Factors That Affect The Family Members Involved

The loss of control experienced by Ann may have had an impact on the time it took to progress through the stages. Involving Ann in the decision making, discussing options and offering continuity of care would help make the transition from her home environment easier.

‘A retired teacher, Betty (65 years old), was diagnosed with Dementia. She lived at home with her husband Arthur (70 years old) who had been caring for her for several years. When she was diagnosed, No information was given to the couple. They had no relatives that they could rely on around them for support.

D. Would the physician’s knowledge of the child’s condition serve as a defense against a claim of nursing negligence, particularly because the new graduate had spoken to the physician four times?

health began to decline and she soon discovers that she has multiple conditions that “impact her

J. (2015). Addressing the burden of stroke caregivers: a literature review. Journal of Clinical Nursing, 24(17-18), 2376-2382. doi:10.1111/jocn.12884

This review is to discuss an overview of this case study with a clinical reasoning model and all contributing factors of this event. Then, the critical analysis of three articles relating to the factors with the reasons for the selection and their evaluation will be presented.

al., 2003). We do not have enough information about this case to know whether there was anything the hospitals in question could have reasonably done different.

R/s John Weston is HIV positive. R/s Mr. Weston suffers from bladder cancer with mets, a history of alcohol abuse, a seizure disorder, and hypertension. Mr. Weston is diagnosed with schizophrenia and he abuses crack cocaine. R/s Mr. Weston is noncompliance with his care. R/s Weston’s sister, Betty Green is his caregiver and she doesn’t make sure he goes to his doctor appointments and takes his medication. R/s as a result of Mr. Weston missing his appointments Ms. Green

Alyssa, a 56 year old patient at LA Hospice has been admitted in December with a brain tumor, following having stage 3 lung cancer. Alyssa is currently getting radiation treatment along with chemo therapy. Alyssa and her husband John both do not have medical insurance, leaving them with using Medicare. Her functional status is having to use a walker if she has enough strength that day. Alyssa is forgetful from time to time having short-term memory. She has fallen several times in the past and has broken quite a few bones. The last time she had fallen was a week before getting admitted. A nurse or physician is watching her 24/7 every day. The nurse has to write down every symptom and change in her health every day. Alyssa’s overall goal is to be able to go back home and continue her treatment. Alyssa said “I know I can be strong enough to fight this battle, I have to for my husband.” Jenna the IDT talks with her husband about her situation. Jenna asks “Here at LA Hospice we

Years after my granduncle had a stroke but was able to move around as it was a minor stroke. His care began but mostly in just assisting. He then had a second stroke and now needed full time care as he was mostly in bed. He had no kids so he relied on his younger siblings and grand-nieces. They took turns by organizing shifts in how he would be attended to. This became overwhelming as they all worked and some had moved from the family home and had to travel there. They eventually decided to get an aid, a formal caregiver who would work until he went to bed at night.

The possibilities of other causes was very

This family felt that their mom still had a good amount of life in her and were concerned that the physicians were prematurely encouraging them towards a path of comfort care. Psychologically this was distressing to the family, especially Dale who felt that he was not being heard. He was becoming suspicious that what is behind the push to change code status for his mom was regarding money since his mom was on Medicare. This felt wrong to him and it was causing him distress. The social issues were that because Dale was retired and was the main support person for his mom and her care, he physically can spend more time in the hospital than his sister who is currently working full-time. Dale is feeling overwhelmed with the situation

On this date worker received a message from Misty Jenkins, social worker for HealthSprings Insurance. She stated Mr. Duncan was not doing well and someone needed to do a safety check on him. Worker returned Ms. Jenkins call, learned Mr. Duncan went to the ER on Friday 2/12/16, and was diagnosed with a UTI. HIs doctor Dr. Brassfield refused to admit Mr. Duncan to the hospital and sent him back to Laurel Gardens (Mr. Duncan was discharged from the hospital on 2/9/16 and returned three days later with a UTI.) Ms. Jenkins believes Mr. Duncan's discharge to Laurel Gardens was a bad discharge from the hospital. Worker explained to Ms. Jenkins that Dr. Brassfield refused to state Mr. Duncan was mentally or physically unable to care for himself. Therefore,

Please prepare an analysis of this case. Your write-up should be 4 to 7 pages. Each of the following questions should be addressed individually:

Family is one of the hardest words to define. There are many definitions and thoughts of what a family consists of. When one accepts the definition of the census family given by Statistics Canada then a family becomes “a married couple and the children, if any… a couple living common law and the children, if any… a lone parent with at least one child living in the same dwelling… grandchild living with grandparents but no parents present… Census families can be opposite or same sex and children may be adopted, by birth, or marriage and all members must be living in the same dwelling” (Baker 2014). With family being such a difficult term to agree on, the creation of a complex study of family life emerges. The factors that influence family life are put into three theory categories; Social Structure, Interpersonal Factors, as well as Ideas, Global Culture, and Public Discourse.