Question

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 upon 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."

In 3 - 4 pages 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?

Answer 1

A

Mrs. G appears nostalgic, particularly in holding on to her home and the memories of her loving husband in this house but she feel lonely it's indicated by her request for nurse to visit frequently rather then once in week

And she is not emotionally attached and close to her children

, she seems to hold to the traditional ideals whereby women are subservient to their husbands. She was highly dependent on her husband and appears lost without him, reminiscing on her life when her husband was alive. She is not appreciative of the concern that her daughter showed when she suggested that she should relocate to an assisted living facility where her risk of falls would be reduced. Instead of holding a discussion with her daughter, she is categorical that she will not relocate from her home. Also, she might feel disrespected and disregarded by her children who did not consult her and went on to look for an assisted living facility .

B

Mrs. G’s response was not surprising

As she live most of her life that is around last 34 year in same house so as a women of advance age it's difficult to relocate and build new relation ship with new neighbour and all to make life easy.

As an old woman who is observant of culture, she should be keen on maintaining the traditional role of women by staying at home and performing domestic tasks. And she has developed a relationship with her home health nurse and has even suggested that the nurse should visit her more often

As advance ageady it is least expected to chhange . And at this age she can't expect he r children will take decision about her

C

Mrs. G’s is a traditional lady who cling to her culutre of women as home maker who li be in her house do house hold work and leaving her house make her identity abandone d as a wife.

. Secondly, tin Hispanic culture indicates that death is not the end of life and people transform into spirits that can still communicate with their loved ones. So she think that her husband soul live in this place only and she can't leave him alonethat her husband’s spirit is present in her home and she would be away from him if she relocates to the facility.

Thirdly its its difficult to follow her ,children decision

D.. If I were Mrs’ G daughter,

1.I would visit more often and talks to her regularly to indicate that I care and want to hear about her day.

2., I would try to relocate to a location near her so that she is able to visit me if she has any concerns.

3.I would share my concerns with her and seek her input on how best to ensure her safety at home while avoiding the falls.

4.my physical presence and presenting a worried expression would communicate to her that I am concerned about her since her living safely would eliminate my worry.

5. I would present her with information (such as leaflets) on age-based physical declines, allowing her to read the material and understand that falling is normal at her age and that there are solutions to redce chance of fall

E1. she can be taken on a visit to the facility where she would get a chance to see how her peers are coping.

2.This visit might eliminate her concerns about the relocation.

3. Her family could hire round the clock domestic help to allow her get more rest in her home.

4, her physician and other health professionals can be invited to advise her on the merits of an assisted living facility and how best to avoid falls in the future.

5.her home could be ‘accident proofed’ so that the hazards are eliminated.

6 , a mechanical system can be introduced to allow her move between floors in her home so that she does not have to use the stairs when moving between floors.