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End of life decisions
End of life decisions
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Ella has been dealing with cancer in her own way over the years. Her husband who is of American Indian descent has helped her manage her cancer with natural remedies. As time has passed the practice of holistic medicine has helped but Ella is back in remission. Her body is getting weak and the family must understand the stress her body is under and must become a unit in deciding what course of action must be taken now. I, Jessica Dale, have been asked to intervene as her social worker and find the best alternative for Ella to be comfortable in these last days to come. Some options that I can offer the family in regards to making Ella comfortable are providing emotional support and guidance for Ella and the family, determine what will make …show more content…
The family may feel she should have around the clock care form medical professionals. From Ella’s point of view, she may be more comfortable with her husband being her care giver versus a nurse. If Ella’s husband supports her and provides the care she needs this could be a factor in why Ella would prefer to stay home. This would be a good environment for Ella to be in because she would be comfortable on top of feel loved no matter what her condition is from her husband. Ella probably would do the same for her husband and therefore is a trust that cannot be broken with supporting her …show more content…
Each stage of development from childhood, adolescent to adulthood varies with experiences and exposure of life events. This can have an effect on how one perceives life, sickness and death. Based on Ella’s persistence on wanting to stay home during this time of her illness; I would suggest combining Ella’s natural medicine with having someone come and monitor her condition within her home. Ella’s family should seek guidance from a therapist or medical professional who can help them cope with this moment in life and their own illnesses that they suffer from. Due to the families’ high history of medical issues physically and mentally; each individual must battle with their own illnesses before they can openly understand why Ella make the choices she does. Ella has lived a life of her own choices and how she conducted her life has prolonged her life
cancer and finds it really hard to do everything on her own. One day she ends up collapsing and
She will have to have full support from her family and friends to stay on track with her treatment, as well as taking care of herself. She will be undergoing regular insulin injections, either by shot or by pump. Hannah will also have to monitor her blood sugar levels before and after meals. If her physician allows, she will be able to resume her sports ambitions. Although, she will need to monitor her blood sugar levels closely while exerting herself because the blood sugar levels can drop dramatically during these times. If Hannah and her doctor decide to use an insulin pump for treatment, it can be set to avoid lowering blood sugar during and after exercise (mayoclinic.org, 2016). Diet changes are recommended if the patient is not eating healthy previous to diagnosis. Overall, after becoming adjusted to the new additions to her life, Hannah should be able to resume normal
... of the treatment methods that I previously mentioned. She also put a great deal of effort into resisting treatment, which in my research I found is actually fairly common. Several studies reported that, although symptom remission could be obtained for 27% of patients within 4 weeks and 45% within 5 years following treatment initiation, 20– 30% of patients reached a treatment-resistant status on the other side. (Kanahara, et al., p. 1)”
Cunningham, M. (2012). Integrating Spirituality in Clinical Social Work Practice: Walking the Labyrinth (1 ed.). Upper Saddle River: Pearson Education Inc.
Erikson’s theory, developed in 1963, supports the idea that early life experiences impact an individual across their lifespan. This theory considers that the growth of an individual is a result of interaction with the environment, biological maturation and societal influences, therefore, allowing for experiences from early life, to influence an individual throughout their lifespan (White, Hayes, and Livesey, 2009). Erikson’s theory focuses on eight different developmental stages within a lifespan and in order to progress from one stage to another, an individual must overcome a potential crisis of two opposing forces at each stage. There are two types of resolution of each stage, successful and unsuccessful. If an individual is
mental illness in which she is addicted to committed suicide and wont rest in peace until
Kathy is a social worker for the Hospice of Springville with the assigned tasks of providing care to patients and families in need of end of life care. Kathy has to decide what is in the best interest medically for patient Timmy. She along with the hospice team will have to determine if Timmy should be admitted into the pediatric hospice care program.
When it came time to pick a stage of development, I chose the stage of middle childhood. The movie that best depicted this stage of development to me was the 1991 movie “My Girl”. In this movie, you see a 11-year-old girl named Vada Sultenfuss going through a lot of psychosocial and cognitive changes in her life. She has grown up without her mother due to instant death when being born and she blames herself for her mother’s passing. Her dad is very absent in the upbringing of Vada, as he focuses most of his time and energy into his work as a mortician. Vada is surrounded by death due to the fact that they live in the house where her father constructs his business which is why her view on death is demented. When her dad becomes involved
It is evident that Lisa is subjected to medication and hospitalization for her treatment. However, this method of treatment was not effective for her, because despite her being hospitalized for the last eight years; she still does not take her medicine. Since for those eight years no significant changes have been made following her diagnosis, another mode of treatment would be advisable. I would recommend the self-help strategies. Although many healthcare providers overlook this treatment method, it seems to be very
Cancer. The word by itself can conjure images of severely ill and frail people attached to IV medications and chemotherapy drugs as they cling to life in a hospital bed. Other illustrations and pictures depict unrecognizable, misshaped organs affected by abnormal cells that grow out of control, spread, and invade other parts of the body. Cancer studies show that close to one-half of all men and one-third of all women in the United States will be diagnosed with cancer during their lives. Today, millions of people are living with cancer or have had cancer. As patients are newly diagnosed with their specific type of cancer, whether it be breast, lung, prostate, skin, or blood cancer, etc., each patient has to consider what will happen with their future health care plan and who will be involved in their long journey from treatment to recovery. Once diagnosed, cancer patients become the focal point and the center of all activity in terms of care but cancer not only physically invades the patient’s body and well-being, it goes beyond the patient and significantly affects the emotional stability and support from from their loved ones and caregivers. Based on the insidious nature of cancer and typically late detection of malignant diseases, family members (either spouses, children, parents, other relatives, and friends) often become the patient's main caregiver. These caregivers, also known as informal caregivers, provide the cancer patient with the majority of the support outside of the medical facility or hospital environment and become the primary person to provide various types of assistance. They provide the physical support with bathing and assisting in activities of daily living, they become emotional ...
L.M. is a strong, single mother who takes great pride in raising her son and rarely asks for help. She welcomed me into her home where a relationship was built that helped me to encourage the family and guide them into reflecting on their own personal health problems. A family care plan was built on relevant nursing interventions and outcomes to help direct the family in improving their physical and psychological wellbeing. These interventions were gladly accepted by L.M. and very easily implemented into her and her son’s life. I am very appreciative of the time this family allowed me to spend with them and am confident that they will continue to be a very loving and healthy
Erik Erikson was a researcher of the Psychodynamic perspective who lived through the years 1902 to 1994. He developed a theory that dealt with the stages of human development and was referred to as a Neo-Freudian. A Neo-Freudian are those “who have revised Sigmund Freud’s theory” (Massey, 1986). His theory argued that “both society and culture challenge and shape us” (Feldman, 2011). Erik Erikson’s theory of psychological development does not specify specific ages, so the age categories can only be guessed upon. It is my personal thought that this was a smart move due to different age milestones for different cultures. The essay titled Erik Erikson: Ages, stages, and stories argues that the stages “are organized into a system of polarities that tempt us to think about psychological dynamics in a form that is more binary than Erikson intended.” Each stage has a ‘resolution’ or goal. Each stage presents a “crisis or conflict that the individual must resolve” (Feldman, 2011, p.16)
Nevertheless, Erikson’s eight stages of life are presumptions for understanding an individual’s entire life span. In the same manner, these eight stages aid individuals in finding his or her full identity or ego. Every individual will complete each stage at different levels because of his or her development. However, everyone will eventually discover his or her development from birth to death.
...through 8 different psychosocial stages of life. Each step has to be completed in order to have gained knowledge and to be able to be successful in the next stage of development. Researching this topic has taught me that we can’t skip over skills and expect to have success or live happily ever after. I now realize how important learning from my mistakes can be. Childhood becomes the remembered past and adulthood the anticipated future (McAdams, 2001).
Each person’s life consists of normal stages of development; this is known as life span development. This development starts at infancy and continues through death. In each stage of development, each person experiences four types of development; physical, cognitive, social, and personality.