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.

 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 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 

 

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