MSN 5550 Health Promotion: Prevention of Disease Case Study Module 2 Instructions: Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed. Due: Saturday by 23:59 pm

CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan

Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter, her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to the United States as a registered nurse and met her husband, a drug company representative. The older couple moved to the United States when their daughter became a U.S. citizen and petitioned them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come to the United States. The Arahans found life in the United States different from that in their home country, but their adjustment was not as difficult because both were healthy and spoke English fluently. Most of their time was spent taking care of their two grandchildren and the house. As the grandchildren grew older, the older couple found that they had more spare time. The daughter and her husband advanced in their careers and spent a great deal more time at their jobs. There were few family dinners during the week. On weekends, the daughter, her husband, and their children socialized with their own friends. The couple began to feel isolated and longed for a more active life. Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where they still had relatives and friends. However, political and economic issues would have made it difficult for them to live there. Besides, they had become accustomed to the way of life in the United States with all the modern conveniences and abundance of goods that were difficult to obtain in their country. However, they also became concerned that they might not be able to tolerate the winter months and that minor health problems might worsen as they aged. They wondered who would take care of them if they became very frail and where they would live, knowing that their daughter had only saved money for their grandchildren’s college education. They expressed their sentiments to their daughter, who became very concerned about how her parents were feeling. This older couple had been attending church on a regular basis, but had never been active in other church-related activities. The church bulletin announced the establishment of parish nursing with two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic. Here, they met one of the registered nurses, who had a short discussion with them about the services offered. The registered nurse had spent a great deal of her working years as a community health

nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related issues.

Reflective Questions

1. What strategies could be suggested for this older adult couple to enhance their quality of life? 2. What community resources can they utilize? 3. What can the daughter and her family do to address the feelings of isolation of the older couple? 4. What health promotion activities can ensure a healthy lifestyle for them?

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MSN5550 Health Promotion: Prevention of Disease

Case Study Rubric

Criteria Unsatisfactory-Beginning Developing Accomplished Exemplary Total

Ideas, Arguments, & Analysis

0-30 points 35-39 points 40-44 points 45-50 points /50 Ideas expressed lack an understanding of the case study. Comments are irrelevant, off-topic, and/or confusing to follow. Viewpoint, if given, is not supported with evidence or examples.

Ideas expressed in case study show a minimal understanding of the topic. Comments are general in nature and/or occasionally may not be relevant. Rehashes or summarizes ideas with limited analysis, original thought, and/or supported viewpoints.

Ideas expressed in case study are mostly substantive and relevant to topic; some original thought. Demonstrates logical thinking, reasoning, and/or analysis for most part. Viewpoint is supported with evidence and/or examples.

Ideas expressed in case study include original thought, substantial depth, and are relevant to topic. Responses show strong logical thinking, reasoning, and analysis with evidence and examples. Construction of new meaning and insights are evident.

Connection to Course Materials

0-13 points 14-15 points 16-17 points 18-20 points /20

No connections are made to readings or other course materials (lectures, media, resources, etc.), and/or if made, are not clearly stated and are largely personal opinions.

Minimal direct connections are made to readings and/or other course materials (lectures, media, resources, etc.). Connections are largely inferred and somewhat unclear at times.

Some direct connections are made to readings and/or other course materials (lectures, media, resources, etc.) and are clearly stated for the most part.

Strong, direct connections are made to readings and/or other course materials (lectures, media, resources, etc.) and are clearly stated.

Content and Pedagogical Knowledge

0-13 points 14-15 points 16-17 points 18-20 points /20 The case study response displays a lack of comprehension of the assignment.

The case study responses

are partially addressed.

There are components of

the assignment not

addressed.

The case study response demonstrates comprehension of assignment expectations, however, is missing responses to some of the case study questions.

The case study response demonstrates comprehension of assignment expectations and includes the essential components of the assignment.

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Case Study Rubric (continued)

Criteria Unsatisfactory-Beginning Developing Accomplished Exemplary Total

Writing Quality

0-6 points 7 points 8 points 9-10 points /10

Responses to case study show a below average/poor writing style that lacks standard English, and/or is difficult for readers to follow. Contains frequent errors in grammar, punctuation, usage, and spelling.

Responses to case study show an average and/or casual writing style using standard English that is generally clear but contains some errors in grammar, punctuation, usage, and spelling.

Responses to case study show above average writing style that is clear using standard English with minor errors in grammar, punctuation, usage, and/or spelling.

Responses to case study are well written and clearly articulated using standard English, characterized by elements of a strong writing style with correct grammar, punctuation, usage, and spelling.

TOTAL POINTS (sum of Criteria) /100

Source: Rubric by Denise Kreiger, Instructional Design/Technology Services, SC&I, Rutgers, 3/2014