Question

In: Nursing

In this written assignment, you have the opportunity to share your thoughts about how to deliver...

In this written assignment, you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.

The Case of Mrs. G.
Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.'s husband passed away last year, which was devastating for her. She had been very close to him and relied on him for everything. He was "the life of the party" she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house, they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.'s daughter who lives in the next town over has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, "This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life."

answer the following questions:

How would you best describe Mrs. G.'s feelings about her life, her family, her traditions, and her future?

Did Mrs. G.'s response to her daughter surprise you? Please explain your answer.

In what way do you believe her culture might be influencing her decision?

If you were Mrs. G.'s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?

Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?

Solutions

Expert Solution

A. Mrs. G.'s feels emotionally connected to her residence where she has spent her 35 years of her life with her husband. As we human being loves our good memories with the person who is most significant to our life and who plays an important role in our life, in that case deattachemnet word affects us alot. Sometimes it becomes very difficult for us to adapt to new environment and situations. Mrs. G is exactly have similar situations right now, her husband and kids were her priority till date and the sudden change in her life has affected her emotionally.

B. Mrs. G response is a reaction which normal human being will express when he or she has alot of affections for the other partner. As we can see in this case irrespective of losing her husband his memories are still with her and each corner of house makes her feel safe and comfortable. When it comes to medical care of her currently she has to look after her health and should take decision which is good for her in a long run. Even her children can take a turn per month and can give her company as a result she will not feel lonely. Home care nursing facilities she can opt for where a medically skilled professional can look after her.

C. She is a simple lady who stick to her decision of staying in a home where she has spent her good times with her beloved husband. And also she keeps an opinion that entire her life she will stay in that home as a result she can feel connected to her husband memories. As we can try to understand her emotional status where she was totally dependent on her husband for 50 years, this was a very long period and leaving such a long period memories requires time. Here Mrs. G should be give time to adapt the changes on her own as any kind of force decision can affect her more.

D. I will make sure that I am not forcing my decision on her. As a an individual we have rights to take decision of our own and since Mrs. G is my mother I will make sure her treatment is done well and the statement which can help her to calm down in this situation is "Mom take your time", I understand we have lost very significant person of our life. He stood with us in good and bad times and today what I feel that I don't want to lose you. I am only worried about your health right now, I will make sure that things get better and will come out from this tough time together.

E. Their are skilled nurses which can be hired for 24 hours home service which is an option can be opt for particular month until Mrs. G gets better. But currently she needs her children to take care they should make time for her. As we know she is feeling lonely and currently in emotionally devasted state. The more time we can give to her we can see more improvement in her health in coming days.


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