Maria, a 70-year-old Hispanic woman, lives with

Maria, a 70-year-old Hispanic woman, lives with her daughter, son-in-law, and granddaughter in a spacious home on the lake. She enjoys reading on the patio, walking along the river’s edge, and taking her granddaughter to the park. She is fluent in Spanish, yet understands and speaks a little English.

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Angel, Maria’s daughter, has noticed some behavioral changes in her mom that are troublesome. Her mom fell while walking to the car before they left for the restaurant and she had fallen the week before when walking into living room. Sara, Maria’s granddaughter, told her mom that she had to hold Grandma’s hand and bring her home from the park because she forgot how to get home.

Angel called the doctor and scheduled an appointment for her mom. Once Maria learned her daughter was planning to take her to the doctor Friday, she was very upset because she hadn’t been consulted first. Also, Maria didn’t have any bothersome symptoms and decided there was no reason a doctor needed to see her. All she needed was more sleep.

Maria and Angel arrived at the doctor’s office early Friday morning. The nurse brought them back to the examination room upon arrival as they were the first appointment of the day. Displeased, Maria allowed the nurse to take her weight, pulse, and blood pressure. Once the nurse was finished, she left the room and the doctor came in. While asking Maria some questions, the doctor spoke slowly and loudly as if she couldn’t hear. After the doctor learned that Maria’s understanding and speaking of English was minimal, he talked to Angel the entire time and then ordered additional tests without Maria’s consent. Maria was furious and wanted to go home.

Consider the individual, family, cultural beliefs and expectations, and ethical issues the individuals must think about as they interact with each other.