Caleb McBride Caroline Acquistapace Assessment Maria Lopez 43 yo Mexican female Height 53 Weight 165 lbs BMI 29 IBW IBW 115 IBW 143IBW Complains of dizziness dehydration nausea and vomiting ID: 417653
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Slide1
Mexican Culture
Caleb McBride
Caroline AcquistapaceSlide2
Assessment
Maria Lopez
43 y/o Mexican female
Height: 5’3”
Weight: 165 lbs
BMI: 29
IBW/ %IBW: 115 IBW / 143%IBW
Complains of: dizziness, dehydration, nausea, and vomiting
Patient History: Married, five children who live at home and her mother-in-law lives with her, recently migrated to Texas from Mexico, works for minimum wage with her husband
Fluid Intake: < 720 mL a day Slide3
Diagnosis
Inadequate fluid intake related to exhaustion and stress as evidenced by dizziness, dehydration, nausea, vomiting, and intake of <720 mL of fluid daily. Slide4
Intervention
IV Fluids
Nutrition Education on Fluid and Energy Requirements
Goal to reach 2134 mL of fluid daily
Goal to reach 2134 kcal daily Slide5
Monitoring and Evaluation
Monitor Oral Fluid Intake with 24hr Recall
Food derived fluids
Water/liquid intake
Monitor Maria’s goal of 2134 mL of Fluid and kcalSlide6
Mexico Slide7
Religion
90% Catholic
Pre-Hispanic Mayan
Muslims
Jews
BuddhistsSlide8
Values
Hierarchy
Large Families
Parties
Machismo
AuthoritySlide9
Holidays
Feast of Our Lady of Guadalupe
The Day of the Dead
Carnivals
Independence DaySlide10
Clothing
American and European
Hiupiles
Rebozos
Sarape
Celebrations/Special occasionsSlide11
Art & Literature
Pottery
Garments
Baskets
Rugs
Mariachi
JaliscoSlide12
Common Foods
Breakfast
Lighter Meal
Huevos Rancheros
Café de olla with Sweet Bread
Lunch
Biggest meal of the day
Soup or salad as appetizer
Poultry or Seafood served with tortillas, rice, and beans
Dinner
Smallest meal of the day
Tacos or soup Slide13
Beliefs about Food
Day of the Dead
Sweet bread
Nourishes the spiritual travelers
The dead love sugar
Chocolate
Aztecs
Bridge between heaven and earth
Sugar Skulls
Symbol of love
Slide14
Health Beliefs
Home Remedies
Herbal Teas & Spiced Teas
Care from the Community
Neighbors
Relatives
Seek Other Healers
Yerbero
Curandero
Slide15
Health Beliefs
Four Humors
Blood
Yellow bile
Phlegm
Black bile
Empacho
Mal de Ojo
Envidia
Susto Slide16
Healthcare
Public institutions
Mexican Federal Government
Private entitiesSlide17
Health Status
Life expectancy
73-79
BMI
1.4% <18.5
71.9% >25
31.5% >30
Diabetes
Heart diseaseSlide18
Acculturation
May affect Health Conditions
Type 2 Diabetes
Associated Risk Factors with various diseases
Anorexia Slide19
Counseling
Verbal Communication
Courteous and respectful
Silence
Proper conjugation
Nonverbal Communication
Eye contact
Physical contact
Include family in treatment Slide20
Conclusion
In general, Mexican cultures value large families and treat each other with courtesy and respect. They are a very spiritual culture and believe that your actions determine your health, good or bad.
In counseling, it is important to remember that the Mexican culture values personal space and the opinions of their family members. Slide21
References
I. Zavala, personal communication, April 9
, 2014
Mexico-Language, Culture, Customs, and Etiquette. (2013). Retrieved from:
www.kwintessential.co.uk/resources/global-etiquette/mexico-country-profile
Traditional Mexican cuisine – ancestral, ongoing community culture, the Michoacan
paradigm.(2010).
United Nations Educational, Scientific, and Cultural Organization.
Retrieved from:
www.unesco.org/culture/ich/RL/00400
U.S. Department of Health and Human Services, Center for Disease Control and
Prevention. (2008). Overview of Mexican culture.
Promoting Cultural Sensitivity: A Practical Guide for Tuberculosis Programs that Provide Services to Persons from Mexico
(2).
Retrieved from:
www.cdc.gov/tb/publications/guidestoolkits/ethnographicguides/Mexico/chapters/chapter2.pdf
.
Warren, C.S., Catillo, L.G., & Gleaves, D. (2010). The sociocultural model of eating
disorder in Mexican American women: behavioral acculturation and cognitive marginalization as moderators.
Eating Disorders 18
(1), 43-57. doi: 10.1080/10640260903439532