Maria is a 38-year-old Hispanic female recently diagnosed with type 2 diabetes. She has a family history of obesity, tobacco abuse, cardiac disease, and diabetes
She and her significant other (SO) and three children live with her parents, an aunt, and several nieces and nephews in a duplex house. The family members share household responsibilities. Both she and her SO work at a local factory and their incomes are used to support the entire family. Her mother prepares traditional food and is responsible for all meal preparation. Maria always listens attentively when the provider discusses diabetes management but never makes the lifestyle changes recommended. After talking with her you suspect: 1. Maria depends on her mother to prepare daily meals and she is hesitant to make suggestions to her mother about her dietary needs since she cooks for the whole family.
2. Maria does not understand the importance of following a balanced diet and chooses to eat whatever is the easiest for her.
3. Maria may have limited money to spend on food and so relies on her mother to feed them all.
4. Maria prefers traditional food and is just looking for a reason not to change her dietary habits.
1
Rationale: In the Hispanic culture it is not unusual for the client to be unwilling to put her medical needs above the needs of family members. Assuming that she is able to speak and comprehend English, there is no indication that Maria is not able to understand the information provided to her. Since both she and her SO work at a local factory and share a house with other family members they should be able to afford food for themselves and their children or be eligible for public assistance. Dietary changes can be made while still eating many traditional foods by substituting low-fat and low-calorie traditional food alternatives.
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