Guided Response: Review several of your colleagues’ posts and respond to at least two of your peers by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful and interactive discourse in this discussion.
In your responses, compare and contrast your own recommendations and the information leading to those recommendations with those of your colleagues. For each response, critically evaluate the information your classmate has provided by considering different points of view. What specific information presented in your classmate’s post requires clarification and elaboration? What assumption(s) has your classmate made about the scenarios and/or information provided? Are there specific issues with the recommendations provided that could potentially be challenged by a hospital administrator? Continue to monitor the discussion forum until 5:00 p.m. (Mountain Time) on Day 7 of the week and respond to anyone who replies to your initial post.
End of Life
I would like to discuss Gerri
What is the best recommended course of action for the client at this time, and why? Would be to speak to patient about non operable tumor, and allow to understand what is happening to her, death is only a few months away. Have everything in writing, family member present, and make sure physician & family member understand wishes if patient.
· What potential effects would themes such as the client’s culture, ethnicity, family, education, and gender have on the situation and recommendation(s)?
Age of my patient is 38, female with minor child, no mention about family except for aunt in different state. Occurring to APA fact sheet on End-of-Life care many people do not have directives, in most cases Caucasians and Asian use advance directives while others live it up to physician, family to make end of life decisions.
· How does the client’s developmental stage factor into your recommendation? Older people feel that in the end their wishes will not be granted, they will still suffer and have to endure testing, and unnecessary pain in the end of life. And most feel that their family and physician should know how and what they want.
How the client dose’s physical, cognitive, and psychosocial states affect your recommendation(s)? Physically she is dying so acceptance is key, foreknowledge is the main objective because Gerri needs to know and understand just what is happening to her, and the projective time span. Gerri and her family need to make an informed decision about her minor son, if he is to stay in his current home, going to school, keeping his friends or moving to another state, unknown place, in his last year of high school after losing his mother.
How might the developmental stage(s) of the client’s family member(s) affect your recommendation? In the scenario it states her son is 17, and he should be able to have a say: in the situation that directly involves him so allowing the child to make an adult decision on his behalf could not only be beneficial for him but also for Gerri, and her current situation.
How will you present your recommendation(s) to both the patient and family member(s)? Direct and precise, not taking in medical jargon, keeping my verbiage understandable and asking questions to give them the proper answers needed and this would be timely, not in five or six minutes. Keeping the line of communication open at all times sharing my number with all that need, and calling them and being available in person, on the phone, until the family no longer needs me (Quality of death and end-of-life care.)(2016).
What consideration(s) would affect your manner of presentation? One clear consideration would always be Gerri: She may not want family to be included or her son to know just how bad she is, and life span time. So confidentiality at all times for me must be considered and her wishes.
Are there considerations that cannot be processed at this time because of lack of information in the written scenario? One thing for me, what about the boy’s father, is he in the picture or not. Even if he is not at this time, what if he comes forward? And he wants his son, what does the boy think about all this? Another consideration for me would be the age of the aunt? Or the classmate family life that Gerri son would like to stay with is this only for the school year, until he (Gerri’s son) graduates, moves on? Many different situation need to be worked out in a very short period of time. So that during the final hours of her life Gerri and transition quietly and peacefully to her death (Ruben, R.)(2015).