In: Nursing
Module 08 Written Assignment - The Case of Mrs. G.: Client Centered Communication and Collaboration
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?
How would you best describe Mrs. G.'s feelings about her life, her family, her traditions, and her future?
It shows Mrs. G loves her children and her husband very much. Her tradition and culture are family oriented. She loves her family. she was in her home for more than fifty years. Her home is the past memories of her husband. It remembrances of everything about his past life. She does not want to leave her home because of this reason.
Did Mrs. G.'s response to her daughter surprise you? Please explain your answer.
Mrs. G response not at all surprises me. Because she loved her husband very much and dependent him for everything till last year. The home surrounds with the past memory of her life with her husband. She is attached with the neighbor nearby. Adapting to a new environment at this age is very horrible to her. Moreover, she feels that her daughter in a nearby town and home nurse will look after her. So she does not want to move out of the home.
In what way do you believe her culture might be influencing her decision?
Hispanics are usually giving more importance to the family. They are group oriented and live together. She lived with her husband and five children for most of the years. But now only one of her child is living in her state. And too lost of her husband in last year make loneliness in her life. In Hispanic culture, the male person is the decision maker. So he depends on her husband for everything. Hispanics normally, don't share their health issues with others. They interested in holistic approaches. Hispanics are financially supported and family raised by males. Her home is the identity and protection for her during the rest of the life. These cultures and trends make her be in the home and so she disagreed when her daughter confronts to move out to the nursing home.
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?
If I were my Mrs. G daughter, I would explain my situation as that I can't be with her all the time as I have my own family to look after. At the same time, I had the responsibility of taking care of her health and to provide her with the best possible care. I discuss her with all other available options that would satisfy both of us. I always try to control her emotions.
The non-verbal communication such as listening to her words, maintaining eye contact, hugging, holding her hands(touch), nodding of the head would support her well.
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?
Mr. G stands on her decision, then the daughter would look for the alternate option. She might contact the health care agency and look for help. She could appoint nurse aides to assist the mother in her daily activities. She could talk with the physicians about the best possible collaborative care for her mother and to minimizes the injuries. she can arrive to look after the mother frequnently to feel her happy. So many healthcare agencies are providing care for elderly people which also supports Mrs.G.