Martha Brown is a 27 year-old-woman who lives in the hills of northern Kentucky in a small log cabin that has no indoor plumbing. She lives with her husband and 6 small children. The public health nurse makes a home visit after three of the children have been diagnosed by the school nurse as having lice. While the nurse is explaining the use of Rid (lice treatment) to the mother she notes, that Mrs. Brown has a persistent cough that she has had for two years. The nurse notes the cough is productive, that Mrs. Brown looks emaciated, and her color is extremely ashen. She tires easily. Although health insurance is a benefit of her husband’s job in a nearby mine, Mrs. Brown’s children were born at home, and she has never had a complete physical. When asked the reason she has not gone to a nearby free clinic Mrs. Brown replies “Sickness is God’s will, and he will cure me if he wants to. Anyway my family comes first and I don’t have the time. Besides, doctors can’t be trusted. My Aunt Jane went once, and she died the next week.”
The next 5 questions related to the case study.
Based on the fact that Mrs. Brown is Appalachian and taking into consideration the fact that every individual is unique, discuss whether Mrs. Brown is more likely to “being” orientated or “doing” orientated in regard to activity orientation.
Discuss what the relational orientation is for Mrs. Brown based on her reply to the public health nurse about the reason she has not sought treatment.
Based on Mrs. Brown’s reply to the public health and the fact she is Appalachian, what people-to-nature orientation is she likely to have?
Discuss, on the basis of Mrs. Brown’s comment and the fact she is Appalachian, what view of human nature is she likely to have?
Articulate at least three reasons why Mrs. Brown may be apprehensive about seeking medical help.
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