In this written assignment, you have the opportunity to share your thoughts abou

Question

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?

Explanation / Answer

1. ANS: After reading about Mrs. G, it sounds that she was very family orientated and takes a lot of pridein that. She loved her husband and children so much. Her traditions seem to be centered around love and family. This could be the reason she does not want to leave her home because this is where her and her husband raised their family so she associates this home with her family.

2. ANS: Personally, Mrs. G.’s response to her daughter did not surprise me because when someone is in their home for 35 years they do not want to leave. Although she is having a home health care worker comes in to her home to help her, this is clearly not enough and I think Mrs. G. realizes this because she said she really likes her and wishes she could come to her home more often.

3. ANS: When I read the article and saw that she was Hispanic, I did a little research on how that might influence her decision. While reading I found that the most common family type for Hispanics is a Nuclear family. The husbands are expected to take care of everything and once he passes, the children are supposed to come in and help their mother. With this being said, I think Mrs. G. is wanting her daughter to help her more and find other resources for her so she can stay in her home.

4. ANS: If I were Mrs. G.’s daughter, I would explain to her that I just want the best possible care for her and that since I live in the town next over and have a family of my own that I cannot be there for her all the time like she needs. I would also discuss other options with her though. I would ask her if she would be open to having a live in care giver in her own home since she does not want to leave her house and I would not blame her. I would always make sure I am at her level when speaking to her so she does not feel as if I am standing over her and trying to take control of the situation. I would also always make sure to have good eye contact so she knows I am thoroughly listening and taking in what she has to say.

5. ANS: If Mrs. G. does stand her ground and decides to not leave her home, I as her daughter would go in with the healthcare agency and see what the next step would be. Whether it means the nurses and aides just come more often or if Mrs. G would be open to having a live in caregiver. There are other options out there but the daughter needs to collaborate with the agency to make sure that her mother is safe and has the best possible care that she can have. Healthcare agencies are very open and are willing to work with you. A lot of elderly people do not want to leave their home so they are trained and educated to deal with cases like Mrs. G.’s.

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