Complete a genogram and ecomap for the following case study Case…

Question Answered step-by-step Complete a genogram and ecomap for the following case study Case… Complete a genogram and ecomap for the following case studyCase Study: Martinez-Valdez Family © Cynthia Beckett, 2000As the community health nurse in this area, you have been asked to work with Maria and her family as a care/case manager. Maria has been diagnosed with hypertension and type II diabetes. You are also concerned about Elena’s pregnancy and the overall health of the family. Below is the information you have regarding Maria and her family.The Martinez-Valdez family lives in a rural area of Arizona bordering Mexico. They live in an old 4-room farmhouse and 2 older travel trailers near the fields in which they work. Members of this extended family include Jose and Maria Martinez, a married couple in their 60’s, who live in one of the travel trailers. Jose and Maria are trying to decide if they will ever be able to stop working and retire. Their daughter Alma Valdez, age 40, is a single divorced mother of 18-year-old Jorge, 16-year-old Elena, and 13-year- old Anna. Elena is 2 months pregnant with her first child. Jorge and his girlfriend Rita, also 18-years-old, are the parents of 6-month-old Sylvia and Jorge, Jr. Jorge and Rita and their children live in the other old travel trailer. Five members of the family smoke, including Jose, Maria, Alma, Jorge, and Elena. The house and trailers are not connected to water or sewer systems. Water must be hauled from a local well near an abandoned mine, or it is gathered from the runoff in the irrigation ditches of the nearby fields. It is stored in a variety of large plastic containers they have gathered from around the fields. Electricity is not available, but propane and kerosene are used for cooking and lights. Wood and coal are burned in stoves for heat. The house and trailers are located adjacent to a large agricultural area, where family members work intermittently in the fields. Every two weeks the family must leave the area for several hours at a time while pesticides are applied to fruit and vegetable crops from the air. Several cats are encouraged to stay around the house and trailers to help minimize the rodent population that regularly “visits” from the fields. The family keeps a diary cow and a few chickens to supplement their diets with fresh milk and eggs. Fresh fruit and vegetables are rarely eaten, unless they are occasionally consumed while working in the fields. Convenience foods at a nearby gas station are the only readily available foods for the family. Once a month they receive commodity foods at a community center. Because of a language barrier and deep beliefs in traditional healing methods, the family has avoided health care for anything but absolute emergencies. No one in the family has been vaccinated. A local lay midwife delivers their babies, with the assistance of female family members. Herbal remedies from a curandera are used to treat illnesses. The family is very close and shares in the parenting role for the children. This creates a strong intergenerational influence on the children. The family is also very religious and attends the Catholic Church every Sunday. A feeling of “community” with other farm worker families is strong. When there are emergencies, or difficult times, within this community the families pool resources and support for each other. Even though the family has a strong work ethic, education to improve status and opportunity is encouraged for the children in the family. Both Jorge and Rita have graduated from high school. Rita would like to go to college to become a teacher, but finances are not available from the family.   Health Science Science Nursing NURSING 101 Share QuestionEmailCopy link Comments (0)