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Marshallese Essay

708 words - 3 pages

Marshall Islanders: Migration Patterns and Health Care Challenges
NUR 440
February 9, 2015
Susan Maxwell

Marshall Islanders: Migration Patterns and Health Care Challenges
Marshallese come from the Marshall Islands in the Pacific Ocean. “The U.S. military used some of the islands to test nuclear weapons from 1947 to 1962” (Carpenter, n.d.). In 1954, the largest atomic bomb was dropped on one of the islands, and the strength of the bomb was 1000 times stronger than the bomb dropped on Hiroshima (Carpenter, n.d.). The fall out of the radiation was felt on many of the islands (Carpenter, n.d.). The radiation has caused many health problems including tuberculosis, hypertension, thyroid ...view middle of the document...

Part of the reason for the change in diet was because of the radiation in the Marshall Islands affecting local food and the second part is a learned behavior continued when they moved to the United States. Marshallese have the highest rate of Type II diabetes in the world (Duke, 2014). Although Marshallese pay income taxes, they are not allowed to receive Medicare, Medicaid or social security benefits. Part of the culture also involves families sharing children, sisters raise children collectively across multiple households, the word for mother and aunt are the same (Duke 2014). Few insurance policies cover policyholders' nieces and nephews. Collective parenting decreases accessibility to insurance. With reduced accessibility to insurance, patients tend to wait longer to come to the emergency room to obtain help. One thing that I disagree about in this article is that it states that the "Marshallese report that they wait far longer to be seen than other patients in emergency rooms”. (Duke, 2014, para. 16). Our nurses are trained in orientation regarding the particular needs of the Marshallese people. They generally tend to be sicker when they come to the emergency room. Our triage nurses try to get them...

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