Male, migrant worker who speaks limited English
Jose is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged.
Initial Post
Male reproductive disorders can make a great impact on the patient’s life. Based on the case study, answer the following questions in your discussion post.
Discuss the potential disease processes and signs and symptoms related to the disease process that Jose may be exhibiting?
How would you provide multidimensional care to include cultural, psychosocial, spiritual, physical, and emotional needs for Jose?
Reply Post
Discuss three potential barriers that you would anticipate when providing care to Jose based on his age and culture.
Provide an example of how you would overcome each of the three barriers through the implementation of multidimensional care strategies.
Sample Solution
In the case of Jose, there are several potential disease processes that he could be exhibiting. The most likely diagnosis is benign prostatic hyperplasia (BPH), which occurs when the prostate gland enlarges and presses on other parts of the urinary tract, leading to symptoms such as edema of the scrotum, urinary retention, and hematuria. Other potential diseases include prostatitis, an inflammation or infection of the prostate; prostate cancer; and bladder stones.
The primary care provider should take a holistic approach when caring for Jose’s condition by addressing his physical needs while also taking into account his cultural background and providing psychosocial support. In terms of cultural considerations, it is important to understand any unique beliefs or values that may influence how Jose perceives his medical treatment plan (e.g., dietary restrictions). Additionally, because English is not Jose’s first language – he may need extra time for communication with providers so that all instructions can be thoroughly understood.
When it comes to providing psychosocial support for Jose – it is essential to consider both patient-provider communication as well as any economic or family issues contributing to his current situation (e.g., limited money due to financial stressors from supporting five young children) (Blackley & Chlebowy, 2017). Furthermore, depending on where in life stage he is at – spiritual guidance will likely play a role in helping him cope with this health condition if needed.
In regards to physical care needs – treatments will vary depending on what exact diagnosis has been determined after further lab work and/or imaging studies have been conducted. If a diagnosis has been confirmed then medications such as alpha blockers would typically be prescribed along with lifestyle changes around diet and exercise in order to help manage symptoms over time (Cohen et al., 2016).
Overall, taking a multidimensional approach when caring for Jose’s condition provides the best chance at successful outcomes while also ensuring his individual needs are taken into account throughout treatment decisions.
