I am going to attach 4 differnt inital discussion post. I need 150 words reply f

I am going to attach 4 differnt inital discussion post. I need 150 words reply for each post each response needs to be citied. “You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts” 1 cite APA per response.
Response 1: 1.Discuss the meaning of food in the German culture
The food culture is defined and shaped by people’s language, culture, religion, geographic area, and climate of the place they live, which reveals the social and cultural differences among people. In Germany, their food has a rich culture, and they see food as a symbol of love and celebration (Purnell, 2014). German cuisine is incredibly diverse and draws on inspiration from Polish, Turkish, and Jewish cooking traditions (Heinzelmann, 2018). This discussion provides an overall view to the meaning of food in the German culture and it also discusses how a practitioner can help reduce health issues using predominant health beliefs of the German people. The natural conditions for agriculture in Germany are good, with grain being the most common crop (Heinzelmann, 2018). Food is an integral part of a German’s life, and they tend to sometimes overeat, which leads to obesity (Purnell, 2014). Children are typically rewarded with food for good behavior, and homemade desserts are used as gifts for people who have traveled (Purnell, 2014). Germans typically have larger portion sizes than Americans, and second rounds of eating are encouraged in their culture (Heinzelmann, 2018). Germany has a reputation for having rather bland and unhealthy foods. They tend to cook with many high-fat ingredients, such as real cream cheese, oil, and butter (Purnell, 2014). Bread is a mainstay in German cuisine, and the country is a leading producer of it. In fact, there are about 300 different types of bread that are produced in Germany (Heinzelmann, 2018). German food also focuses on meat, vegetables, and beer or schnapps, mostly taken after meals or during celebrations (Heinzelmann, 2018). 2.How might you help Mr. Pfiefer reduce his cholesterol level?
In order to help reduce Mr. Pfeifer’s cholesterol levels, one must first understand Mr. Pfeiffer’s culture. In this case, cultural competence is crucial since it provides a view of how people’s beliefs, culture, and race shape their behaviors and way of living (Heinzelmann, 2018). Cultural awareness can help develop an effective plan to help reduce Mr. Pfeifer’s cholesterol level and prevent associated diseases. Germans idolize food, leading to bad habits of overeating and preparing unhealthy meals. They use food to celebrate every milestone and special occasion (Heinzelmann, 2018). Preparing German food is a way for Mr. Pfeiffer to feel connected to his wife and his culture, but proper education should be given in order to help him decrease his fat intake. Mr. Pfeiffer should be educated on alternative ingredients, such as using cholesterol-free oil and cooking more dishes that require fat-free ingredients (Purnell, 2014). Mr. Pfeiffer should be educated on incorporating more cabbage, beets, and turnips in his diet, which are also significant parts of the German diet, and eat fewer dairy products and fatty meats. It would be beneficial to refer Mr. Pfeiffer to a nutritionist; this way, he can discuss what he eats in a day, and they can guide him to make more health-conscious decisions. Mr. Pfeiffer should be educated on the importance of a low-fat diet and why having a high cholesterol diet can be catastrophic for his health. Mr. Pfeifer is used to his lifestyle and the foods he eats. It will be an adjustment for him to cut back on foods high in cholesterol and eat healthier. However, with support, constant follow-ups, and encouragement, Mr. Pfeifer will hopefully be able to decrease his fat intake. Conclusion
The cuisine of Germany has been shaped not only by the country’s agricultural traditions but by the many immigrants that have made the country home over the centuries. Most German recipes focus heavily on bread, potatoes, and meat, especially pork (Heinzelmann, 2018). It is easy to see how someone of this culture can develop diseases like high cholesterol. While it is important for patients to maintain their culture and abide by traditions, it is also important for practitioners to educate them on the importance of cutting back on certain foods that can be detrimental to their health. Response 2: Food in the German culture is mostly a symbol of celebration. It’s often associated with love. Food is an integral part of a German’s life. It is served during visits and taken on trips. Loved ones that will be away are often sent with homemade cakes, cookies and jams. Children are rewarded for good behavior with food. The food prepared and consumed by Germans is typically high in fat, due to the ingredients used to prepare it. Real cream, butter, lard, bacon fat, and various gravies and sauces are common, as well as fried foods, pastries, sausages, and boiled eggs. The nutritional habits of some Germans can cause significant nutritional risks (Purnell, 2013). Germany is highly industrialized, and German suffer from many of the life-threatening diseases of other industrialized countries. Leading causes of death are heart disease, cancer, and cerebrovascular disease. The case study states that Mr. Pfiefer adheres to the traditional German diet. This diet is high in fat and explains why his cholesterol levels are elevated, this diet can also lead to obesity. Germans enjoy being outdoors. Fresh air and exercise are highly valued. Hiking, walking, swimming, tennis are all common activities for Germans. (Purnell, 2013). Mr. Pfiefer could be encouraged to become more physically active or to even join a gym, as many Germans enjoy being part of group activities. Mr. Pfiefer needs to lower his cholesterol level in order to prevent the development of heart disease. A reduction in total cholesterol is considered the gold standard in preventative cardiovascular medicine. Exercise has been shown to have positive impacts on the pathogenesis, symptomatology and physical fitness of individuals with dyslipidemia, and to reduce cholesterol level. To directly reduce LDL cholesterol and triglyceride levels aerobic exercise must be performed—something that may not be possible in individuals with a limited exercise capacity or other risk factors (Mann & Jimenez 2014). The case study does not specify if Mr. Pfiefer has any physical limitations, so performing exercise would be a good option to suggest for him lowering his cholesterol.
Mr. Pfiefer’s nutrition and diet needs to be evaluated and taken into consideration as a factor for his elevated cholesterol level. Although it is known that healthy nutrition is an important factor to prevent obesity and nutrition-related non-communicable diseases (e.g. cardiovascular diseases, type 2 diabetes and cancer), rates of these diseases in Germany as well as in many other developed countries are rising. Suggestions for Mr. Pfiefer’s diet would include swapping out certain ingredients with others and eliminating the whole milk, butter and high fat foods with healthier choices such as fruits vegetables and grains. Healthier flavorings for his food seasonings can also be suggested.
Response 3: Explain the significance of family and kinship for the Perez family.
Mexican family culture is known for its loyalty and honor amongst one another. “Familismo” is a term used to describe the value of family over individual needs within Mexican families (Purnell, 2014). Mexicans view their families as an essential safety net of help and protection. For Mexicans, God comes first, then family (Purnell, 2014). Family is the number one priority, and loyalty is exercised no matter what the circumstance. Mexican culture holds very strong family ties and is deeply rooted in tradition, honor, and loyalty (Purnell, 2014). Mexicans hold the belief that “unity is strength,” and family always comes first (Zeiders et al., 2016). The purpose of this discussion is to provide an overview of Mr. Perez’s family regarding religion, traditions, and roles of the family members in a typical Mexican household. Like a traditional Mexican household, family is very important in the Perez household. Each family member plays a vital role in taking care of Mr. Perez. Mrs. Perez provides spiritual care; his daughter, a registered nurse, is always present during significant procedures and gives her father medical advice. His other children live close by, so they can be at their parents’ house in case of any emergency. Family members and kin play a critical role when it comes to the care of the patient.
Describe the importance of religion and God for the Perez family.
Based on the prompt, it is clear that the Perez family is very religious and is highly involved in church. The Perez family trusts God and believes that he is always on their side when it comes to their health. This has played a significant role in ensuring that the family stays positive; they draw comfort in a religion where they are happy and feel less pain believing in a God that is always looking out for their best interest. Mexicans view God and religion as the most important factor in their lives. Religion is the only aspect of their lives that comes before family (Zeiders et al., 2016).
Identify two stereotypes about Mexican Americans that were dispelled in this case with the Perez family.
Two stereotypes about Mexican Americans dispelled in this case are that all Mexicans are Catholics and have a big family that usually sticks together. This was portrayed by the prompt telling us that religious items are hanging on the wall and prayer books and rosary on the coffee table. It also mentioned that the family is very involved in church and frequently prays for the family’s health. Secondly, this prompt stated that Mrs. Perez has six kids, and having a large family is also a stereotype faced by most Mexican Americans. Mexican Americans believe in the aspect of togetherness. This is portrayed by the large number of people who visit Perez’s home. In other words, is that Mexican Americans are supportive, and they value friendship and togetherness.
What is the role of Mrs. Perez in this family?
Perez plays a vital role in her family. She is the spiritual, emotional, and physical provider. As a spiritual woman, she always offers prayers on behalf of the family for God to provide her family with good health. She emotionally supports the sons and daughters when they feel like giving up when faced with challenging situations. Daughters and sons are strong when they see that their mother is still strong despite Mr. Perez’s ailment. Together with their daughter, Mrs. Perez is always present to provide physical support to Mr. Perez. The female takes responsibility for decisions.
Conclusion
Traditional Mexican family values include familism, respect, religion, and traditional gender roles (Zeiders et al., 2016). Family is only second to God and religion in the Mexican household (Purnell, 2014). Even though men are considered the head of the household in Mexican families and usually make the majority of the decision, females also play important roles in maintaining spiritual and physical health in the family. Mexican families tend to face a lot of stereotypes, especially here in the United States. Healthcare workers must be aware of these stereotypes to prevent making assumptions.
Response 4: Explain the significance of family and kinship for the Perez family.
According to the case study family plays an important role in the Perez family. Mr. Perez has six adult children with all but one living within A ten-mile radius of him. It states that the home is usually filled with family gatherings showing the strong family influence that Mr. Perez has in his life. Living as a family is something highly appreciated within Mexican society according with the World Value Poll of 2005‐2008, 94.9% of Mexicans consider the family highly important in their lives. The family plays a key role in health care among sick members of the family, both within the home or in the hospital. They are resources for their care and recovery. For political matters, the family is the most important social space being more important than the friends and work peers (Slone et al., 2006)
Describe the importance of religion and God for the Perez family.
God and religion play an important role in Mr. Perez’s life. The case study mentions that they are of Catholic religion and their faith is very important to them. They have religious items hanging on their home’s walls along with prayer books and rosaries. They pray for their health and attend mass every Sunday. The family believes their health is in God’s hands, prayer and trust in God is at the center of the family’s belief system. Identify two stereotypes about Mexican Americans that were dispelled in this case with the Perez family. Anti-immigration sentiments fuel the proliferation of stereotypical depictions of Mexicans and Mexican Americans. Although most Mexican Americans are at least partly descended from indigenous peoples, and Mexican Americans have been in the United States for many generations, they are often seen and portrayed as newly arrived cultural parasites. The stereotypical depictions of Mexicans, especially those thought to be in the United States illegally, are harsh and demeaning. They are often portrayed as illiterate criminals (Jim Crow Museum, 2020).
These stereotypes are dispelled in the case study. The Perez family has been in the United States for a lengthy amount of time. They are hardworking active members of their community. They own their home, and their adult children were American born. They all speak English and Spanish and are contributing members of society.
What is the role of Mrs. Perez in this family?
The case study states that Mrs. Perez has the role of being the spiritual, physical, and emotional care provider for the family. She will be the caretaker of Mr. Perez after his pacemaker surgery.
Conclusion
Mexican family culture is known for its loyalty and honor amongst one another. “Familismo” is a term describing the value of family over individual needs within Mexican families. Mexicans view their families as an essential safety net of help and protection. Family is the number one priority, and loyalty is exercised no matter what the circumstance Mexican family culture holds very strong family ties and is deeply rooted in tradition, honor and loyalty. Mexicans hold onto the belief that “unity is strength,” and family comes first (Purnell, 2013).