Describe sandras feelings about dependency of autonomy

Reference no: EM133589105

Assignment: Health Promotion- Prevention of Disease

Case Study Module

Instructions: Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers.

Case Study: Caregiver Role Strain: Ms. Sandra A.

Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy, lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of second-line chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families.

Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney and prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days.

Sandra observed that she was tiring everyone out so much that they could not really enjoy each other's company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend's visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort.

Task

Question A. What are some of the stresses on Sandra's middle-aged sisters and their families?

Question B. What resources are available to manage these stresses and support the sisters while caring for their dying sister Sandra?

Question C. Describe Sandra's feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer

Reference no: EM133589105

Questions Cloud

Compare and contrast 3 types of mutuality or pluralist : Compare and Contrast 3 types of mutuality or pluralist positions from Knitter Compare and contrast three pluralist or universal positions from my book.

How do confucianist and daoist understandings of self : How do Confucianist and Daoist understandings of self cultivation differ?

How can medication errors occur : Based on the case study "How Can Medication Errors Occur," what factors could potentially cause a medication error in this case?

Does the problem have professional significance : Does the problem have professional significance? Does the problem have the potential to build or refine evidence-based practice?

Describe sandras feelings about dependency of autonomy : Describe Sandra's feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer

How would you introduce facets of humanology to beginner : As a Kundalini Yoga teacher how would you introduce facets of humanology to beginner students choosing the topics: Yogic Diet Yogic Hygiene

How would krishna guide this manager : How would Krishna guide this manager? (focus on the Bhagavad Gita's teachings about the ego, anger, and Krishna's stance on detachment versus inaction).

Discuss major characteristics of the us healthcare system : Considering the major characteristics of the U.S. healthcare system, what is your platform to improve the current healthcare system?

What are the ways in which a population health focus applied : What are the ways in which a population health focus might be applied in transforming the health care delivery system?

User Account

All Pages