What are some cultural considerations needed when working with this family? Sanchez-Jones' paternal grandparents are deceased at the ages of 55 and 62 from breast cancer and colon cancer. Maternal grandparents, 66 years old, suffer from diabetes, obesity, and hyperlipidemia. They are from San Salvador. The father is an African American, 42 years old male, completed high school, and suffers from hypertension and chronic low back pain from a herniated disc. The mother, 40 years old, Latina from Guatemala, suffers from asthma. They have three kids: a 15-year-old who suffers from asthma, an eight-year-old boy with autism, and a three-year-old girl with Down syndrome.