MSN 5550 Health Promotion: Prevention of Disease Case Study Module 2 . Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide a citation for your answers. Deadline : Due by Thursday 13   CASE STUDY: An Older Immigrant Couple: Mr. and Mrs.  Arahan Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter, her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to the United States as a registered nurse and met her husband, a drug company representative. The older couple moved to the United States when their daughter became a U.S. citizen and petitioned them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come to the United States. The Arahans found life in the United States different from that in their home country, but their adjustment was not as difficult because both were healthy and spoke English fluently. Most of their time was spent taking care of their two grandchildren and the house. As the grandchildren grew older, the older couple found that they had more spare time. The daughter and her husband advanced in their careers and spent a great deal more time at their jobs. There were few family dinners during the week. On weekends, the daughter, her husband, and their children socialized with their own friends. The couple began to feel isolated and longed for a more active life. Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where they still had relatives and friends. However, political and economic issues would have made it difficult for them to live there. Besides, they had become accustomed to the way of life in the United States with all the modern conveniences and abundance of goods that were difficult to obtain in their country. However, they also became concerned that they might not be able to tolerate the winter months and that minor health problems might worsen as they aged. They wondered who would take care of them if they became very frail and where they would live, knowing that their daughter had only saved money for their grandchildren’s college education. They expressed their sentiments to their daughter, who became very concerned about how her parents were feeling. This older couple had been attending church on a regular basis, but had never been active in other church-related activities. The church bulletin announced the establishment of parish nursing with two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic. Here, they met.

1. MSN 5550 Health Promotion: Prevention of Disease Case Study
Module 2 .
Instructions: Read the following case study and answer the
reflective questions. Please provide rationales for your answers.
Make sure to provide a citation for your answers.
Deadline : Due by Thursday 13
CASE STUDY: An Older Immigrant Couple: Mr. and Mrs.
Arahan Mr. and Mrs. Arahan, an older couple in their seventies,
have been living with their oldest daughter, her husband of 15
years, and their two children, ages 12 and 14. They all live in a
middle-income neighborhood in a suburb of a metropolitan city.
Mr. and Mrs. Arahan are both college educated and worked full-
time while they were in their native country. In addition, Mr.
Arahan, the only offspring of wealthy parents, inherited a
substantial amount of money and real estate. Their daughter
came to the United States as a registered nurse and met her
husband, a drug company representative. The older couple
moved to the United States when their daughter became a U.S.
citizen and petitioned them as immigrants. Since the couple was
facing retirement, they welcomed the opportunity to come to the
United States. The Arahans found life in the United States
different from that in their home country, but their adjustment
was not as difficult because both were healthy and spoke
English fluently. Most of their time was spent taking care of
their two grandchildren and the house. As the grandchildren
grew older, the older couple found that they had more spare
time. The daughter and her husband advanced in their careers
and spent a great deal more time at their jobs. There were few
family dinners during the week. On weekends, the daughter, her
husband, and their children socialized with their own friends.
The couple began to feel isolated and longed for a more active

2. life. Mr. and Mrs. Arahan began to think that perhaps they
should return to the home country, where they still had relatives
and friends. However, political and economic issues would have
made it difficult for them to live there. Besides, they had
become accustomed to the way of life in the United States with
all the modern conveniences and abundance of goods that were
difficult to obtain in their country. However, they also became
concerned that they might not be able to tolerate the winter
months and that minor health problems might worsen as they
aged. They wondered who would take care of them if they
became very frail and where they would live, knowing that their
daughter had only saved money for their grandchildren’s college
education. They expressed their sentiments to their daughter,
who became very concerned about how her parents were feeling.
This older couple had been attending church on a regular basis,
but had never been active in other church-related activities. The
church bulletin announced the establishment of parish nursing
with two retired registered nurses as volunteers. The couple
attended the first opening of the parish clinic. Here, they met
one of the registered nurses, who had a short discussion with
them about the services offered. The registered nurse had spent
a great deal of her working years as a community health nurse.
She informed Mr. and Mrs. Arahan of her availability to help
them resolve any health-related issues.
Reflective Questions
1. What strategies could be suggested for this older adult couple
to enhance their quality of life?
2. What community resources can they utilize?
3. What can the daughter and her family do to address the
feelings of isolation of the older couple?

3. 4. What health promotion activities can ensure a healthy
lifestyle for them?