Adulthood
Case Study
Luis is a 52-year-old Cuban-American male who has spent the last 24 years in the human resource field. He is currently a supervisor in the billing department of a midsized hospital in the southeastern part of the United States. He worked hard to obtain a master’s degree while on the job at the hospital and always had high aspirations for himself professionally. Luis has three children from his first marriage, which ended in divorce. His first wife Anna, who is 50, works as a preschool teacher in a school nearby. Their children’s ages are 16, 20, and 22. Both older children started to attend college but may have to drop out temporarily due to financial difficulties. Luis feels that it is his responsibility to support his children’s education, and he has been paying as much of their tuition as he can afford. Luis and his second wife live in a modest home in a community close to Luis’s job and his church, where he is an active member. Luis’s second wife, Sandy, has two boys aged 12 and 14. The younger boy has a serious learning disability and needs extra tutoring and a great deal of parent support to keep up academically. Sandy works part time as a receptionist in a medical practice, allowing her the flexibility to be home when her children return from school. Luis and Sandy support each other and put their family first. Sandy’s widowed mother lives nearby and helps with the children on a regular basis.
Recently, Luis has felt that his job is becoming more complicated and demanding. He has noted a dramatic increase in the amount of paperwork required and a distinct decrease in the time allotted to meet deadlines. His supervisory responsibilities have expanded to include workers from another unit, a change that has significantly increased his workload. His long-time assistant, who had taken over the management of many daily office tasks, was recently reassigned. Luis’s lower back pain, related to a traffic accident that happened when he was younger, has taken a significant turn for the worse. He is feeling more “on edge” during the day and has resumed taking the painkillers his doctor prescribed. He worries about what would happen if he lost his job, especially with so many people depending upon him. Luis has been instrumental in introducing wellness programs for the hospital employees, and he’s even extended some programs to members of his church. However, he feels that these programs are not for him. His employees might not think he’s capable of being their supervisor if he admits to needing self-help. And, he’s always relied on his faith to get him through hard times.
Discussion Questions
1. Consider Luis’s situation: Using a scale from 1 (very low) to 10 (very high), assess his life satisfaction, level of happiness, and overall level of well-being. Identify the risks and protective factors that are present in Luis’s life story. What risks and protections are related to his midlife stage, gender, and culture?
2. What role does religion appear to play in Luis’s life? Assess the benefits and potential problems associated with this part of his story.
3. Assess Luis’s level of stress. Is it acute? Chronic? What is his way of coping? To what degree can he manage his stress more effectively, and how might you help him do this?
Case Study
Luis is a 52
-
year
-
old Cuban
-
American
male who has spent the last 24
years in the human resource field. He
is currently a supervisor in the
billing department of a midsized hospital in the southeastern part of the
United States. He worked hard to obtain a master’s degree while on the
job at t
he hospital and always had high aspirations for himself
professionally. Luis has three children from his first marriage, which
ended in divorce. His first wife Anna, who is 50, works as a preschool
teacher in a school nearby. Their children’s ages are 16,
20, and 22.
Both older children started to attend college but may have to drop out
temporarily due to financial
difficulties. Luis feels that it is his
responsibility to support his
children’s education, and he has been
paying as much of their tuition as
he can afford. Luis and his second wife
live in a modest home in a community close to Luis’s job and his church,
where he is an active member. Luis’s second wife, Sandy, has two boys
aged 12 and 14. The younger boy has a serious learning disability and
ne
eds extra tutoring and a great deal of parent support to keep up
academically. Sandy works part time as a receptionist in a medical
practice, allowing her the flexibility to be home when her children return
from school. Luis and Sandy support each other an
d put their family first.
Sandy’s widowed mother lives nearby and helps with the
children on a
regular basis.
Recently, Luis has felt that his job is becoming more
complicated and
demanding. He has noted a dramatic increase in the amount of
paperwork req
uired and a distinct decrease in the time allotted to meet
deadlines. His supervisory responsibilities have expanded to include
workers from another unit, a change that has significantly increased his
workload. His long
-
time assistant, who had taken over t
he management
of many daily office tasks, was recently reassigned. Luis’s lower back
pain, related to a traffic accident that happened when he was younger,
has taken a significant turn for the worse. He is feeling more “on edge”
during the day and has resu
med taking the painkillers his doctor
prescribed. He worries about what would happen if he lost his job,
especially with so many people depending upon him. Luis has been
instrumental in introducing wellness programs for the hospital
employees, and he’s eve
n extended some programs to members of his
Case Study
Luis is a 52-year-old Cuban-American male who has spent the last 24
years in the human resource field. He is currently a supervisor in the
billing department of a midsized hospital in the southeastern part of the
United States. He worked hard to obtain a master’s degree while on the
job at the hospital and always had high aspirations for himself
professionally. Luis has three children from his first marriage, which
ended in divorce. His first wife Anna, who is 50, works as a preschool
teacher in a school nearby. Their children’s ages are 16, 20, and 22.
Both older children started to attend college but may have to drop out
temporarily due to financial difficulties. Luis feels that it is his
responsibility to support his children’s education, and he has been
paying as much of their tuition as he can afford. Luis and his second wife
live in a modest home in a community close to Luis’s job and his church,
where he is an active member. Luis’s second wife, Sandy, has two boys
aged 12 and 14. The younger boy has a serious learning disability and
needs extra tutoring and a great deal of parent support to keep up
academically. Sandy works part time as a receptionist in a medical
practice, allowing her the flexibility to be home when her children return
from school. Luis and Sandy support each other and put their family first.
Sandy’s widowed mother lives nearby and helps with the children on a
regular basis.
Recently, Luis has felt that his job is becoming more complicated and
demanding. He has noted a dramatic increase in the amount of
paperwork required and a distinct decrease in the time allotted to meet
deadlines. His supervisory responsibilities have expanded to include
workers from another unit, a change that has significantly increased his
workload. His long-time assistant, who had taken over the management
of many daily office tasks, was recently reassigned. Luis’s lower back
pain, related to a traffic accident that happened when he was younger,
has taken a significant turn for the worse. He is feeling more “on edge”
during the day and has resumed taking the painkillers his doctor
prescribed. He worries about what would happen if he lost his job,
especially with so many people depending upon him. Luis has been
instrumental in introducing wellness programs for the hospital
employees, and he’s even extended some programs to members of his