Healthcare Final Paper

Jun 24th, 2014
Health & Medical
Price: $60 USD

Question description

Final Paper

 To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the Introduction to the Miller Family document for specific information on each member of the family.

Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing.  She went into remission for some time, but now the cancer has returned and she is in the hospital.  Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life.  Ella has her preferences, though she is now so weak that she has given up in many ways.  The family members are each experiencing their own fears and are grieving as they face the loss that will occur as Ella’s life comes to a close.  Ella prefers to die at home and has felt stressed by the discord and discomfort of family members since being hospitalized. 

You are the social worker for this case.  You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home. 

For this assignment, you will:

  1. Synthesize the current research that is relevant to this scenario.
  2. Discuss the cultural or traditional issues that could arise at this time.  Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.
    • Describe how the family might react to the following possible scenarios:
      • Ella wishes to stick with alternative and complementary practices.
      • Ella is coerced into following mainstream medical advice.
      • Ella’s husband insists that, as father and husband, his family traditions should be adhered to.
    • Examine the biological basis for and describe how the choices for care might affect the other family members with respect to their individual problems, if at all.
      • Son Sam, the alcoholic
      • Daughter Lila, with diabetes
      • Grandson Josh, starting to have drug problems
      • Granddaughter Lucy, bipolar with more entrenched drug problems
      • Daughter-in-law, Sarah’s stress related to her family’s medical issues (nephew with leukemia, brother with HIV, and her father’s perspective that they are all “crazy!”)
  3. Present the micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella’s medical condition and prognosis.
    • What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered? 
    • How is the neighborhood and extended family (mezzo) reacting to the situation?
    • If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them.  Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
  4. Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home.  When discussing medical issues in this case, use appropriate medical terminology. 
  5. Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time.  How has the fact that this illness has been ongoing (chronic) impacted the family?
  6. Analyze the current scenario as pertaining to diversity, as well as to cultural, psychological and social perspectives and influences, taking into account the stories that you have been discussing throughout the course.
  7. Consider the impact of each person’s perspective as it pertains to their lifespan development (i.e., their intellect, cognitive abilities, insight, and judgment) as well as their sociocultural perspectives, preferences, understandings, and positions on the situation.

Writing the Final Paper

The Final Paper:
  1. Must be eight to ten double-spaced pages in length, and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must include a title page with the following:
    1. Title of paper
    2. Student’s name
    3. Course name and number
    4. Instructor’s name
    5. Date submitted
  3. Must begin with an introductory paragraph that has a succinct thesis statement.
  4. Must address the topic of the paper with critical thought.
  5. Must end with a conclusion that reaffirms your thesis.
  6. Must use at least three scholarly sources.
  7. Must document all sources in APA style, as outlined in the Ashford Writing Center.
  8. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.

Tutor Answer

(Top Tutor) Daniel C.
School: UT Austin

Studypool has helped 1,244,100 students

Review from our student for this Answer

Jun 28th, 2014
"This tutor is great!"
Ask your homework questions. Receive quality answers!

Type your question here (or upload an image)

1824 tutors are online

Brown University

1271 Tutors

California Institute of Technology

2131 Tutors

Carnegie Mellon University

982 Tutors

Columbia University

1256 Tutors

Dartmouth University

2113 Tutors

Emory University

2279 Tutors

Harvard University

599 Tutors

Massachusetts Institute of Technology

2319 Tutors

New York University

1645 Tutors

Notre Dam University

1911 Tutors

Oklahoma University

2122 Tutors

Pennsylvania State University

932 Tutors

Princeton University

1211 Tutors

Stanford University

983 Tutors

University of California

1282 Tutors

Oxford University

123 Tutors

Yale University

2325 Tutors