Mucor Definition and Infection

Explain what Mucor is and how a patient is likely to become infected with Mucor.

Mucormycosis or zygomycosis is a rare and serious fungal infection. It is caused by a group of molds called mucormycetes. Patients is likely to be infected by coming in contact with fungal spores found in the environment. People at risk are patients with a weak immune system. They may become infected by simply inhaling the spores or through any type of skin trauma.

Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.

Pulmonary mucormycosis happends when spores may reach all the way to the alveolar spaces, most stay in the nasal turbinates causing sinusitis. Two nursing interventions would be watching closely for respiratory problems, monitoring vital signs specially pulse oximetry levels, chest pains and fever.  Lastly, giving medications as prescribed by physician.Mucor Definition and Infection

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Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.

WBC’s are abnormally high due to infection; Lymph are abnormally low due to infection; HCO and PH suggests metabolic alkalosis. Decreased Pa02/PC02 suggests alkalotic and compensated. High glucose levels indicate that the body is trying to compensate due to the infection.

What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.

Mucor must be treated with antifungal medications. Amphotericin B,Posaconazole, Isavuconazole. Ibuprofen and Tylenol might be used for fever/pain. O2 per doctor’s orders might be needed as well.

Treatments: If needed, mucromycisis might require surgery to remove infected tissue. Educating the patient on how to prevent this infection from occurring again like wearing appropriate clothing when working outside with soil.

Mucor Definition and Infection

Mucormycosis Assignment Discussion

Mucormycosis is a considered a life-threatening disease, that is an amalgamation of infections that come from the organism mucorales belonging to a group of fungi Mucoromycotina. It usually involves individuals with “uncontrolled diabetes; malignancy; hematopoietic stem cell transplant or solid organ transplant; persistent neutropenia; prolonged corticosteroid therapy; skin trauma, burns, or surgical wounds; iron overload; intravenous drug use; malnourishment; and premature infants” (Centers of Disease Control, 2011).  In terms of exposure, most often associated with inhalation from environments that contain fungal spores. Moreover, can involve sinus and brain infection involving rhinocerebral infection – a sinus infection that affects the brain stem nerves. In addition, it affects the lungs (pulmonary mucormycosis) which exacerbates the individuals condition of pneumonia that can distribute to other sections of the body which includes the chest cavity, brain, and heart (Medicine Plus, 2016).  Mucormycosis Assignment Discussion

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The main signs and symptoms include the following for sinus infections (fever, headache, and sinus pain), skin (fever, and tenderness, pain, heat, excessive redness, or swelling around a wound) and lung infections (fever, cough) (Centers of Disease Control and Prevention, 2011).  Mucormycosis Assignment Discussion

Abnormal labs that are present HCO3 29 meq/L (22-26 meq/L) and pH 7.50 (7.35-7.45), which suggest metabolic alkalosis. Moreover, the patient has a decreased Pa02 of 59 mm Hg on room air (80-100), reduced oxygenation circulating and and is alkalotic and is partially compensated – PC02 of 25 mm Hg (35-45 mm Hg). Moreover, the individual also has an elevated WBC of 15,200/mm³ (5-10,000/mm³) and lymphocytes of 10%  which revolves the patient having an infection. Patient also has an elevated fasting blood sugar of 138 mg/dl (60-110 mg/dl) as the patient is fighting the infection and the body is trying to compensate.

Medication treatments involve two antifungal treatment which is “amphotericin B products and posaconazole, isavuconazole with activity against Mucorales…posaconazole in an oral formulation that can be administered safely for prolonged periods makes it an attractive agent for long-term primary and secondary prophylaxis” . These treatment is involved to reduce or halt the spreading to the disease whilst treating other comorbidities. Likewise, consultation for infectious disease specialist and surgeon should be seen as the patient may need surgery debridement or surgical resection to address the decaying of tissue and possible removal. These complications include the following which are “blindness, meningitis, brain abscesses, osteomyelitis, pulmonary hemorrhages, gastrointestinal hemorrhages, cavitary lesions in organs and eventually secondary bacterial infections, sepsis, and death may occur” Mucormycosis Assignment Discussion

 

Benchmark – Population Health Policy Analysis

Optimal health is achieved through high-quality health care services which are cost-effective and accessible to the public and also well-coordinated. Health policies present plans, actions and decisions that facilitate the achiev3ment of healthcare goals in the society (Blank, 2019). The World Health Organization notes that health policies define visions for the future, provides the expected roles and priorities roles of the public population and creates consensus as well as informs the public on healthcare issues (Abel-Smith, 2018). As such, this paper examines the publicly funded healthcare policy in the United States and how it is designed to improve a specific population’s access to quality, cost-effective health care…

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

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Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it? Benchmark – Population Health Policy Analysis
To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?
Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Benchmark – Population Health Policy Analysis

Prepare this Benchmark – Population Health Policy Analysis assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 

NUR-550	NUR-550-XO0905XB	Benchmark – Population Health Policy Analysis	160.0
Criteria	Percentage	Unsatisfactory (0.00%)	Less than Satisfactory (80.00%)	Satisfactory (88.00%)	Good (92.00%)	Excellent (100.00%)
Content	70.0%
Financially Sound Health Care Policy That Incorporates the Nursing Perspective and Relevant Ethical, Legal, and Political Factors (2.1)	20.0%	A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is not included. Benchmark – Population Health Policy Analysis	A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present, but it lacks detail or is incomplete.	A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present.	A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is clearly provided and well developed.	A comprehensive discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is thoroughly developed with supporting details.
Integration of Appropriate State, Federal, and Global Health Policies and Goals Related to Equitable Health Care for Populations (4.2)	20.0%	A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is not included.	A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present, but it lacks detail or is incomplete.	A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present.	A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is clearly provided and well developed.	A comprehensive discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is thoroughly developed with supporting details.
		Benchmark – Population Health Policy Analysis
Advocacy Strategies for Improving Access, Quality, and Cost-Effective Health Care for Diverse Populations (2.2)	10.0%	A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is not included.	A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present, but it lacks detail or is incomplete.	A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present.	A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is clearly provided and well developed.	A comprehensive discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is thoroughly developed with supporting details.
The Professional and Moral Obligation of Advanced Registered Nurses to Respect Human Dignity and Advance the Common Good Through Working to Promote Health and Prevent Disease Among Diverse Populations from a Christian Perspective (4.3)	15.0%	A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is not included.	A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present, but it lacks detail or is incomplete.	A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present.	A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is clearly provided and well developed.	A comprehensive discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is thoroughly developed with supporting details.
Required Sources	5.0%	Sources are not included.	Number of required sources is only partially met. Benchmark – Population Health Policy Analysis	Number of required sources is met, but sources are outdated or inappropriate.	Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.	Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness	20.0%
Thesis Development and Purpose	7.0%	Paper lacks any discernible overall purpose or organizing claim.	Thesis is insufficiently developed or vague. Purpose is not clear.	Thesis is apparent and appropriate to purpose.	Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.	Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction Benchmark – Population Health Policy Analysis	8.0%	Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.	Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.	Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.	Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.	Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)	5.0%	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.	Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.	Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.	Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.	Writer is clearly in command of standard, written, academic English.
Format	10.0%
Paper Format (Use of appropriate style for the major and assignment)	5.0%	Template is not used appropriately or documentation format is rarely followed correctly.	Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.	Template is used, and formatting is correct, although some minor errors may be present.	Template is fully used; There are virtually no errors in formatting style.	All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	5.0%	Sources are not documented. Benchmark – Population Health Policy Analysis	Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	Sources are documented, as appropriate to assignment and style, and format is mostly correct.	Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage	100%

 

Optimal health is achieved through high-quality health care services which are cost-effective and accessible to the public and also well-coordinated. Health policies present plans, actions and decisions that facilitate the achiev3ment of healthcare goals in the society (Blank, 2019). The World Health Organization notes that health policies define visions for the future, provides the expected roles and priorities roles of the public population and creates consensus as well as informs the public on healthcare issues (Abel-Smith, 2018). As such, this paper examines the publicly funded healthcare policy in the United States and how it is designed to improve a specific population’s access to quality, cost-effective health care. Benchmark – Population Health Policy Analysis.

Publicly funded healthcare policy in the United States is designed to meet all or part of the healthcare needs from public funds. The Medicare and Medicaid programs together with the Veterans Health Administration and Children’s Health Insurance Programs are involved in funding 64% of healthcare costs paid by the government since 2013 (Sommers et al., 2017). Benchmark – Population Health Policy Analysis. The policy is designed to improve cost-effectiveness and health care equity for the population as it meets a larger portion of healthcare bills. Thus, it reduces the economic burden of the population and particularly the marginalized groups who have difficulties in accessing care due to poverty. Even though is not a universal healthcare fund, the policy ensures equitable distribution of healthcare services through equal distribution of healthcare funds. It also gives the population a chance to select their insurances depending on their economic capabilities. Consequently, it protects the consumers from exploitation by insurance companies. Benchmark – Population Health Policy Analysis.

The publicly funded healthcare policy in the United States is somehow not financially sound. Healthcare costs in the US are considerably higher and continues to increase even more than the overall economic growth of the country. For instance, in 2016, the cost was reported to be approximately $3.3 trillion dollars in 2016 (Martin, 2016). These high costs are bound to strain the economy of the country in the future considering that the US has the highest healthcare costs compared to other countries Benchmark – Population Health Policy Analysis. In 2016, the government spent 17.9% of GDP on the costs of healthcare which is substantially higher than Japan, France, Germany and Sweden who spent about 11% and Switzerland which spent only 12% of their gross domestic product (Papanicolas, Woskie & Jha, 2018). Moreover, an individual American citizen spent about $9900 for healthcare in 2016 (Martin, 2016). This increased expenditure could be therefore become unsustainable in the long run because, they tend to increase the national debt. In addition, the quality of life reduces as people spend more on health and insurances, the costs of their products and services increase and people end up being unable to afford healthcare insurance. Benchmark – Population Health Policy Analysis.

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The public funded healthcare policy ensures equitable distribution of resources among the public population regardless of their financial or social status. This supports the justice principle of ethics which focuses on fairness. Moreover, it promotes the protection of vulnerable groups such as the minorities and as well as ensures the patient’s choice of treatment is respected as expected by autonomy Benchmark – Population Health Policy Analysis. It also promotes culturally sensitive care thus enhancing solidarity between communities during outbreaks through prevention strategies and collaboration in eradicating illnesses. The policy is basically set up to benefit the public in improving the access and quality of healthcare and reducing the cost (Wilkinson, & Savulescu, 2018).

On the other hand, the legal foundation of public health in the US is embedded in the rights to life, safety and health of the population. The constitution mandates the government’s protection of its citizens against harm and hence the federal and states governments should provide a functioning public health system (Chen, Vargas-Bustamante, Mortensen & Ortega, 2016). The public health policy was set up through a political decision processes which involve the enactment of The Affordable Care Act (ACA) legislations Benchmark – Population Health Policy Analysis. Notably, the repealing, removal or amendment of the policy is dependent on the political authorities.

The implementation of the healthcare public funding policy should be patient centered and seek to reduce the cost as well as increase the quality of care. As such, nurses must consider influencing the processes and standards of their practice settings to achieve quality. Furthermore, they should promote active participation of other nurses and collaborations to ensure successful implementation and sustainability of the policy. Nurses should also consider being information sources to the community for the much-needed information regarding healthcare insurance coverage and access provided by the policy. Benchmark – Population Health Policy Analysis.

The public health funding policy is related to the Affordable Care Act (ACA) Federal health policy. This Act was enacted in 2010 with the aim of offering affordable health insurance coverage to the public. It also sought to protest the citizens for exploitation by insurance companies (Sommers et al., 2017). In this case, it was designed to lower the cost of healthcare particularly for low-income households. The public funding healthcare policy is well designed to achieve the ACA goals in that it offers healthcare funding programs suitable for all citizens through various insurance programs Benchmark – Population Health Policy Analysis. This ensures that costs are maintained at a realistic level that increases access as healthcare services become more affordable.

The public health funding policy seeks to improve the quality of healthcare, reduce the cost, increase access and affordability. One of the advocacy strategies I would employ on behalf of my population to ensure they have access to the benefits of the policy is to provide a voice. This means that I provide information to enable them understand the policy and its benefits as well as how to become a beneficiary. I will also allow them to ask questions that will facilitate my successful implementation of the policy. Another strategy will involve the protection of the patients’ rights (Assi, Peterson & Hatmaker, 2018). Benchmark – Population Health Policy Analysis. This will entail knowing their wishes and communicating them to the policy makers as well as educating them on how to optimally benefit from the policy as well as improve the quality of their care.  I will also connect patients to resources both on the inside and outside the healthcare facility to support their wellbeing and understanding of the policy. This will help them gain financial assistance and enable them meet their needs.

From a Christian perspective, the advanced registered nurses have a professional and moral obligation to advocate for and promote health and prevent disease among diverse populations Benchmark – Population Health Policy Analysis. This is achieved through upholding of autonomy, beneficence, non-maleficence and justice during healthcare delivery (Leffers & McDermott-Levy, 2019). This means that nurses are expected to engage patients in treatment and as well in decision making regarding the implementation of healthcare policies. They should also ensure fair and equitable distribution of healthcare resources and services and attend to patients without discrimination. Nurses should also be culturally sensitive while dealing with patients from different backgrounds (Albougami, Pounds & Alotaibi, 2016). This includes conducting a spiritual needs assessment to resolve ethical dilemmas and as well as practicing according to the legal requirements of the advanced nurse license. They should also uphold holistic and evidence-based practice at all times. Benchmark – Population Health Policy Analysis.

References

Abel-Smith, B. (2018). An introduction to health: policy, planning and financing. Routledge.

Albougami, A. S., Pounds, K. G., & Alotaibi, J. S. (2016). Comparison of four cultural competence models in transcultural nursing: A discussion paper. International Archives of Nursing and Health Care, 2(3), 1-5.

Assi, M. J., Peterson, C., & Hatmaker, D. D. (2018). Workforce Advocacy for a Professional Nursing Practice Environment. Contemporary Nursing E-Book: Issues, Trends, & Management, 232. Benchmark – Population Health Policy Analysis.

Blank, R. H. (2019). Public Policy Context: Funding and Policy Initiatives. In Social & Public Policy of Alzheimer’s Disease in the United States (pp. 27-44). Palgrave Pivot, Singapore.

Chen, J., Vargas-Bustamante, A., Mortensen, K., & Ortega, A. N. (2016). Racial and ethnic disparities in health care access and utilization under the Affordable Care Act. Medical care, 54(2), 140.

Leffers, J., & McDermott-Levy, R. (2019, November). Ethical principles for global health nursing: Promoting equity in practice. In APHA’s 2019 Annual Meeting and Expo (Nov. 2-Nov. 6). American Public Health Association.

Martin, A. B. (2016). Healthcare expenditure increasing in USA. PharmacoEconomics & Outcomes News, 768, 17-17.

Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Health care spending in the United States and other high-income countries. Jama, 319(10), 1024-1039 Benchmark – Population Health Policy Analysis.

Sommers, B. D., Maylone, B., Blendon, R. J., Orav, E. J., & Epstein, A. M. (2017). Three-year impacts of the Affordable Care Act: improved medical care and health among low-income adults. Health Affairs, 36(6), 1119-1128.

Wilkinson, D., & Savulescu, J. (2018). Cost-equivalence and Pluralism in Publicly-funded Health-care Systems. Health Care Analysis, 26(4), 287-309. Benchmark – Population Health Policy Analysis.

Client-Centered Communication and Collaboration- The Case of Mrs. G

The case study involves a 75-year-old widow called Mrs. G who is going through feelings of individuality and loneliness, deteriorating health status and aging. Her children are resolute about keeping her safe and ensuring that she receives the best care. It is for this reason that they initiated a conversation with Mrs. G about going to an assisted living facility. Mrs. G is against not only the idea but also gets upset that her children believe that she should go out of her home where she has lived with her husband for 50 years…

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. Client-Centered Communication and Collaboration- The Case of Mrs. G.

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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.\” Client-Centered Communication and Collaboration- The Case of Mrs. G

In 3 – 4 pages answer the following questions:

1.)How would you best describe Mrs. G.\’s feelings about her life, her family, her traditions, and her future?

2.)Did Mrs. G.\’s response to her daughter surprise you? Please explain your answer.

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

4.)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?

5.)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? Client-Centered Communication and Collaboration- The Case of Mrs. G

 

Overview

The case study involves a 75-year-old widow called Mrs. G who is going through feelings of individuality and loneliness, deteriorating health status and aging. Her children are resolute about keeping her safe and ensuring that she receives the best care. It is for this reason that they initiated a conversation with Mrs. G about going to an assisted living facility. Mrs. G is against not only the idea but also gets upset that her children believe that she should go out of her home where she has lived with her husband for 50 years.

How Mrs. G Feels About Her Life, Family, Traditions, and Future

Mrs. G strongly values family including people she is not related to by blood such as church leaders and immediate community members. Her interest in family surpasses her interest to the extent that she values her husband and children more than she values herself. Besides, she valued the impact she had on her children’s future lifestyle. Rather than having a personality of her own, she integrated with the family’s cultural practices and structure. She respected her husband who was the head of the family unit and had the family authority. Client-Centered Communication and Collaboration- The Case of Mrs. G. It is for this reason that Mrs. G was still grieving the loss of her husband, a situation that can be emotionally devastating.

According to the traditions of Hispanics, children are expected to relate closely with family and take responsibility for their care when they grow old. The suggestion to go to an assisted living facility is not common in their culture since when parents grow old, children opt to live with their parents or parents usually move in to live with their children. Mrs. G is also influenced by her religious and spiritual beliefs on well-being and illness. According to the Hispanic culture, good health is a reward from God while illness is a punishment for a wrongdoing. It is for this reason that she feels she has done something wrong. Client-Centered Communication and Collaboration- The Case of Mrs. G

Mrs. G’s Response

There are mixed reputations about the ability of assisted living facilities to care for elderly people. In most cases, incidences of maltreatment and negligence tend to overshadow the best outcomes and positive tales of those living in assisted living facilities. In this case, Mrs. Gs’ response to her daughter’s suggestion of moving to an assisted living facility with a lot of unwillingness and resentment. Client-Centered Communication and Collaboration- The Case of Mrs. G.  Her response is linked to several reasons. She strongly feels that leaving a home she has spent more than 35 years with her husband will feel like totally losing him. The house brings memories she cherished and shared with her husband. Therefore, even in his physical absence, she still feels his presence.

Besides, Mrs. G is determined to maintain her independence and adapt to living without her husband. However, she feels that going to an assisted living facility takes away that independence.  Lastly, most seniors think that they are forgotten when taken in an assisted living facility. The majority of those who reside in assisted living facilities involuntarily believe that their care is transferred to other people other than their children who should take responsibility for their care. Therefore, concerning the devastating events that occurred in her life, her reaction to her daughter’s suggestion was not surprising. Client-Centered Communication and Collaboration- The Case of Mrs. G

How Culture Influences Her Decision

Mrs. G’s culture probably has a great influence on her decision to continue residing in her house rather than moving to an assisted living facility as proposed by her daughters. The Latino culture values family and that is why Mrs. G feels that she should continue living in her house where she spent most of the time with her husband and children and that her daughters should take responsibility for her care. However, it is also evident that Mrs. G openly welcomes a home nurse who checks and cares for her every week. This means that Mrs. G is determined and willing to allow more frequent care visits than she currently receives. Her willingness to let someone else take care of her illustrates multiculturalism where she has adjusted to the culture of the nation that she currently resides (Catalano, 2015). It is essential to hold on to their culture and personal beliefs although philosophies and values might fail to align with individual views, which increases the complexity of care. Client-Centered Communication and Collaboration- The Case of Mrs. G

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Communicating With Mrs. G

A meaningful conversation with Mrs. G requires less aggressiveness from her daughter. Instead, she should be more personal so that Mrs. G does not feel sad and angry. Her daughter should also communicate her fears about her mother’s deteriorating health status and general mental status to help Mrs. G understand her idea of going to reside in an assisted living facility. When communicating, her daughter should express care and compassion by using positive facial expressions, maintain eye contact when talking to her mother, give light touches of reassurance, and love (Campinha-Bacote, 2011) Client-Centered Communication and Collaboration- The Case of Mrs. G. This is the only way Mrs. G will discover that her idea is respectful, mindful and meaningful.

Resources and Collaborations

There are wide ranges of resources that can ensure the safety of Mrs. G based on her choice. These resources include meals delivered at home, senior daycares, personal chore and care services, and transport services. Based on the information provided regarding Mrs. G’s preferences, she would benefit a lot from frequent home health services. Home health services will ensure that Mrs. G gets a daytime caregiver. At night when there is no one around, the use of a fall alert device may be considered. Should Mrs. G’s situation worsen, it will be necessary to consider a 24-hour home care service. Client-Centered Communication and Collaboration- The Case of Mrs. G

 

References

Catalano, Joseph T. (2015). Nursing Now! Today’s Issues, Tomorrow’s Trends, 7th Edition.

Campinha-Bacote, J. (2011). Delivering Patient-Centered Care amid a Cultural Conflict: The Role of Cultural Competence. OJIN: The Online Journal of Issues in Nursing, 16(2), 5th ser. doi:10.3912/OJIN.Vol16No02Man05 Client-Centered Communication and Collaboration- The Case of Mrs. G