Lanesha Johnson Case Story

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Listen to the Lecture and review the Learning Activity #1

Write a paper that addresses the following:

From a cultural perspective, is it unusual that Grandmother Marietta is the primary caregiver?

Discuss the ways in which Lanesha, Grandma Marietta, and Hannah Healthcare approach this situation from totally different perspectives.

Solution

Lanesha Johnson Case Story

Introduction

Social, emotional, and cultural factors play a critical role in patient care. Understanding these factors helps the healthcare provider deliver culturally competent care that meets all the needs of the patients. Besides, having a good understanding of the correlations between patient, parent or guardian decisions and actions and social, emotional, and cultural underpinning, competence helps create care plans that optimize adherence. In an analysis of the Lanesha Johnson case, it is essential to examine how cultural, social, and emotional factors influence behavior and the responsibilities of all parties in the care and adherence to medication.

Grandmother as Primary Caregiver

From a cultural perspective, it is usual that Grandmother Marietta is the primary caregiver. The role of bringing up children in the absence of the parents’ shifts to the grandparents per federal law and among community beliefs. Culturally, children are believed to belong to the extended family and, in most cases, end up being brought up by grandparents or other capable family members. Instead of foster care, family members are more willing to take care of the child, as custodial guardians. In minority communities, kin care is more common, despite the population facing higher rates of poverty, health challenges and still being active in the labor force (Choi, Sprang, & Eslinger, 2016). However, despite these limitations, cultural foundations for the black community necessitates taking care of the child rather than letting the child go into foster care.

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Diverse Perspectives

In Lanesha’s case, everyone is assuming the other party should be more responsible for refilling medicine. Grandmother Marietta expects Lanesha to be accountable for refilling the meds. Lanesha also believes that it is a grandmother’s role to refill the meds. Dealing with health issues can be a complicated process, and many patients assume it is the responsibility of caregivers to make clinical arrangements and refill medications. There is a lot of emotional distress in this situation. The grandmother is responsible for another grandkid and the elderly mom. For a grandmother, such responsibilities can be overwhelming, and she expects Lanesha to help by being responsible for the clinics and meds. The clinic also assumes that refilling meds is the responsibility of Lanesha and her grandmother. All three parties do not want to take personal responsibility or exercise collective responsibility to ensure quality healthcare. 

Lanesha’s Temperament

Lanesha suffers from multiple health conditions, including Asthma, seasonal allergy problems, nighttime coughing, wheezing, and coughing, for about four days a week. For a twelve-year-old, these conditions inform emotional factors that amplify her temperament. These health issues are a distraction to her education. She misses a lot of lessons, and now she is failing classes. Her temper most likely is a product of emotional frustration, which is making the situation worse (Meyer, Kandic, & Suitor, 2017). Understandably, her circumstances can be severe, affecting mental judgment and social behavior. Lanesha holds that her grandmother should ensure the meds are refilled, and she does not want to take personal responsibility for her health. The temper is making the situation more complicated since it can be hard to reason with her to ensure she visits the clinics regularly and that her medications are refilled. Her persistent temper affects her general decision-making and logical reasoning. Moreover, her temper impacts her social behavior, especially open communication and understanding with Grandmother Marietta regarding her health conditions and the best course of action to improve outcomes.

Responsibilities do health care providers

Regarding health issues, health care providers should work closely with their clients to enhance the quality of services. The patient, the caregivers, and healthcare providers play vital roles that impact the quality of patient care. It is the healthcare providers’ responsibility to encourage Lanesha to visit the healthcare facility more regularly and refill her medications for better outcomes. Besides, having robust policies that enable healthcare providers to meet the immediate needs of elderly caregivers and institute follow up frameworks in conjunction with social workers could help improve outcomes (Meyer, Rath, Gassoumis, Kaiser, & Wilber, 2019). These include continuous reminders concerning medicine refilling and the progress of patient wellbeing. 

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Lanesha Johnson Case Story
Lanesha Johnson Case Story

Conclusion

Kin care is an ideal alternative to parenting when the parents are not around for most African American families. The responsibility for Lanesha lies in the coordination of the healthcare institution with her primary caregiver. Engaging the grandmother on the importance of ensuring Lanesha gets her medications is one of the fundamental ways through which the issue can be addressed. Healthcare providers should work to build stronger mutual relationships with patients by maintaining close communication. Enhance health provider-patient mutuality can help medical practitioners better understand their clients and develop necessary steps and strategies to improve results.

References

Choi, M., Sprang, G., & Eslinger, J. G. (2016). Grandparents are raising grandchildren. Family & community health39(2), 120-128.

Meyer, M. H., Kandic, A., & Suitor, J. J. (2017). Grandparenting in the United States. Innovation in Aging1(2).

Meyer, K., Rath, L., Gassoumis, Z., Kaiser, N., & Wilber, K. (2019). What are strategies to advance policies supporting family caregivers? Promising approaches from a statewide task force. Journal of aging & social policy, 31(1), 66-84.

Question

For this assignment, you will learn about Lanesha Johnson, whose case story is available at http://support.mchtraining.net/national_ccce/case1/home.html

Listen to the Lecture and review the Learning Activity #1

Write a paper that addresses the following:

  • From a cultural perspective, is it unusual that Grandmother Marietta is the primary caregiver?
  • Discuss the ways in which Lanesha, Grandma Marietta, and Hannah Healthcare approach this situation from totally different perspectives.
  • How does Lanesha\’s temperament affect the situation?
  • What responsibilities do health care providers have in this situation?

Length:  2-3 pages, excluding the cover page and the reference list.

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