To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the "Introduction to the Miller Family" document for specific information on each member of the family.
Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing. She went into remission for some time, but now the cancer has returned and she is in the hospital. Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life. Ella has her preferences, though she is now so weak that she has given up in many ways. The family members are each experiencing their own fears and are grieving as they face the loss
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◦What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?
◦How is the neighborhood and extended family (mezzo) reacting to the situation?
◦If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them. Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
4.Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home. When discussing medical issues in this case, use appropriate medical terminology.
5.Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time. How has the fact that this illness has been ongoing (chronic) impacted the family?
6.Analyze the current scenario as it pertains to diversity, as well as
Discharge planning is used to create a plan of care for a patient who is leaving a care setting. An evaluation is done to determine the patient’s continuing care needs once they have left the care facility. When patients are send back home or to a facility that does not require full time nursing care assistance, programs need to be put into place to ensure that the patient is receiving the proper continuation of care post discharge. Proper discharge planning can decrease the chances of a hospital readmit, help in recovery, ensure medications are prescribed and given correctly, and adequately prepare family or caregivers to assume proper post discharge care. According to the Family Caregiver Alliance, “It is important, not only for patients, but family
The first questions asked the family about their perceptions of their own health and about what
Women are subservient to males, and males may be dependent on the female of the household. There is a high incidence of alcohol abuse among men. Adolescent children are often less mature for their age. Family and friends should be allowed to remain with a dying patient, and organ donation is viewed as helpful to others. The belief that nothing new happens today that has not happened in the past may affect what illness/sickness leads people to seek health care. I should maintain a distance appropriate for care delivery and investigate health care beliefs or practices. Monitor for signs and symptoms of safety issues within the family unit. Do not assume that maturity is linked to age. Provide time and space for family to be with hospitalized family
Getting prepared for death can be an exhausting experience for the patient and their family. It is very important that the patient not only knows what they want as far as their right to receive or reject treatment and medications or knowing whether they want to receive palliative care at home or in a hospital setting to include the advantages and disadvantages of each. The main focus of this paper is to give the reader an in depth look on how an end of life crisis affects a patient and their family. Ella is a breast cancer patient who just came out of remission and is at the end of her life.
While the psychological impact of a chronic illness is not as measurably significant as the impact on the chronically ill child, it is substantial. Internalization is more often exhibited than externalization. This is explained as children did not wish to place more of a burden on the family than was already felt and/or because parents were psychologically and
When someone is suffering or living with a chronic illness it can have a huge impact on them psychologically and socially. Chronic Illness is a condition that is prolonged in duration, usually more than 3 months and is rarely cured (DoH, 2012). Having to cope with a chronic condition might lead to life changes, such as dependency on others, loss of income, which can cause feelings of loss and reduced self-esteem. They can also report feelings of social rejection, poor healthcare and workplace termination due to their presenting condition (Earnshaw, Quinn, & Park, 2011).
I will be using the patient initials (MK), throughout this paper when I reference her. I asked the patient a list of questions about her life and I will summarize the answers for you now. MK is an alert and oriented 84 year-old female who is happily married and lives with her husband of 56 years. MK is retired and worked as a high school secretary for 20 years in the town she lived in. She grew up in Pennsylvania with her parents and was the oldest of five children. Her family medical history includes cardiac disease and diabetes with all of her brothers and sisters still alive. MK has three of her own children who all live with in a 30 minute drive from her home and they speak frequently on the phone with her and her husband. MK and her husband are going on a vacation together this summer to South Carolina with her son and his family. MK still hosts holidays and family gatherings at her home with only a couple holidays hosted by her son at his home. MK and her husband receive social security and her husband’s pension as their income. They have Medicare and also a supplemental insurance through AARP. MK enjoys her exercise class, reading, her card club, traveling and is also very active in her church including being on the bereavement committee. MK still drives her own car around town to visit friends and shop but prefers not to drive at night
Dafonte Miller, a 19-year-old black youth, was attacked last December in Whitby, Ontario by Toronto constable Michael Theriault, leaving him with broken bones and a serious eye injury. Theriault was out of his jurisdiction and off-duty when he attacked Miller. Theraiult was charged Tuesday with aggravated assault, assault with a weapon, and public mischief, and suspended with pay.
Family as system is the third approach which focuses the whole family as the client pg (10). The way the families interact with each other will have influence on the nursing intervention (pg 10). There was a female patient that was diagnosed with terminal cancer in her mid-thirties. She was married with two children. When her two teenaged children found out the cancer was terminal, they broke into tears. The husband was in denial. He could not come to terms with the fact that his young wife had a couple months to live. I had to wait on the family interactions before deciding which nursing intervention to choose. I played the councelor role to the family so they can express their feelings. The husband was able to accept her diagnosis and he was her caregiver at home during her last couple of months.
Case 5.1 involves the Miller family. Harold is a 4-year-old White and Jewish pre-school student. Harold’s father is an engineering professor and his mother is a stay-at-home. A recent evaluations show that Harold has Asperger’s Syndrome (Amatea, 2013).
My second nursing diagnosis was also connected to my family that I am assessing for this class, they happen to live in the neighborhood also. One family is a part of many that make of the community. Alteration in family coping related to lack of emotional support/family support while family member is going through a stressful time. Interventions; counsel them and have them set aside one day a week to interact together by going to some of the community family night outings at the churches in the area, also seek counseling through local clergy or support groups like emotions anonymous to help them express their perceptions of what is happening to their family.
The purpose of this paper is to incorporate one family's experience of living with multiple chronic illnesses into the Calgary Family Assessment Model (CFAM) and Rolland's Chronic Health Challenge Framework. CFAM was developed by Dr. Lorraine M. Wright, a professor Emeritus of nursing and by Dr. Maureen Leahey, a manager of a mental health outpatient program both have over 25 years experience while still managing to supervise, teach, consult, write, and maintain a part-time clinical practice in individual, couple, and family therapy (Moxie, 2007). CFAM allows nurses to assess families during interviews. CFAM is a multidimensional framework consisting of three major categories: structural, dimensional and functional. (Wright & Leahey, 2005)
A. Identify appropriate history questions to be asked of the patient, nursing staff, or family in order to discriminate critical characteristics or attributes about the presenting problem.
Moreover, the family understands the specifics about the individual's condition and their daily routines. This can help health care professionals to decide if the person is following the proper steps in their therapy. Once this takes place, is the point that health care professionals can make adjustments to reflect changing realities. Those patients, who have their families involved, will be able to receive better care by ensuring that nothing is overlooked. This is the point that physicians will have a more complete picture surrounding their underlying levels of health. (Saleeba, 2009)
Ella’s illness will have a huge impact on John as this is her husband and life partner and she is dissipating before his eyes, this will make him feel hopeless and experience feelings of anger. John will have feelings of depression and John may experience feelings of confusion or guilt since he persisted that Ella continue the use of Alternative Medicine. Since John is probably the closest to Ella he will have to deal with his emotions as well as her emotions, often this can be overwhelming for life-partners as John and Ella. Because John and Ella have been married for a very long time, it is vital that he remain strong, be honest with Ella, don’t shy away from the situation or allow her to see he is worried by her end-of-life transition. The awaiting of Ella’s death will put more stress on John than imaginable it is vital John keep an open line of communication, as well as do not try and fix the feelings but openly express his compassion through their distress. John must remind Ella of happy times they once previously shared. Although John may feel the need to spend all his time with Ella, it is