Question

Which of the following issues would cause the most concern for abuse in a 70-year-old patient who recently immigrated to the US for employment as a farm worker and is being seen for persistent headaches?

A) Language barriers affecting communication with healthcare providers

B) Limited access to healthcare services due to immigration status

C) Occupational factors and exposure to pesticides on the farm

D) Cultural differences in expressing pain and discomfort

E) Social isolation and lack of a support system in the new country

Answer 1

Limited access to healthcare due to immigration status is the most concerning issue for abuse of a 70-year-old immigrant farmworker. This issue can lead to increased vulnerability to abuse and mistreatment, considering factors like exploitation and support system deficiencies.

Step-by-step explanation:

Among the concerns for a 70-year-old recent immigrant working as a farmworker in the U.S. and experiencing persistent headaches, the most concerning issue for abuse would be limited access to healthcare services due to immigration status (Option B). While language barriers (Option A), occupational hazards (Option C), cultural expressions of pain (Option D), and social isolation (Option E) are significant, lack of healthcare access is a critical aspect that can be directly linked to an increased risk of abuse and mistreatment. Based on research like Snipes et al., and other factors such as vulnerability to exploitation, this issue would be of most concern.

Studies such as those conducted by Snipes et al. (2007) on stress among Mexican immigrant farmworkers highlight work-related stressors including injustice in work conditions and cultural adjustment. Elderly individuals have specific vulnerabilities, including the increased likelihood of abuse by caregivers, especially when isolated or subject to high stress and lack of support, as identified by Kohn and Verhoek-Oftedahl (2011).

Answer 2

Limited access to healthcare services due to immigration status would be the most concerning issue for abuse in a 70-year-old patient who recently immigrated to the US for employment as a farm worker and is being seen for persistent headaches.

Step-by-step explanation:

The most concerning issue for abuse in a 70-year-old patient who recently immigrated to the US for employment as a farm worker and is being seen for persistent headaches would be limited access to healthcare services due to immigration status. This issue can have a significant impact on their ability to receive proper healthcare and timely treatment for their health concerns.

Language barriers affecting communication with healthcare providers can also be a concern, but limited access to healthcare services due to immigration status is an even greater concern in this case.

Occupational factors and exposure to pesticides on the farm, cultural differences in expressing pain and discomfort, and social isolation and lack of a support system in the new country can all be important factors to consider, but in terms of abuse, limited access to healthcare services is the most concerning.