Reference no: EM133438426

Question

What might be some of the differences between Mark's beliefs about personal behavior and theirs.

What role do you think spoken language and other communication factors play in Mark's care for Mrs. Mendoza. Consider some general guidelines about the cultural norms of people from Latino cultures. What barriers might these differences create. What value do you think the Mendoza family might place on medical intervention to improve the health or independence of Mrs. Mendoza.

How might Mark modify his interventions, attitude, and behavior to create a more positive collaboration with this family?

Mark Stillman is a therapist who works in an urban home care setting, treating many clients who are recent immigrants to the United States, including Mrs. Mendoza, who is from Mexico. She is living with her son, daughter-in-law, and grandchildren, who treat her with great respect and patience, even though her stroke has made her care challenging. Mark speaks limited Spanish, and the family speaks limited English.

On occasion, the family is not ready for Mark when he arrives, or at other times, no one answers the doorbell or telephone, and he is unsure whether or not they are home. When they do connect, Mark wants to get to work right away because of his busy schedule, but the family always offers him coffee and food and talks with him, in limited English, about things that have nothing to do with Mrs. Mendoza. They ask what Mark considers to be personal questions and talk about many things, except for matters for which he is there. Sometimes it is hard for him to actually perform his treatments because it is a small home, and many family members are always present. After initially assessing Mrs. Mendoza, Mark had developed a plan of care for her, and he is surprised that although the family shows her love and tenderness, no one seems particularly interested in or adherent to his program, including his client.