Biography
Interests
Lisa Marie Portugal
Department of Health & Wellness, College of Education, USA
*Correspondence to: Dr. Lisa Marie Portugal, Department of Health & Wellness, College of Education, USA.
Copyright © 2018 Dr. Lisa Marie Portugal. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The PEN-3 Model Cultural Framework can be used to design culturally specific, locally relevant health intervention and prevention programs to educate communities. This health intervention and prevention involves educating Hispanic females and males between the ages of 15 to 32. The health and wellness program design involves educating this group about the use of marijuana and its damaging effects on the body leading to mental illness, Diabetes, Cancer, lung and other organ damage, obesity, cognitive disorders, lowered IQ and EQ (emotional quotient), and various other damaging effects. Finally, a summary of the PEN-3 Model Cultural findings is discussed and analyzed to help health educators, practitioners, and advocates serve and address the needs of the target population.
Introduction
The PEN-3 cultural model can be used to assess marijuana use in the target population. The following
components can identify themes in a practical approach to behavioral change through active participation:
(1) cultural health behaviors, (2) data collection, (3) analysis, and (4) pattern recognition [1,2]. The PEN-3
cultural model can be used as a qualitative and quantitative methodology heath assessment tool. PEN-3
assists health educators to actively engage the community through collaboration of health professionals with
educational and scientific support [1,2].
Objective
• Use a systematic approach to assess influences on the health behaviors of target populations.
According to (Cowdery, Parker, and Thompson, 2010) [1]:
“Strategies that only emphasize individual change neglect an important aspect of ethnic populations,
collectivism. Therefore, using more mainstream messages without addressing significant influences of the
ethnic culture such as heritage, life experiences and cultural beliefs may act as a disincentive in disease
prevention (Airhihenbuwa & Pineiro, 1988; Airhihenbuwa, 1992). Focusing on cultural influences and
the integration of cultural beliefs and experiences along with providing culturally sensitive messages by
culturally competent educators may prove to be a more effective strategy for addressing minority health
issues, particularly among minority populations” (p. 27).
Health educators can focus on interventions that include the following components: (1) cultural understanding, (2) sensitivity, and (3) relevance.
Pen-3 Model in Action
Part 1: PEN-3 Model Completion
This case study sought to understand the affects of culture, social norms, beliefs, values, ideology, and practices
influencing health behaviors related to marijuana drug use in the target population. In addition, the researcher
questioned participants about: (1) perceptions regarding marijuana, (2) cultural and/or social taboos (if any)
related to marijuana, (3) views regarding marijuana drug use by self or others, and (4) how much and how
often self or others use marijuana. The researcher randomly chose 15 families (nuclear and extended family
members) to interview using qualitative questioning methods. The interviews were composed of a series of
guided questions, were conducted in-person and by telephone, and were electronically audio-tape recorded.
Transcription services were used to document the interviews to ensure accuracy.
The diversity study revealed heavy marijuana abuse in the target population at all ages i.e. youth, adults, and
elderly in the Boomer generations within most families. In addition, many family members viewed marijuana
use as recreational similar to alcohol use. Although some family members expressed that marijuana use can
be frowned upon within the family circles, and that marijuana use is an illegal drug, nonetheless, many stated
they enjoy using. Some stated they know it is a problem in their lives, others stated they do not care if it is
viewed as a problem, while others did not see a problem with their use whatsoever. Some also mentioned
that marijuana use should be legalized. When asked if they were aware of mental, physical, and spiritual
health problems associated with marijuana use, most were unaware. Some family members, i.e. more often
the caretakers, mothers, grandmothers, grandfathers, and seniors past the Boomer generation did view
marijuana use as negative and unhealthy. That was an important finding since patriarchal, matriarchal, Most who use marijuana were clearly over-weight and/or obese, and when questioned about food consumption,
most eat poorly (i.e. GMO foods, grocery store non-organic snacks, pre-made-boxed grocery store meals,
fast food restaurants, low natural foods-vegetable diet, high processed sugar diet, high Glyphosate grains
diet). Most, if not all family members questioned, were not aware of: (1) the GMO (genetically modified
foods) crisis, (2) the Glyphosate crisis, (3) grocery store, non-organic foods crisis, and (4) the fast food
restaurant fake-food crisis in Western nations. Family members who do use marijuana, understood that
“the munchies” typical of marijuana use (consumed with overeating), does add to their weight gain. But,
none were aware of the food crisis in America and how overeating, in the areas mentioned, leads to Cancer,
Diabetes, Lupus, dementia, Alzheimer’s, and early death. This was another important finding where health
educators can design culturally-targeted programs to address this lack of knowledge specifically and the tiein
with marijuana use.
The researcher’s own experience and case study observations with this health challenge is that she has known
many individuals throughout her life who have been negatively affected by marijuana use. Over time, she has
witnessed their physical and mental health decline and illnesses manifest such as Cancer, Diabetes, Lupus,
obesity, heart conditions, lung conditions, lowered IQ and EQ (emotional quotient), cognitive disabilities,
mental illness, demonic possession, many other health problems, incarceration, destroyed relationships, and
death. In fact, one cousin passed away recently and had all the conditions mentioned and he was a chronic
marijuana abuser all his life. He passed away too early and too young in mid-2018. This is merely one
example; the researcher has many more not discussed here. In addition, the researcher has witnessed the
mental decline, severe mental illness, and demonic possession of many marijuana users over time as well.
Although, marijuana is being touted as a “cure-all” for every health concern and illness these days, it does the complete opposite of all those claims. Whether the drug is used for smoking, religious purposes, marijuana essential oil, or eaten, all the affects are the same and not only damage the body physically, but also mentally and spiritually. There are many studies being faked today claiming marijuana oil is a cure-all or marijuana leaves can be used in food and smoothies as a cure-all as well. There is a nefarious shadow government agenda behind the marijuana push as “medicine.” In addition, the wide-spread marijuana “medicinal” retail businesses opening on every street corner in Westernized societies today are part of this nefarious, shadow government agenda to push marijuana use on the public.
The Hegelian Dialect here is that the government is against marijuana and “hiding” it’s medicinal properties from the public purposefully. Yet, the government is allowing these fake “medicinal” marijuana retail businesses are on every street corner in Westernized nations. This creates a dialectic in the minds of the public by allowing them to be socially engineered to believe “if the government is hiding marijuana as medicine, then I want to use marijuana more.” If the government does not want people using marijuana and if they are “hiding” it’s medicinal use, then why does the government allow “medicinal” marijuana businesses on every street corner available for public use? That is how Hegelian Dialectic works.
There is another claim that Hemp seeds cure Cancer. Many essential oils (astringents) have been used for centuries to cure Cancer and other illnesses. The purchase of essential oils is legal and does not require a government marijuana card that is used to list, document, and remove rights of citizens by the government. A government marijuana card is another Hegelian Dialectic requiring individuals to go to the government for cures, aid, and help. The government is not necessary in the detoxing of Cancer and other illnesses. That can be done by individuals without government intervention or the loss of civil gun rights as written into the U.S. Constitution. An illegal law was created in the U.S. to allow the government to confiscate one’s gun rights if one has signed up for a government marijuana card. This is the encroachment and intrusion of nefarious government agents within the U.S.A. using the marijuana conversation as the Hegelian Dialectic tool to channel that agenda. Furthermore, a government marijuana card also lists and documents individuals as not having the proper mental capacity to care for oneself. This makes individuals easily subjectable to any government “intervention,” vaccination, medical kidnapping, or imprisonment the government chooses to do to those documented and listed marijuana users.
The claim that Hemp seeds can cure Cancer and other illness might be valid as the use of essential oils, apricot seeds, peach seeds, and many other natural ingredients DO detox Cancer and many illnesses. But, the problem here is that the government, in cooperation with allopathic medicine, pharmaceutical companies, the Department of Agriculture, and Monsanto have been experimenting with GMO’s (genetically modified foods and seeds) for a very long time. This information is published and easily assessable to the public if one chooses to look for it. Do you really trust getting Hemp seeds from these nefarious agents knowing that they genetically modify seeds and food? If one has to go to government agencies (and undercover agencies perpetrating non-government involvement such as the marijuana retail businesses) to purchase Hemp seeds (or Hemp seed oil), those seeds very well could be genetically modified with substances unknown dangerous, and toxic to the public.
There are many ways to detox the body, mind, and spirit that are natural, healthy, and positive. Marijuana use, government intervention, marijuana “pots cards,” allopathic medicine, pharmaceutical drugs, and secular psychiatric - psychological services are not the answer. There are many claims made in each of those nefarious Hegelian Dialectic areas - all are false. If individuals choose to believe marijuana can be used as medicine, go right ahead, they will experience most, if not all, of the health problems mentioned here as well as the legal issues discussed. Learning the hard way does unfortunately teach individuals through physical and mental illness, homelessness, destroyed family relationships, incarceration, civil rights confiscation, government intrusion, demonic possession, and death.
The job of health educators and practitioners is to reach those individuals who are willing to hear the truth. For those who want to follow the lies and remain in his or her ignorance, he or she will learn some very hard lessons in life going down that path. Hard headed, insolent, naïve, uneducated individuals who wilfully turn away from the truth learn very hard knocks in life. That is how we all learn – free-will. Do as one chooses to his or her body and individuals all earn the logical conclusions to his or her choices in life. Finally, the comments and research expressed here have nothing to do with a moral judgment on individuals. The comments and assessments are made solely from knowledge, research, historical facts, and observational case study experiences. The researcher makes no moral judgments on what individuals choose to do. The researcher merely presents the facts, educates, and allows individuals his or her own free-will choices to make.
When individuals decide to debate from a moral judgment perspective, the researcher passes as this study is not based on a moral judgment, but rather from a health assessment perspective rooted in facts, history, and case study experiences and observations. The message is not for individuals who want to challenge, justify, and rationalize their drug use. The message is for individuals who want to question and learn more about their unhealthy, dangerous habit or the habit of those they love. Likewise, the intention here is not to challenge or morally judge individuals who want to continue on in their drug use.
Cancer, Diabetes, Lupus, and all illness can be detoxed in many natural ways using natural foods, seeds,
essential oils, more non-GMO organic plant food in diet, no processed sugar intake, no processed foods
from the grocery store, no fast food restaurants, and many other ways not listed here, but easily researchable.
When mice implanted with cells of a particularly deadly, fast-growing human breast cancer were treated
with the flavonoid apigenin, the cancerous growth slowed and the tumors shrank [10].
Apigenin may even be one reason why drinking chamomile tea has been found to reduce thyroid cancer risk by up to 80 percent. Interestingly, the compound was also found to bind to 160 proteins in the human body, which suggests it has far-reaching health effects [10].
Additionally, treatment of cells with apigenin or quercetin inhibits CD38 and promotes an increase in intracellular NAD+ levels. CD38 is the primary enzyme that lowers NAD+ levels, so by inhibiting it, NAD+ levels are increased [10].
Onions and garlic are also rich in flavonoids, including quercetin, which inhibits the growth of cancer cells. Unlike anthocyanins, which had no effect on lung function in smokers, quercetin has been shown to reduce the risk of lung cancer in smokers. It also reduces your risk of heart disease, lowers blood pressure, relieves symptoms of interstitial cystitis and reduces symptoms of prostatitis [10].
While this is certainly not an exhaustive list, to naturally increase the flavonoids in your diet, consider eating
more of the following foods:
iHealthTube.com (2018, June 23). Beat Cancer with These Foods! (Video)
https://www.youtube.com/watch?v=17DDaapXBhs
Whether or not you use a ‘traditional’ form of cancer treatment, there may be some foods that can help as well. More specifically, chemicals in the foods that can help. Dr. Patrick Quillin discusses these chemicals, where they can be found and how that can translate into benefits for our body.
Alcohol and drug abuse can have a devastating, lasting, and permanent negative impact on the wellbeing
and health of youth [11]. Ultimately, ties should be cut with negative influencers, enablers, and the supply
source - and if any signs are recognizable of unhealthy addictions, action should be taken immediately. Drug
and alcohol abuse starts very early for most individuals who live in modern Westernized countries. Although
drugs and alcohol have always been available throughout centuries, these substances are easily assessable to
everyone, even children, in modern cultures. In older cultures, communities, and societies, drugs and alcohol
were not as easily assessable and individuals were not bombarded everywhere with social messaging as they
are in modern societies. Adults, children, and seniors can get access to drugs and alcohol everywhere and
allopathic doctors regularly prescribe drugs to all groups as well.
The opioid, anti-depressant, and psychotropic drugs epidemic is supported by allopathic doctors and pharmaceutical companies today. This problem is entrenched in all Westernized, modern societies today. Furthermore, many adults see nothing wrong with drinking alcohol heavily, prescription drugs, street drugs, and marijuana use. Many adults, seniors, and children are on these mind altering, mood altering, damaging, toxic, prescription drugs and the “prescription” gives individuals the notion that it is “ok.” The prescription also gives individuals the fallacy that it is “medicine” because a doctor prescribed it. Many individuals and children are addicted junkies and they do not even know it or would not believe it if it was explained it to them. Westernized, modern populations live in an infused drug and alcohol society and individuals have been indoctrinated to believe their actions, choices, behaviors, and lifestyles are normal.
The “make all drugs legal” conversion and the “make pot legal” conversation that never ends is especially designed to mind-control and mind-change values, morality, concept of health, and change how man views himself. These Hegelian Dialectic conversations in the public are not an accident or organic in any way.
These conversations are always in the public sphere because nefarious government agents want those conversions in the public sphere. This is how those nefarious agents “change how man views man” or change how “man views himself.” In other words, the purpose and agenda for this Hegelian Dialectic is to alter the views society has about drugs, alcohol, prescription drugs, street drugs, and marijuana use. The purpose is to make individuals feel more comfortable with believing it is ok and normal to use and abuse. THAT is the purpose of a Hegelian Dialectic conversation in the public sphere: (1) changing how man views himself; (2) changing man’s traditional and cultural values and morality; (3) injecting new values and morality; and (4) giving individuals a rational, a justification for those new values.
Most individuals in modern, Westernized societies do not even understand or recognize what real healthcare looks like. Most individuals have been so brainwashed and indoctrinated that they wholeheartedly believe in and have adopted these Hegelian Dialectic conversations and have zero understanding of real health and real healthcare. Finally, when individuals are questioned about the controlled ideas they have adopted into their thinking and lifestyle, they will: (1) debate it because it goes against their programming; (2) reject it because it goes against their programming (this is called Cognitive Dissonance); and (3) attack the messenger and the message because they cannot accept the opposite of what they have been programmed to believe all their lives. Teaching individuals how to live healthier with the truth is a high honor for health educators and practitioners and something they should strive to achieve…Truth and helping others.
In a study conducted by Bannink, Broeren, Joosten-van Zwanenburg, van As, van de Looij-Jansen, & Raat,
(2014) [12], healthcare intervention messages specifically tailored for demographics (age, ethnicity, level of
education, gender), can have a greater impact and affect on the target audience.
This example message can be in Spanish and English or any language necessary to target other populations.
Dear friends, loved ones, and my extended cultural community and family
Learn about the damaging affects of marijuana use that no one ever speaks about. Have you ever noticed those within your family and circle of friends who use marijuana might be experiencing many health problems such as Cancer, Diabetes, obesity, lethargy, just to name a few? If you have noticed some of these health problems, and other heath problems, but never thought to tie-in the marijuana use before, start noticing. Do you know friends and family members who have been diagnosed with Cancer, Diabetes, and other health problems who also use marijuana? There is a connection that you may never have heard about before. Do you want to learn why people get physically ill and may also experience mental illness? Has it ever occurred to you that marijuana use leads to Cancer, Diabetes, obesity, mental illness, incarceration, destroyed family relationships, demonic possession, and death? If you have seen any of these problems in your family where marijuana use is present, would you be interested in learning more? Learn the tie-in with marijuana and illness and learn how to change a very damaging activity in your life or the lives of people you love. Why is this important? It could save your life or those you love. Share with your family and friends how you and they can learn to live a happier, healthier life, drug-free for yourself, children, and family today!
“It is widely acknowledged that obesity is a serious health issue” and “the proportion of adults classified as overweight or obese is increasing steadily” [13]. In particular, research suggests that establishing family goals encourages working together to improve the lives of everyone within the family [13]. In addition, an essential key to success when motivating family members is helping them reflect upon lifestyle choices and giving them educational tools to address ways in which they might make healthier decisions [13].
Healthcare educators and practitioners can provide assistance in this area and create tools to educate
families, parents, communities, and substance abusers about the issue from a research, case study, and teach
by examples perspective. According to research by Colineau and Paris, (2011) [2], “As suggested by medical
research (e.g., Jones et al. 2004; Heimendinger et al. 2007), family engagement plays an important role on
health behaviour. A supportive environment within the family can promote behaviour change, helping, in
particular, to achieve long-term goals” (p. 342). Involving and educating nuclear, extended, and communal
family members is essential to the advocacy, buy-in, participation, promotion, and fostering of cultural
behavioral change.
Part 2: Reflection on Behavioral Diversity
Other health challenges society and all populations face today is how nurses, allopathic doctors, psychiatrists,
and psychologists are part of the drug abuse in Western nations when they prescribe and administer
psychotropic and anti-depressant drugs to children. This is an epidemic. Nurses, psychiatrists, and
psychologists in public schools believe they are helping children when they buy-into the administering of
these dangerous drugs to children in their care. Psychotropic and anti-depressant drugs are laced with heavy
metals and other toxic, Cancer-causing agents that destroy the bodies and minds of children (adults too).
These drugs are being administered to children in elementary, junior high, high school, and college when
they are so-called “diagnosed” with the new fallacy in allopathic, psychiatric medicine called “depression.”
In fact, this is the latest con government agencies are pushing on populations in Westernized countries. Depression is not solved with drugs. It is solved in various other ways that involve diet, exercise, healthy living, fostering healthy child development, fostering healthy ego development, education, moral development, and the pursuit of virtue development versus pleasure or a quick drug fix. Psychotropic and anti-depressant drugs damage the mind, body, and spirit and these drugs do not heal or cure anything. In addition, these drugs do not address the underlying root cause of depression, but rather ignore the issue and merely drug children, adults, and seniors. Not only is the administering of these drugs malpractice, it is criminal. Furthermore, seniors and adults are being administered these drugs as well. Basically, anyone who visits an allopathic doctor or a hospital today will be prescribed these drugs. Individuals will also be given damaging, toxic, Cancer-causing vaccines with a hospital visit and many times against his or her knowledge, consent, and will. Follow nurses and damaged families and children speaking out about this issue on Vaxxed TV.
Health educators and practitioners can to take a personal and individualized approach to each case by helping
communities find naturopathy traditional medicine sources, tools, research, doctors, and service providers
in their local areas. In addition, counseling and education are crucial. Developing new health curriculum,
programs, and services and reaching out to individuals where they are at is essential Health educators and
practitioners can use technology; provide research, tools, and resources easily accessible to the public as well.
Health educators and practitioners can write books, publish studies in peer-reviewed academic and medical
journals, speak in public, speak in alternative media channels, develop websites, and get the message out into
the public sphere. Health educators and practitioners can also be a resource within their families, spheres of
influence, and communities.
TheFetch, (2018, June 19) [14]. The raging civil war in America – pt 1 – The pharmaceutical terror wing.
InsideTheEyeLive.com Retrieved from http://insidetheeyelive.com/the-raging-civil-war-in-america-pt-1-
the-pharmaceutical-terror-wing/
There is a civil war raging in America, it is just that nobody seems to see it, or even recognize how such might be so. The civil war is being waged on multiple fronts, but only one side seems to know it exists. Consequently, all the shots are being fired in one direction while those being targeted remain blissfully unaware that they are at war and that casualties are indeed being taken [14].
There are those who are killed in action, wounded in action, and of course, missing in action [14].
The civil war is relentless, yet nobody is shooting back. Perhaps it is because the people surviving the dying, caring for the maimed, and mourning the missing simply cannot fathom the nature of this raging civil war [14].
In a very real way, paramilitary wings, secret death squads, air forces, and occupation propaganda outlets are all employed in this civil war, yet Americans blissfully seem to not notice [14].
The Opioid Epidemic [14].
Georgia Nurse gives Warning: Some Hospitals Mandating Flu Shot For Employees, or face Termination https://www.youtube.com/watch?v=9p0vAha6pZw
OVER 22,000 U.S. NURSES REFUSE FLU SHOT! https://www.youtube.com/watch?v=c1c1akKIPuI
Follow Vaxxed TV https://www.youtube.com/channel/UCwZDSEpPvE398OLazdituKQ/featured
Veley, J. (2017, April 21). 14 Blatant lies about psychotropic drugs the FDA teaches medical students. NaturalNews.com Retrieved from https://www.naturalnews.com/2017-04-21-14-blatant-liespsychotropic- drugs-the-fda-teaches-medical-students.html
Gutierrez, D. (2007, December 7). Psychotropic Drug Prescriptions to Children Skyrocket 400 Percent in Ten Years. NaturalNews.com Retrieved from https://www.naturalnews.com/022335_children_prescriptions_ drugs.html
Barendes, S. (2013, Novemer 25). Violence – A Side Effect of Psychotropic Drugs. NaturalNews.com Retrieved from https://www.naturalnewsblogs.com/violence-a-side-effect-of-psychotropic-drugs/
Adams, M. (2013, April 5). Revealed: Aurora shooter James Holmes was taking prescription antidepressants and hypnosis drugs. NaturalNews.com Retrieved from https://www.naturalnews.com/039796_james_ holmes_psychiatric_drugs_antidepressants.html
Adams, M. (2009, November 7). Orlando shooter, US army Fort Hood shooter both linked to psychiatric drugs. NaturalNews.com Retrieved from https://www.naturalnews.com/027425_drugs_drugs_violence. html
Fassa, P. (2012, March 1). How FDA and Big Pharma mislead millions into taking dangerous antidepressants. NaturalNews.com Retrieved from https://www.naturalnews.com/035113_Big_Pharma_ FDA_anti-depressants.html
Conclusion
In conclusion, the PEN-3 Model Cultural Framework can be used to design culturally specific, locally
relevant health intervention and prevention programs to educate communities. This health intervention and
prevention involves educating Hispanic females and males between the ages of 15 to 32. The health and
wellness program design involves educating this group about the use of marijuana and its damaging effects
on the body leading to mental illness, Diabetes, Cancer, lung and other organ damage, obesity, cognitive
disorders, lowered IQ and EQ (emotional quotient), and various other damaging affects. Finally, a summary
of the PEN-3 Model Cultural findings are discussed and analyzed to help health educators, practitioners,
and advocates serve and address the needs of the target population.
Bibliography
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