In this written assignment on how to deliver client-centered culturally competent care and work collaboratively with others sample essay, you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.
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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.”
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? how to deliver client-centered culturally competent care and work collaboratively with others sample essay.
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?
Case Study
How would you best describe Mrs. G.’s feelings about her life, her family, her traditions, and her future?
Mrs. G appears nostalgic, particularly in holding on to her home and the memories of the life she had with her husband. She gives the impression of being lonely as evidenced by her request that the nurse visit her home more frequently. She is not very close with her children since none of them live in the same town with her. In addition, she seems to hold to the traditional ideals whereby women are subservient to their husbands. how to deliver client-centered culturally competent care and work collaboratively with others sample essay. She was highly dependent on her husband and appears lost without him, reminiscing on her life when her husband was alive. She is not appreciative of the concern that her daughter showed when she suggested that she should relocate to an assisted living facility where her risk of falls would be reduced. Instead of holding a discussion with her daughter, she is categorical that she will not relocate from her home. Also, she might feel disrespected and disregarded by her children who did not consult her and went on to look for an assisted living facility that would accept her. They expected her to agree to the relocation without prior consultation or her involvement in the decision making.
Did Mrs. G.’s response to her daughter surprise you? Please explain your answer.
Mrs. G’s response was not surprising. As a woman of advanced age who has lived most of her life in the same home it would be very scary for her to relocate to a new location where she has to build new relationships. Additionally, her relocation could be interpreted as her abandoning her marital home where she spent most of her life with her husband. As an old woman who is observant of culture, she should be keen on maintaining the traditional role of women by staying at home and performing domestic tasks. Besides that, she has developed a relationship with her home health nurse and has even suggested that the nurse should visit her more often. Also, she is at an advanced age and it is to be expected that she would be resistant to change and keen on maintaining the ‘status quo’ that is her life in a familiar environment. In addition, it is expected that she would be resistant to a decision that was made without consulting her since she is an adult and does not expect her children to make her decisions how to deliver client-centered culturally competent care and work collaboratively with others sample essay.
In what way do you believe her culture might be influencing her decision?
Mrs. G’s culture might be influencing her decision not to relocate from her home. Firstly, her culture has identified the traditional role of women as homemakers whose presence completes the home. Leaving her home could be interpreted as abandoning her identity as a wife. Secondly, the Hispanic culture indicates that death is not the end of life and people transform into spirits that can still communicate with their loved ones. This means that her husband’s spirit is present in her home and she would be away from him if she relocates to the facility. Thirdly, parents are supposed to be wiser than their children. This makes it very difficult for her to follow her children’s’ decision that was made without consulting her when she should be at the core of decision making. Finally, as a women her identity relies on her capacity to complete house tasks. Asking her to relocate from her home because of her incapacity equates to taking away her identity as a Hispanic women. These four cultural aspects could have influenced Mrs. G’s decision not to relocate to the facility.
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?
As Mrs. G’s daughter, I would visit more often and talks to her regularly to indicate that I care and want to hear about her day. Additionally, I would relocate to a location near her so that she is able to visit me if she has any concerns. Besides that, I would share my concerns with her and seek her input on how best to ensure her safety at home while avoiding the falls. Overall, my physical presence and presenting a worried expression would communicate to her that I am concerned about her since her living safely would eliminate my worry. Also, I would present her with information (such as leaflets) on age-based physical declines, allowing her to read the material and understand that falling is normal at her age and that there are solutions to reduce the risk of falls. The literature would act as a subtle suggestion for her to seek help since her situation would only get worse. how to deliver client-centered culturally competent care and work collaboratively with others sample essay. The worried expression and literature would influence her to relocate to an assisted living facility.
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?
If Mrs. G stands firm about not leaving home, there are collaborations and resources that would help in her situation. Firstly, she can be taken on a visit to the facility where she would get a chance to see how her peers are coping. The visit might eliminate her concerns about the relocation. Secondly, her family could hire round the clock domestic help to allow her get more rest in her home. Thirdly, her physician and other health professionals can be invited to advise her on the merits of an assisted living facility and how best to avoid falls in the future. This could include hiring the services of a therapist who would offer professional help in taking her through her concerns and helping her to make the right decision. Finally, her home could be ‘accident proofed’ so that the hazards are eliminated. For instance, a mechanical system can be introduced to allow her move between floors in her home so that she does not have to use the stairs when moving between floors. how to deliver client-centered culturally competent care and work collaboratively with others sample essay.