Since these are all interwoven together, he may be assisted by cognitive behavioral therapy through the use of the Ethnocultural Gerontological Nursing model. This model “is used as a framework for understanding the intersection of culture, health, and aging within a Hispanic/Latino context.” (Ruiz, Phillips, Haesook, & Woods, 2016, p. 8) These three aspects must be taken into account when discussing his sadness and distress as the combined effect is creating a unique dynamic of difficulty for Papa Rafael. “About 1 to 2 percent of people over age 65 are severely depressed.” (Berk, 2014, p. 587) It is unknown how deeply unhappy Papa Rafael, so it is imperative that his level of sadness be determined early on for proper …show more content…
“The high prevalence and effectiveness of religious coping among older adults in dealing with illness and other aging-related issues suggests the privileged place of pastoral counselors in the geriatric mental health care field.” (Shim, 2008, p. 356) With the importance of family in the Latino culture, a pastoral counselor, be it a pastor or specialist, may be able to reflect more deeply on the uniqueness of the losses Papa Rafael is experiencing. The purpose is to allow Papa Rafael to properly grieve given the importance of family in the Latino culture. This may relieve some pressure he is feeling regarding how the family should be operating and aid in accepting both losses and the current family circumstances.
“Partnering with religious and spiritual community leaders as well as service providers and health industry leaders in designing interventions could dramatically improve the effectiveness of the provision of integrated health care to older Latinos.” (Hilton & Child, 2014, p. 28) By combining both mental health and spiritual care, Papa Rafael may have a much better chance at resolving his present issues.
Depending on the Papa Rafael’s preference and level of comfort, treatment could occur at home, at the local parish, or in a professional counseling setting. A pastoral counselor may be able to recognize other spiritual needs and provide services for those as well. The health organization