Diverse Populations

The communities from the Latino people, including the Mexicans, Cubans, and Puerto Ricans consider families as an essential part of their existence. Familism is highly practiced among people from these three communities. Most of the people derive confidence from the level of bond within their families. The communal living also brings the members of the community close to each other that they consult each other before making important life decisions. Therefore, before taking the advice/instructions from a clinician, the members of these communities consult each other.
Cuban Case Study
The Cuban communication pattern of benefit is the need to make them trust you. As a health care worker, I need to greet them by hand or even hugs during the visits to win their trust and subsequently work with Hernandez. This is due to the culture of personalism common among the Cubans.
Cuban traditional meals commonly contain some meat and especially pork prepared in different ways ranging from roast to fries. Other traditional meals contain beans for their protein. To assist Mrs. Hernandez would entail the plan to reduce on the meats and prepare more beans for their proteins. Since the families eat together traditionally, the rest of the family can be included in the plan to make it easier for Mrs. Hernandez.
I would not encourage her to get herbs for her treatment. The strong bond and value of familism can be used as an opportunity to persuade her to take the prescribed oral hypoglycemic. Encouraging her daughter who had convinced her the medical check up to also encourage and ensure her mother takes her prescription drugs and not herbs.
The traditional practice that is common among Cubans in maintaining health is the use of herbs for the treatment of diverse ailments. The use of herbs is so prevalent that the government of Cuba has incorporated alternative herbal medicine alongside conventional medicine. The rampant use of herbs might have informed the reason behind Hernandez’s inclination towards herbal medicine for her ailments.
Time orientation for Mrs. Hernandez is a factor to be considered in planning clinic follow-up visits. The visits should be placed either the mid-morning or afternoon when she is not cooking or has to get the grandchildren. The secure attachment to the family may lead her to choose family over hospital visits when there is a clash in time.
The chronic nature of Mrs. Hernandez’s illness warrants a thorough education on health care. Considering the husband died of cardiovascular disease, and the children are also plump according, the more they need for education. The first goal is to help the family understand and appreciate the need for controlling body weight within a healthy BMI. Secondly, helping the family relate and understand how physical exercise improves cardiovascular function and prevents related diseases. Finally, the third goal is to help the family understand the risk of using any poorly understood herbs in the treatment of any illness (Suárez, 2017). Achieving the third goal in a culture-sensitive manner will be an important step in the treatment of Hernandez.
In a typical Cuban home, the family is mainly headed by the man who makes major decisions for the household and works to provide for the family. According to machismo culture, the man is the primary provider and protector of the family. When it comes to taking care of children and the home, the woman is responsible (Lindsey, 2018). There are also many instances where relatives from the extended family cooperatively stay in the same house.
Cuban Americans are more prone to lifestyle-related diseases. The three common health problems are cardiovascular disease, obesity, and type II diabetes mellitus (Suárez, 2017). The prevalence of these diseases is higher among Cuban Americans than the Cubans in Cuba.
Given the opportunity of being a health education specialist, I would teach my staff to focus on developing a collaborative partnership with the Cubans to win their trust (Shen, 2015). Shaking of hands and warm relationships with the Cubans helps them to open up; otherwise, they may not take hospital visits seriously (Shen, 2015).
Caring for children among Cubans is mainly done by the women who are with the children most of the time. The Cuban culture generally practices tough love in guiding their children through their culture. Cuban parents also use the reward-punishment way of bringing up their children (Suárez, 2017). However, when it comes to punishments, they offer many threats but do not actualize them.