Since Ella is the only child of Mr. Olsen he will go through emotional turmoil as to why his child is at the end-of-life before him, and how did this happen as this is his only child. In addition, he is in a nursing home, he is unable to operate a vehicle so he has no way of seeing Ella until a family member transports him this could have a huge impact on his disease process. 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
This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
“Our Time” by John Edgar Wideman is a homage to his brother, who is currently incarcerated for robbery and murder. Wideman goes into the depths of the jail where his brother is currently incarcerated and the family dynamics that he believes put him there. Robby’s best friend and the leader of his gang Garth was killed due to negligence and that is where Robby’s downward spiral began. His brother Robby was the youngest of
This care is important as it gives the health professionals a sense of what kind of reaction and the severity it had on Jenny. As it had been discovered, Jenny had a mild allergic reaction to the medication and therefore the doctor and pharmacist needed to be notified and Jenny closely monitored. Jenny and her family would need emotional support and education. Education is important when planning discharge (Swearingen 2016, p.121). A referral to a social worker who can work closely with the palliative care team to support Jenny, her parents and brother and sister through the process of going home. Grief is a common nursing diagnosis when a patient is in palliative care (Swearingen 2016, p. 110). Nursing interventions for grief include coping strategies, encourage patient and family to discuss end of life decisions and express their feelings to deal with the grieving process (Swearingen 2016, p.
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.
This story is about a young women named Molly Macneil and her young son Alan. They live in a town called Broughton which is located in Cape Breton, Nova Scotia. Broughton is a small town where most of its male inhabitants work at the colliery. Molly is a very lonely women who has been taking on the role of a single mother for the last four years because her husband has been away. Her husband, Archie Macneil, is in the United States following his boxing career. Molly also feels she has to keep this a secret from Alan because she wants him to grow up to be a doctor not a boxer. She will only tell Alan that her father has gone to make money for them and will return when he is finished. She also tells him that his father is
The woman “jane” believes she has a condition but her husband who is a physician does not take her illness seriously. In page 648 paragraph 1 the narrator states, “If a physician of high standing, and one's own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression - a slight hysterical tendency - what is one to do?” The narrators husband is talking bad about his wide to her own friends and refusing to take her serious and at the end as she repeats “what is one to do” clearly stating that she can not do anything about her husband badmouthing about her and making allowing her to understate herself as a woman. “John laughs at me, of course, but one expects that in marriage” (pg 647). The narrator as a woman are so used to people looking down at her and throughout the story she does not feel like herself due to her husband always shutting and controlling her make her insane that she cannot be in control of her body. Page 648 paragraph 5, “I sometimes fancy that in my condition if I had less opposition and more society and stimulus—but John says the very worst thing I can do is think about my condition, and I confess it always makes me feel bad”, as the narrator talk about her condition and herself, she then recalls her husband’s instructions, the narrator has internalized her husband’s command to the point that she virtually aurally perceives his voice in her head, telling her what to think and do. The narrator is not even a person at this point, her brain is now programmed to follow direction, to think, to feel, what her husband has recommend, she has no self-conscience anymore and for that reason she feels
The narrator says, “John laughs at me of course, but one expects that in marriage” (pg. 1). The husband deals with her insanity in multiple ways. The main thing is he laughs her off and she believes that he is only doing this out of love. She then states, “John is practical in the extreme. He has no patience with faith, an intense horror of superstition, and he scoffs openly at any talk of things no to be felt and seen and put down in figures. John is a physician, and PERHAPS- PERHAPS that is one reason I do not get well faster” (Pg. 1). John has no patience for her to get better. He is scared of the superstitious things that may happen to ill people when they are not in the right state of mind. He laughs off any kind of feeling that the narrator likes to explain and talk about and she believes that is why she is not getting better. The narrator says, “You see he does not believe I am sick” (pg. 1). She will not become herself again without the support of her husband, also for her to find herself again, and not be ill anymore. The narrator explains, “I have a schedule prescription for each hour in the day; he takes all care from me, and so I feel basely ungrateful not to value it more” (pg. 2). The fact that the narrator has a scheduled medication pattern for each hour makes the reader believe that she is taking
The short story “The Yellow Wallpaper” is about a mentally ill woman named Jane. She lives during a time when women did not have much they could do. The men dominated everything and were to make the decisions for the women. The man’s primary role was to be the provider, while the woman’s primary role was to be the housekeeper and caretaker. During this time period, women would have to ask their husbands, fathers, or even brothers if they could do something.
It is clear that much of John’s actions and words have little to do with the narrator’s illness, but rather her status. She was a woman, and therefore inferior in everything. He was the husband and head of house, while she was an ill patient and the housewife. Ultimately, the narrator had far greater ideas about how she should be treated for her illness, such as a bright room with a large window for fresh air and someone to talk to. Despite all her reasonings, John patronises her, trivializes her illness, ignores her intuitions and dismisses her intellect. He believes that as her doctor, he knows what’s best for his patient and everything should go his way. In society during the late nineteenth century, this was very common in every household. “But John would not hear of it”, He seems to be controlling how the narrator feels, what she does and where she goes, being abusive towards her mentally by telling her how things should and eventually will be. This is a type of controlling relationship which can easily turn into a domestic situation. Like all other men, they want their wife to be obedient and ladylike, not at all wanting to make decisions for
Motherhood is an integral theme in the work of Toni Morrison. She uses the experiences and perspectives of black women to develop a view of black motherhood, that is, in terms of both maternal identity and role, very different from how motherhood is practised in the dominant culture. Whilst the African view of motherhood claims that all mothers are a symbol of creativity on Earth, American slavery forced many black women to repress their natural instinct to nurture their offspring. In Morrison's view, motherhood is an act of resistance essential to black women's fight against racism and sexism. O'Reilly suggests that Morrsion's maternal
If I was confronted with this type of scenario, I don’t believe that I could do what he did living my life out until it was time to pass, till my time was at the end knowing that that I only had a certain amount of time to live. This would have to be one of the hardest things that any person would have to do. To know that you will no longer be able to see your wife, kids or family anymore to me would make things that much worse in my eyes. Knowing that you will not be able to see your kids grow up to be young adults or even to get the opportunity to be able to walk your daughter down the aisle on her wedding day would be devastating to me. I would prefer not to even know that I was that sick for a doctor, because I believe that knowing that
Life is full of many hard decisions that people have to take, often on the spur of the moment. Some we get right others turn horribly wrong. Joe Keller, the tragic hero of Arthur Miller's play All My Sons, was no different. His whole life was dedicated to his family and their well being but all his plans were undone by one fatally flawed decision.
As a physician, John has knowledge in the medical field and of the proper treatment of his wife. Along with being a physician, John is also the narrator’s husband, and is therefore her main support throughout her illness. It seems that John only wants the best for his wife and think that he knows what is best for his wife. The narrator first describes John as being caring and living which we see in the following quote: “Dear John! He loves me very dearly, and hates to have me sick” (79).
Following the death of a companion, the older adult may suddenly become unhealthy. Elderly widowed people experience a profound degree of loneliness, which has been found to cause an increase in the level of medical care, medications and mortality (Howie & Mcintyre, 2002). The health of that adult was most likely maintained by the relationship with the now deceased because they felt they had something to live for. Also, the deceased person could have been providing financial stability to help pay for medication and food. Now that those resources are taken away, the health of the older adult may deteriorate increasing stress levels, which in return can present the onset of many health issues. In addition, when the score (0-76) of ICG is high 6 months after spousal death, the