Amish and jewish
Complete the following:Amish case studyJewish Case study #1JEWISH CASE STUDY #1Selecting a “typical” Jewish client is difficult. An ultra-Orthodox Jew has a particular setof special needs. Yet, it is more commonto see a Jew who is a middle-of-the-roadConservative.Sarah is an 80-year-old woman who isa first-generation American. She wasraised in a traditional Conservative home. Her husband died after 50 years of a strongmarriage. She has three children. Although her home is not kosher, she practices avariation of kosher-style eating, avoiding pork and not making dishes that combinemeat and milk.Two months ago, she was diagnosed with pancreatic cancer. Surgery wasattempted, but the cancer was already in an advanced stage. Chemotherapy was started,but the cancer has progressed and is not responding to the medications. She is havingdifficulty eating because of the pressure ofthe tumor on the gastrointestinal tract.Discussions are being held to determinewhether or not treatments should be stoppedand whether hospice care should be initiated.Her hospital room is always filled with visitors.Study Questions1. What must you anticipate in discussing with Sarah her wishes regarding thecontinuation of medical care?2. How would you respond toher initial decision to have surgery and initiatechemotherapy?3. What questions do you need to ask inthe initial patient interview to assess herdegree of religious practice? How willyou determine her spirituality needs?4. What is your understanding of the reason she has so many visitors in her room?5. Is hospice care appropriate for this patient?6.Sarah dies with her family at her bedside. What interventions can you take at thetime of death to demonstrate religious sensitivity to the family? What questions doyou need to ask the family?7. Describe three genetic or hereditary diseases common with Ashkenazi Jews.8. Describe Jewish burialrituals and grieving process.9. Discuss the laws of Kashrut in regard tofood practices for observant Jewish clients.10.What should the health-care provider keepin mind when entering a Jewish home toprovide care?11. Distinguish between the termsSephardicandAshkenazi.12. How might a non-Jewish and a Jewish coworker share holidays in the workforce?13. What is the official languagethe Jewish people use for prayer?Version:1.0 StartHTML:000000480 EndHTML:000056317 StartFragment:000001223 EndFragment:000056285 StartSelection:000001533 EndSelection:000056285 SourceURL:https://classroom.aspen.edu/d2l/common/assets/pdfjs/1.0.0.30/web/viewer.html?file=%2Fcontent%2Fenforced%2F43768-N512-KK8-08-20-19-Sect2%2FCaseStudies.pdf%3Fd2lSessionVal%3DO5Nm1BOeK6m9JCQkWXQ46HEMK%26ou%3D43768&lang=en-us&container=d2l-fileviewer-rendered-pdf&fullscreen=d2l-fileviewer-rendered-pdf-dialog&height=1186 PDF.js viewerAMISH CASE STUDYElmer and Mary Miller, both 35 years old, live with their five children in the mainhouse on the family farmstead in one of the largest Amish settlements in Indiana.Aaron and Annie Schlabach, aged 68 and 70, live in the attached grandparents’cottage. Mary is the youngest of their eight children, and when she married, she andElmer moved into the grandparents’ cottagewith the intention that Elmer would takeover the farm when Aaron wanted to retire.Eight years ago, they traded living space.Now, Aaron continues to help withthe farm work, despite increasing pain in his hip, which the doctor advises should bereplaced. Most of Mary’s and Elmer’s siblings live in the area, though not in the samechurch district or settlement. Two of Elmer’s brothers and their families recentlymoved to Tennessee, where farms are less expensive and where they are helping tostart a new church district.Mary and Elmer’s fifth child, Melvin,was born 6 weeks prematurely and is 1month old. Sarah, aged 13, Martin, aged12, and Wayne, aged 8, attend the Amishelementary school located 1 mile from their home. Lucille, aged 4, is staying withMary’s sister and her family for a week because baby Melvin has been havingrespiratory problems and their physician toldthe family he will need to be hospitalizedif he does not get better within 2 days.At the doctor’s office, Mary suggestedto one nurse, who often talks with Maryabout “Amish ways,” that Menno Martin, anAmish man who “gives treatments,” maybe able to help. He uses “warm hands” totreat people and isespecially good withbabies because he can feel what is wrong. The nurse noticed that Mary carefully placedthe baby on a pillow as she prepared to leave.Elmer and Mary do not carry any health insurance and are concerned aboutpaying the doctor and hospital bills associated with this complicated pregnancy. Inaddition, they have an appointment for Wayneto be seen at Riley Children’s Hospital,3 hours away at the University Medical Center in Indianapolis, for a recurring cystlocated behind his left ear. Plans are beingmade for a driver to take Mary, Elmer,Wayne, Aaron, Annie, and two of Mary’s sisters to Indianapolisfor the appointment.Because it is on the way, they plan to stop inFort Wayne to see an Amish healer whogives nutritional advice and does “treatments.” Aaron, Annie, and Elmer have beenthere before, and the other women are considering having treatments, too. ManyAmish and non-Amish go there and tell othershow much better they feel after thetreatments.They know their medical expenses seem minor in comparison to the familywho last week lost their barn in a fireand to the young couple whose 10-year-old childhad brain surgery after a fall from the hayloft. Elmer gave money to help with theexpenses of the child and will go to the barn raising to help rebuild the barn. Mary’ssisters will help to cook for the barn raising, but Mary will not help this time becauseof the need to care for her newborn.The state health department is concerned about the low immunization rates inthe Amish communities. One community-health nurse, who works in the area whereElmer and Mary live, has volunteered to talkwith Elmer, who is on the Amish schoolboard. The nurse wants to learn how the healthdepartment can work more closely withthe Amish and also learn more about whatthe people know about immunizations. Thecounty health commissioner thinks this is a waste of time and that what they need to dois let the Amish know that they are creatinga health hazard by neglecting or refusingto have their children immunized.Study Questions1.Develop three open-ended questions orstatements to guide you in yourunderstanding of Mary and Elmer and whathealth and caring meanto them and tothe Amish culture.2. List four or five areas of perinatalcare that you would want to discuss with Mary.3. Why do you think Mary placed the babyon a pillow as she was leaving the doctor’soffice?4. If you were the nurse to whom Mrs. Miller confided her interest in taking the babyto the folk healer, what would you do to learn more about their simultaneous use offolk and professional health services?5. List three items to discuss with the Millers to prepare them for their consultation atthe medical center.6. If you were preparing the reference for consultation, what would you mention aboutthe Millers that would help to promote culturally congruent care at the medicalcenter?7. Imagine yourself participating in a meeting with stateand local health departmentofficials and several local physicians and nurses to develop a plan to increase theimmunization rates in thecounties with large Amishpopulations. What would yousuggest as ways to accomplish this goal?8.Discuss two reasons why many Old Order Amish choose not to carry healthinsurance.9.Name three health problems with geneticlinks that are prevalent in some Amishcommunities.10.How might health-care providers use theAmish values of the three-generationalfamily and their visiting patterns in promoting health in the Amish community?11. List three Amish values to consider in prenatal education classes.12.Develop a nutritional guide for Amish women who are interested in losing weight.Consider Amish values, daily lifestyle, and food production and preparationpatterns.13. List three ways in which Amish express caring.APPALACHIAN CASE STUDY #1William Kapp, aged 55 years, and his wife, Gloria, aged 37, have recently moved from anisolated rural area of northern Appalachiato Denver, Colorado, because of Gloria’sfailing health. Mrs. Kapp has had pulmonary tuberculosis for several years. They decidedto move to New Mexico because they heard that the climate was better for Mrs. Kapp’spulmonary condition. For an unknown reason, they stayed in Denver, where Williamobtained employment making machine parts.The Kapp’s oldest daughter, Ruth, aged 20, Ruth’s husband, Roy, aged 24, andtheir daughter, Rebecca, aged 17 months, moved with them so Ruth could help care forher ailing mother. After 2 months, Roy returned to northern Appalachia because he wasunable to find work in Denver. Ruth is 3 months’ pregnant.Because Mrs. Kapp has been feeling “more poorly” in the last few days, she hascome to the clinic and is accompanied by her husband, William, her daughter Ruth, andher 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 andweighs 92 pounds. Her temperature is 101.4°F,her pulse is regular at 96 beats perminute, and her respirations are 30 per minuteand labored. Her skin is dry and scaly withpoor turgor.While the physician is examining Mrs. Kapp, the nurse is taking additionalhistorical and demographic data from Mr. Kapp and Ruth. The nurse finds that Ruth hashad no prenatal care and that her first child, Rebecca, was delivered at home with theassistance of a neighbor. 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