course materials

1. Assignment: Social Implications of Medical Issues
Assignment: Social Implications of Medical Issues ON Assignment: Social Implications of
Medical IssuesTo complete this assignment, read the scenario below and address the
specific questions and issues indicated. Review the SOC313 Family Document-FOUND
BELOWfor specific information on each member of the family.Grandmother Ella has had
cancer for years now and has followed alternative remedies from the time she was first
diagnosed. Ella had a period of remission; however, the cancer returned and has
metastasized to her bones, liver, and lungs. She is in the hospital after collapsing from
weakness. She is being released from the hospital as she wishes to spend her last days and
months at home. Ella has her preferences for care, though she is now so weak that she has
given up in many ways. The family members are each experiencing their own fears and are
grieving as they face the loss that will occur when Ella’s life ends. Ella feels stressed by the
discord and discomfort of family members. Assignment: Social Implications of Medical
IssuesFor this assignment, you are required to use the outline form with subtopic headers
from the Week 3 assignment. Address the following items in your work:Synthesize the
current research that is relevant to this scenario. Discuss the current practices for end of life
and palliative care from the Western Medicine as well as the Complementary and
Alternative Medicine perspectives.Comprehensively discuss the cultural and/or traditional
issues that could arise at this time. Consider how the integration of Complementary and
Alternative Medicine and beliefs, mainstream medical practices, and cultural/traditional
rituals and practices might create issues and what they might include.Describe how the
family might react to each of the following possible scenarios:Ella wishes to continue the
Complementary and Alternative practices.Ella is coerced into following mainstream medical
advice.Ella’s husband, John, insists that, as father and husband, his family traditions should
be followed.Examine the biological basis for care and describe how the choices for care
might affect the other family members with respect to their individual problems, if at all.Son
Sam, the alcoholicDaughter Lila, with Type II diabetesGrandson Josh, starting to have drug
problemsGranddaughter Lucy, bipolar with more entrenched drug problemsDaughter-in-
law, Sarah’s stress related to her family’s medical issues (son with leukemia and brother
with HIV)Discuss the micro, meso, and macro influences affecting both the patient and the
diverse family members in this scenario as impacted by Ella’s medical condition and
prognosis.What are the pertinent and likely family (micro) conflicts and differences, and
concerns that could be encountered?How is the neighborhood and extended family (meso)
reacting to the situation?Using your local area, research and discuss two community

2. resources (macro) that Ella’s needs for care and/or improve her quality of life. Evaluate
the ability of these community resources to meet the needs of this diverse family’s
circumstances adequately.Discuss the relevant medical issues and the advantages and
disadvantages of hospital versus home. In this case, when discussing medical issues use
appropriate medical terminology. Assignment: Social Implications of Medical IssuesDiscuss
the psychological and social issues that are present and will possibly be more pronounced
at this stressful time. How has the fact that this illness has been ongoing (chronic) affected
the family?Analyze the current scenario as it pertains to diversity, as well as to cultural,
psychological, and social perspectives and influences, taking into account the stories that
you have been discussing throughout the course.Discuss the impact of lifespan development
on the perspectives of the various members of the family (i.e., their intellect, cognitive
abilities, insight, and judgment) as well as their sociocultural perspectives, preferences,
understandings, and positions on the situation.The Final PaperMust be 8 to 10 double-
spaced pages in length (not including title and reference pages) and formatted according to
APA style.Must include a separate title page with the following:Title of paperStudent’s
nameCourse name and numberInstructor’s nameDate submittedMust use five scholarly
sourcesMust document all sourced material in APA style .Must include a separate reference
page that is formatted according to APA styleFAMILY DOCUMENTThroughout this class, we
will meet two families, the Maldonado’s and the Olson’s. The two families are considered
extended family via Sarah and Joe Miller. We will learn about their relationships, work
environments, and the psychosocial effects related to health challenges faced by each
family. You will use this document for the discussions and written assignments. We begin
with the Maldonado family.Manny and Donna Maldonado have been married for 42 years.
Manny is age 65 and Donna is 63. Sarah, Mike and Becky are the children of Manny and
Donna Maldonado. Sarah is the eldest daughter, followed by her brother, Mike, and her
sister, Becky.? Manny is Hispanic American and owns a 20,000-acre produce farm that has
been in his family for three generations. Although Manny speaks and understands English,
he prefers to speak Spanish. This creates a language barrier between Manny and other
family members who do not speak Spanish. Donna is fluent in Spanish, having learned the
language from Manny and his family. ? Donna works on the farm with her husband. She has
long suffered from mood swings, which is mostly frustrating to Manny. He says it is
“brujeria,” meaning her moods are caused by witchcraft and “mal d ojo” or “evil eye.” He
believes someone put a spell on Donna. When this is believed to be the case, the person will
visit a Curandero (healer) who will perform a healing ritual. o Sarah works as a nurse, and
recently took Family Leave of Medical Absence (FMLA) due to her children’s recent issues. o
Joe is the President of Illusion Technologies. Joe’s parents are John and Ella Miller. More
details about Joe are shared in the Olson family section below. ? Lucy, age 20, has a history
of severe substance use disorder, along with having been diagnosed with bipolar disorder.
In the past two years, Lucy has had four different jobs.She is unable to hold a job long-term.
She now works on her grandparent’s produce farm. ? Josh, age 17, has been sneaking away
with friends, smoking marijuana and skipping school. ? Evan, age 10, was recently
diagnosed with leukemia; however, he has not yet started treatments. Evan’s doctors have
recommended chemotherapy, radiation, and a bone marrow transplant. Sarah and Joe

3. intend to follow this treatment plan. o Mike Maldonado is age 36. He currently works for a
state University as a tenured faculty of the College of Agriculture and Life Sciences. Mike
was recently diagnosed with HIV. o Dan was Mike’s husband. He recently passed away at
the age of 38 due to an AIDS-related illness. They were married for 10 years. Mike and Dan
did not have any children. o Becky is age 33. She is divorced and working on the family
produce farm as well as attending a local college at night to complete her bachelor’s degree
in Child Psychology. She has one child, Abe. ? Abe is age 12. He is a good student, but his
behavior has changed recently, showing anger and defiance towards both of his parents and
several teachers at school. His mother, Becky, has been treating Abe’s behavioral changes
with diet and alternative medicines.Assignment: Social Implications of Medical IssuesNext,
we will meet the Olson family.Frederic Olson was married to Mary Olson. Mary passed away
10 years ago at the age of 77. Frederic is age 87. Ella is the only child of Frederic and Mary
Olson.? Fredric has pronounced symptoms from Parkinson’s disease. He has tremors and
balance problems, along with muscle stiffness and gait (manor of walking) changes. He
struggles to begin any movement. However, once he is moving, he cannot stop easily. His
gait has changed to smaller steps and shuffling. ? As he progresses through the stages of the
disease, Frederic needs increasing assistance with his activities of daily living (ADLs), which
entails bathing, dressing, food preparation, eating, taking medications, et cetera. He recently
moved to an Assisted Living community and only leaves the facility for medical
appointments. The family visits Grandpa Frederic on an alternating schedule at his new
home every week. The Assisted Living community has regularly scheduled social events in
which Grandpa Frederic actively participates. o Ella is married to John Miller. Ella and John
are both 70 years old. John and Manny Maldonado are best friends. Ella and Manny grew up
together on their neighboring farms. Ella and John recently sold their 10,000-acre farm to
the Maldonado family since the two farms were adjacent to each other. o Ella has been
trying to heal herself from breast cancer using a variety of natural means. She grew up on a
farm and was accustomed to using home remedies. Therefore, Ella is not willing to utilize
Western medicine practices. o While the alternative health care methods kept Ella in
remission for a few years, recently she learned the cancer has returned. In addition, the
cancer has metastasized to her lungs and bones. Ella has chosen to forego Western medical
treatment options such as chemotherapy, radiation, and pharmacological breast cancer
treatment medications. She has requested to live out her last days at home. Ella has agreed
to be admitted to Hospice home care, with John as her primary caregiver. Ella and John are
seeking quality palliative end of life care. o John, Ella’s husband, is of Native American
origin. He is well educated and uses Western medicine, but relies heavily on Native
American methods, such as meditation and banishing bad spirits from their home. John
speaks fluent Spanish, having learned the language as a child. o John is an attorney for the
Maldonado produce farm and his son’s company, Illusion Technologies. o John and Ella’s
children are Sam, age 50, Lila, age 45, and Joe, age 43. ? Sam is divorced and has no children.
He works as a foreman on the Maldonado produce farm. He is an alcoholic and has been
diagnosed with severe substance use disorder due to his alcohol addiction. His alcohol use
is affecting his position as the foreman. Over the past few months, he has experienced
emotional outbursts, missed work, and started arguments with the workers, third-party

4. wholesalers, and Al Goldberg (Olson family).Sam has been upset that his parents sold the
family farm to the Maldonado family instead of passing it down to him. ? Lila, age 47, is
married to Al Goldberg. She is a Social Worker for the state. Her job is very stressful as her
caseload includes at-risk children. There is a great deal of documentation required;
therefore, she works many 10 to 12 hour days. Lila is overweight and has Type II diabetes.
She has not controlled her weight or diabetes well. Recently, her doctor changed her
medication. She is now taking daily insulin injections to help manage her diabetes. ? Al, age
47, Lila’s husband, is the general manager of the Maldonado family produce farm. Al had
first option for buying the Olson family farm. He opted out of purchasing the farm and
agreed with the sale to the Maldonado family. He has no known health issues; however, due
to an early childhood trauma, he is afraid of hospitals and funeral homes. ? Alisha is Lila and
Al’s only child. She is 20 years old and is currently attending college full time on a nursing
scholarship. The college campus is an hour away from her parent’s home. She lives on
campus in the dorms, does not work at this time, and has no known health problems. ? Joe,
who is Sarah (from the Maldonado family) Miller’s husband, is the President of Illusion
Technologies, a rapidly growing company with 50 employees. He has a patent pending on
two security-based software programs that could be worth millions. He and his father are in
negotiations to purchase land to build a state-of-the-art office building. ? Sarah, Joe’s wife, is
a nurse and recently took a Family Medical Leave of Absence (FMLA) due to the health and
behavioral problems with her children. Details about Joe and Sara’s children are shared in
the Maldonado family section. Assignment: Social Implications of Medical IssuesThe family
members share a long history of friendship and love of farming. They have shared many life
events, such as holidays, births, and deaths. Their families have been intertwined for
generations through the raising of the children and grandchildren. For the most part, the
families get along well. However, even though they share some of the same cultural
traditions and backgrounds, they do clash from time to time. For instance, some of the Olson
family members are not in full agreement with Ella’s use of home remedies and alternative
treatments for her breast cancer. However, the Maldonado family understands and s her
choices. Further, Ella is encouraging Sarah Miller and Mike Maldonado to pursue
Complementary and Alternative Medicine (CAM) to treat Evan’s leukemia and Mike’s HIV.
The members of both families are dealing with very busy schedules and major health
challenges. Assignment: Social Implications of Medical Issues