Health Medical
Cleveland State University Alzheimer Long Term Care Case Discussion

Cleveland State University

Question Description

I need an explanation for this Health & Medical question to help me study.

Mr. Parker is an 88-year-old resident of your LTC home with end-stage Alzheimer’s. He is wheelchair bound and spends most of his days sleeping in his wheelchair near a window facing the garden. He needs to be spoon fed but has recently started to refuse to eat. Mr. Parker has three children, one of whom – his only daughter -- is very involved in the care of her father. The team approaches the daughter about her father refusing to eat, and feels that his refusal is legitimate. Thus, they propose changing the plan of care to palliation. The daughter absolutely refuses, claiming that “you cannot kill my father, I want everything done to keep him living!”

The director of nursing (DON) for the facility has turned to you, as the executive director, for guidance, asking these questions.

  1. Do we know whether the resident is capable to make his own health care decisions?
  2. Are there any known wishes from Mr. Parker? What would he want? What are his values?
  3. Is his daughter the substitute decision-maker? Can she, in this role, demand treatment and expect that you comply?

Because of the potential legal and reputational liability, the corporate counsel has recommended you respond the DON in writing. Prepare a 4-10 page APA style memorandum, double spaced addressing the DON and daughter’s issues. Cite relevant sources. Be sure to include a cover page, and abstract.

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Final Answer

Your work is already complete. Please have a look at it and let me know if you need any correction before you submit it.The other file is an outline on the same. You can choose to ignore it.Otherwise, it is always great working with you. Goodbye for now. 👋

MEMO OUTLINE
TO: The director of nursing (DON)
FROM: the executive director:
DATE:

SUBJECT: To establish whether Mr. Parker is capable of making his own health care
decisions, if there any known wishes from the resident, and if the resident’s daughter, the
substitute decision-maker.

BACKGROUND INFORMATION
individuals capable of communicating and understanding their wishes are not assisted in
making decisions about their health care.
there are several guidelines from the 1996 health care consent Act to identify a substitute
decision-maker who is legally allowed.
MR. PARKER’S CASE
There are several factors to consider when establishing whether Mr. Parker is capable of
making his own health care decisions.
CONCLUSION
In this case, advanced directives and the living must be checked before taking the last
decision.


1

Running head: LONG TERM CARE

Long Term Care

Student’s name:
Course code:
Institutional affiliation:
Date:

2

LONG TERM CARE
Abstract

A substitute decision-maker is only required only when the individual is mentally incapable.
But there are circumstances in which an individual with mental incapability request that a
member of their family receive all health data and assist in making decisions. In
circumstances where the person is mentally incapable, there are several guidelines from the
1996 health care consent Act to identify a substitute decision-maker who is legally allowed.
The guild lines are in the form of the list of individuals or a hierarchy. Therefore, this paper
is an analysis of Mr. Parker’s case to establish whether Mr. Parker is capable of making his
own health care decisions, if there any known wishes from the resident, and if the resident’s
daughter, the substitute decision-maker.

3

LONG TERM CARE
TO: The director of nursing (DON)
FROM: the executive director:
DATE:

SUBJECT: To establish whether Mr. Parker i...

Duke University

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