Select one of the following case studies:

Scenario One: Sachiko IkedaSachiko Ikeda is an 84 year old, Japanese-American woman who lives in a small rural community in Eastern Pennsylvania. Mr. and Mrs. Ikeda moved to the United States when Mrs. Ikeda was 30 years old. Mrs. Ikeda is a former elementary school teacher. She is widowed and lives alone in her house that has paid off. Mrs. Ikeda’s three children live in New York (approximately three hours away).  Mrs. Ikeda has a modest income; she receives support from her teacher’s pension and Social Security. Mrs. Ikeda’s health is generally very good; she does not have a primary care physician at this time. About 10 years ago, she was told that she has macular degeneration. Mrs. Ikeda enjoys visiting museums and going to the theater. She now takes the bus to and from these locations as her eyesight is not what it used to be.

Scenario Two: John HunterMr. Hunter is a 65 year Native American man who grew up on the Pine Ridge Indian Reservation in South Dakota. There is extreme poverty on the reservation. Mr. Hunter has diabetes and in the past often had difficulty getting to his medical appointments. Mr. Hunter’s daughter drives him to more than 100 miles to Rapid City to see a specialist. Mr. Hunter’s primary income comes from his part-time work as a technician who services electrical appliances. The amount of support Mr. Hunter receives from Social Security is limited due to the types of work Mr. Hunter did over his life-time.

Scenario Three: Sam LevySam Levy is an 83 year old African American man who lives in rural South Carolina. Mr. Levy lives with his wife. They recently celebrated their 50th wedding anniversary.  The Levy’s four children all live in the same community. The Levy’s live in a modest one bedroom home that is need of many repairs. Mr. Levy worked as a carpenter for 50 years before retiring at age 70. Their sole income is from Social Security. The Levy’s receive meals and some financial assistance for utilities from their local community center and their church congregation. Mr. Levy suffers from hypertension and diabetes and is not able to afford to take the medications as prescribed. He often skips medications to save money. Mrs. Levy suffers from Alzheimer’s. The Levy’s children take turns caring for Mr. and Mrs. Levy.

Scenario Four: Maria RuizMaria Ruiz is a 72 year old Mexican-American female living in a small Southwestern community. Ms. Ruiz and her partner recently celebrated their 25th anniversary. While Ms. Ruiz’s partner is employed full time, Ms. Ruiz is retired.  Ms. Ruiz worked as a nurse for over 30 years, receives a monthly pension in addition to the modest amount of money she set aside in her 401K account. Ms. Ruiz is growing increasingly dependent upon her partner for transportation to appointments, shopping, and managing finances. Ms. Ruiz is aware that she is becoming more forgetful and sometimes has trouble finding the right words to say. Ms. Ruiz knows that she will need more formal care in the future. Ms. Ruiz and her partner are concerned that they will not be able to find an assisted living community that will be supportive of their relationship and allow them to see one another.

After reading the case study and reviewing each chapter of the book, answer the following questions as they relate to the individual from your scenario:

Writing the Final Paper

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

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