criteria have made for those who do not fullfill the conditions of being humanitarian relief.

Answer 4.

The current Cuba government is still prohibiting it's citizen from returning to Cuba or going from Cuba without government order will be considered as a criminal offence.or also an individual who try to escape from cuba will be punished for 2 to 5 years , also without completing legal verification if they migrate to us they will be punished.