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Running head: CASE STUDY 1Module 3: People of African-American, European American, and Appalachian HeritageKelly McCloe, BSN, RN, CBCAspen UniversityN512 – Diverse Populations & HealthcareDr. Susan KinnearDecember 26, 2019
CASE STUDIES 2Appalachian Case study #1Over the last 50 years, migration patterns have continued to project outmigration from theregion. In the past, migration was of the working population, moving to seek work in other regions after the loss of coal jobs. However, migration has slowed for the working population and grew among the older population (Seamon, 2016). The outmigration of the elderly population can be attributed to factors related to health issues as a result of the Appalachian weather, access to health facilities and economic challenges. Besides, family priorities also play acrucial role in defining the patterns of migration among older Appalachians. The Appalachian culture also defines the interactions and approaches the Appalachian workforce takes. The culture promotes having own rules and approaches to getting the job done. In this, autonomy is highly appreciated in most tasks and an expectation within the community setups. The high-risk factors include smoking, tobacco, low physical activity, and poor nutrition behaviors (Seamon, 2017). As a result, the Appalachian region has the highest rates of obesity, cancer deaths, cardiovascular disease, stroke, hyperlipidemia, hypertension, heart attacks, and diabetes in the country. Despite the challenges, Appalachian faces the barriers of access to care, lack of health care facilities, and lack of specialty care providers, a high number of uninsured, and a lack of cultural competence among health care providers (Purnell, 2013).