Custom and Evolved Nursing Practice

Mrs. Demetilla Hernandez is a 63-year-broken-down Cuban girl who seeks consultation at the Liberty smartly being-upkeep organization (HMO) hospital attributable to weak point, lethargy, and fatigue that she has experienced for the final 2 months. Every week ago, whereas cooking dinner at her daughter, Mariana’s rental, she momentarily misplaced her balance and slipped on the kitchen ground. Though Mrs. Hernandez sustained entirely a comfy bruise on her leg, her daughter insisted on taking her to the hospital for a study-up attributable to her persistent symptoms.

Mrs. Hernandez, widowed 4 years ago when her husband died of a heart assault, lives with Mariana, mature 40. Mariana is divorced and has three children: Luis, age 15; Carolina, age 10; and Sofia, age 7. Since stepping into Mariana’s rental, Mrs. Hernandez has been managing the family whereas Mariana is at work. Mrs. Hernandez prepares the family’s meals, attends to the children when they come residence from school, and performs gentle housekeeping chores. Mariana is employed paunchy-time as a supervisor at the local telephone firm. The family, at the delivery from Cuba, has been residing in Miami for 12 years. Carolina and Sofia were born in Miami, however Luis came from Cuba alongside with his folks when he was as soon as 3 years broken-down. Mrs. Hernandez, who would now not voice English, converses with her daughter and grandchildren in Spanish. Though the children and their mother infrequently voice English among themselves, the family’s language at residence is Spanish.

At the Liberty HMO hospital, Mrs. Hernandez was as soon as diagnosed with main hypertension and non–insulin-dependent diabetes mellitus. The physician prescribed an oral hypoglycemic drug and told Mrs. Hernandez to recount day-to-day and to limit her food consumption to 1500 calories a day. Mrs. Hernandez was as soon as fervent because she generally prepares linked outdated Cuban meals at residence and was as soon as now now not obvious whether or now now not she could tolerate being on a food plan. In addition to, she explained to Mariana, she idea the dishes she prepares are very “wholesome.” Proof of that, she acknowledged, is that her three grandchildren are plump and good-having a heed. Mrs. Hernandez told her daughter that, as a exchange of hunting for the prescribed medicine, in all likelihood she will be able to internet to peaceful trot to the botanica and internet some herbs that could lend a hand lower her blood sugar.

What are the same outdated Cuban conversation patterns it is miles a truly great to be responsive to in going by Mrs. Hernandez?
How would you lend a hand Mrs. Hernandez in establishing a plan for a 1500-calorie food plan and smartly-liked recount?
Would you abet Mrs. Hernandez to trot to the botanica to internet some herbs? How would you reach her wish to spend herbs as a exchange of the prescribed oral hypoglycemic agent?
Discuss some smartly-liked folk practices that Cuban households could spend to abet smartly being or cure smartly-liked ailments.

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