RIVERBEND CITY: STAGES OF DYING AND STAGES OF
GRIEF
INTRODUCTION: WELCOME TO RIVERBEND CITY
Expository Text
Eighty-three year old Sheldon Greenberg has learned that the bone cancer he thought was in remission has come
back and is terminal. Sheldon, his family, and his caregivers must now navigate the unique challenges of the end-oflife experience.
Instructional Text
Regardless of practice setting, human services professionals not only are likely to work with clients facing terminal
illness, death, and grief but also are well positioned to meet the needs of individuals and families at this difficult
time.
Characters in this Mission
•
Susan Florman - Hospice Social Worker, Compassionate Choice Hospice
•
Shirley Greenberg - Riverbend City Resident
•
Sheldon Greenberg - Riverbend City Resident
•
Bruce Greenberg - Sheldon Greenberg's Son
•
April Nguyen - Riverbend Senior Services
•
Charlotte Lambert - Hospice Nurse, Compassionate Choice Hospice
•
Rabbi Moshe Zimmermann -Senior Rabbi, Beth Shalom Synagogue
•
Dr. Gavin Murphy - RCMC Oncologist
•
Mary Ellen Strafford- Community Organizer
•
Justine Nelson - Hospice Nurse
•
Chandra Capshaw - Social Worker
•
Jon Conklin - Hospital Social Worker
•
Rita Woods - RN-Hospice Nurse, RCMC
SCENE 1: RIVERBEND CITY MEDICAL CENTER, DOCTOR'S
OFFICE
Expository Text
Coming Coming to terms with the knowledge that a loved one has a terminal illness can be overwhelming. For
Shirley and Bruce Greenberg, the news that Sheldon's cancer has returned aggressively is devastating. As they try to
determine the next steps in his treatment, they must also process the loss they are facing.
Instructional Prompt
Click on all highlighted characters to hear their thoughts and concerns.
Dialogue 1: Bruce introduces some ideas about where Sheldon should receive
hospice care.
Bruce Greenberg
I know we have to discuss where Dad is going to spend the end of his life. The doctors think he's going to be with us
for another few months. I know he doesn't want to die in the hospital.
Justine Nelson
You mentioned you were thinking about another hospice.
Bruce Greenberg
Yes. Our rabbi was talking to us about a Jewish hospice that's very close to my home. I've heard good things about
it. But I'm not sure that's what my dad wants either.
Shirley Greenberg
I want to bring Sheldon home. I know that's what he wants too. But I don't know how I'd be able to take care of him
by myself.
Chandra Capshaw
You wouldn't have to care for him alone, Mrs. Greenberg. If your husband goes home, he'll have home hospice
workers assigned.
Bruce Greenberg
I'd like to bring him home too. But how do we arrange for that kind of care?
Chandra Capshaw
I can help you with that.
Dialogue 2: Shirley describes her life with Sheldon.
Shirley Greenberg
I feel like this happened so suddenly. I know he had cancer, but he was doing so well, and the doctors said that
people with multiple myeloma can live with it for years.
Chandra Capshaw
I know what a shock this is, Mrs. Greenberg. I understand you've been married for 60 years?
Shirley Greenberg
Yes. We started dating when I was sixteen. I can't even imagine living my life without Sheldon there. He's been
around so long he's like a part of my body.
Justine Nelson
I can only imagine, Mrs. Greenberg.
Shirley Greenberg
Sheldon does so many things for me. He pays the bills, he fixes things. He does all the driving when we leave town.
I don't like to drive on freeways. How am I going to cope without Sheldon?
Bruce Greenberg
Mom, Terri and I and the girls will always be there for you. You'll never be alone.
Chandra Capshaw
Bruce, how are you coping?
Bruce Greenberg
I'm doing the best I can. One step at a time. (sighs) My youngest daughter just got engaged, and we're all really sad
he's not going to be there for the wedding. I'm an only child, so my dad and I have always been close. He's the kind
of dad who never missed one of my ballgames.
Chandra Capshaw
We have support groups at the hospital for families of terminally ill patients. Would the two of you like more
information about them?
Bruce Greenberg
That sounds like a good idea.
SCENE 2: RIVERBEND CITY MEDICAL CENTER, MEETING
ROOM
Expository Text
Having met with the Greenberg's, the RCMC social workers now need to explore the various options available for
in-home hospice care. One such option is Riverbend Senior Services — RSS. April Nguyen, a liaison worker for
RSS, has come to meet with John Conklin and Rita Wilson to discuss the case.
Instructional Prompt
Click on all highlighted characters to hear their input to the meeting.
Dialogue 3: April asks some questions about the Greenbergs and their needs.
April Nguyen
It's good to see you both again. How have you been?
Jon Conklin
Busy, but good. Yourself? It seems like RSS is always in the news. You've been expanding your outreach, haven't
you?
April Nguyen
We sure have. Of course, that means we're all busier than ever, but it's good knowing that we're making a difference.
Jon Conklin
Well, I am hoping that you can help here. Let me give you the digest version of the Greenberg's situation. Sheldon
presented with respiratory issues after exposure to the chemical spill the other day. On examination, though, it was
determined that his bone cancer, which had been thought to be in remission, had metastasized to multiple locations.
His wife, Shirley, is having a very difficult time accepting this and has been in conflict with the nursing staff over
his treatment - particularly in terms of pain management. The family would like to take Sheldon home and receive
in-home hospice care - preferably aligned to their Jewish faith.
Rita Woods
Normally, that's exactly what we'd be encouraging the family to do. But the wife's inability to accept that her
husband is dying concerns us. I just wonder - will she be able to care for him? She would definitely need in-home
help, but can hospice provide enough help to ensure that Sheldon receives appropriate palliative care throughout the
process of dying?
April Nguyen
These are good questions and I can help with some of them. We're going to want to tap more than one source of
help. Let's start at the beginning, though. Here, I'm going to take notes on the whiteboard while we talk.
Jon Conklin
Sure ... let me grab my laptop from my office, too. I'll be right back.
SCENE 3: RONDO NEIGHBORHOOD, GREENBERG HOME
Expository Text
Having explored several options, the Greenberg family has settled on bringing Sheldon home for hospice care.
Susan Florman, the social worker from Compassionate Choice Hospice, has arranged an initial meeting at the
Greenberg home to discuss the family's needs and concerns. She has arranged that the Greenberg's rabbi be present
for this initial meeting as well as the hospice nurse, Charlotte Lambert, who will be providing much of Sheldon's
care.
Instructional Prompt:
Click on highlighted characters to hear their concerns about providing for Sheldon during this last stage of his life.
Dialogue 4: Susan sets the context for the meeting.
Susan Florman
One of the first things I learned in this job is how difficult it can be to set up meetings with busy professionals, so let
me start by saying how much I appreciate all of you putting Mr. Greenberg's needs first and making time for this
meeting. I know this is a difficult time for you, Mrs. Greenberg ... Mr. Greenberg. I hope we'll be able to help
provide the tools and support you need.
A lot of people believe that when you begin hospice care, it means giving up on the person - giving in to death. We
don't look at it this way. We like to think that hospice is for life. We strive to help you and your loved one live all
the moments left to him.
Bruce Greenberg
That's a very nice way to put it. Thank you.
Rabbi Moshe Zimmermann
It is a good way to put it. I'm sure you know that Jewish tradition holds that Pikuach Nefesh is perhaps our greatest
mitzvah - commandment.
Charlotte Lambert
Peek-oo-ach neffesh?
Rabbi Moshe Zimmermann
The obligation to save a life. It is the most important commandment. If someone is dying of starvation and the only
thing to eat is a cheeseburger ... he should eat that cheeseburger!
Susan Florman
Forgive my ignorance, but what would be wrong with a cheeseburger if a person wasn't starving?
Shirley Greenberg
It's not kosher. You don't mix dairy and meat if you keep kosher. Though ... we don't really keep strict kosher here.
We don't eat pork or seafood, but I admit that I'm not as careful as my mother was.
Rabbi Moshe Zimmermann
People work out for themselves how to observe halacha. I'm not telling you what to do. But it may be that you and
Sheldon will find comfort in becoming more observant.
Susan Florman
That's often the case for people. Hospice care is by its nature very multidisciplinary. The hospice team consists of a
social worker - in our case, me - a hospice nurse - Charlotte - a chaplain for spiritual needs - that would be Mark
Bachmann, who couldn't make it today - as well as home health aids, volunteers, and your primary physician - that's
Dr. Murphy - Sheldon's oncologist?
Shirley Greenberg
(distressed) Yes, but who is this Bachmann person? A chaplain?
Rabbi Moshe Zimmermann
Miss Florman, there are very specific teachings in Judaism when it comes to this time in a person's life. I don't wish
to appear rude, but will your chaplain be familiar with our customs and beliefs?
Charlotte Lambert
I've worked with him before and I believe he takes a non-denominational approach.
Susan Florman
This is actually a good point to talk about what I hope to accomplish today. We need to determine what the plan of
care is - for Sheldon, but also for you, Shirley and you, Bruce. Hospice care extends to the whole family and we
need to make sure we understand what everyone's needs are.
But... often in a situation like this, people want to go straight to what they call problem-solving. What I'd like to
propose is that we begin by talking about the facts. What do we know about this situation?
That should take about half the time we have available, so 30 minutes at least for this discovery work. Then, the next
20 minutes of our time should be spent on talking about what these facts mean. This is the interpretation of the facts
and this is where we're likely to see disagreement and a lot of different perspectives.
Finally, the last part is talking about solutions and we should reserve about ten or fifteen minutes for that part of the
discussion, though it's possible that we won't finish that work today.
How does this sound to the rest of you?
Bruce Greenberg
I'll be honest - it doesn't sound very efficient. It seems like we could start with the big issues and get an idea of what
everyone sees as possible solutions and then discuss them.
Susan Florman
Most people would agree with you, Bruce, but it's my experience that when I'm working with a multidisciplinary
team, it's important to try to find a solution that will stick.
The model you suggested is more familiar to most people, but what often happens is that people come in with their
own ideas about what should be done and they argue for those ideas rather than working collaboratively. The
solutions that sort of group arrives at are often not as good as ones that come from an open discussion of all the
options.
Rabbi Moshe Zimmermann
I am interested to see how this model works. It's always good to learn new ways of problem-solving. What did you
say this model is called?
Susan Florman
The Hourglass Model. The basic idea is that you have two parts - the top part is all about gathering the facts about
the situation and the second part is for interpretation and finding a solution. So, you have half your time going into
data gathering and then the second half is split - discussing the interpretations and then working on a solution.
So ... let's give it a shot. What are our facts? How about the issue that started this (...) Sensitivity to and
understanding of the Greenberg's Jewish faith is very important.
Dialogue 5: Shirley tries her hand at describing the facts of the situation.
Susan Florman
Well ... it's a fact that I don't know if I can do all the things Sheldon will need me to do. When he was in the hospital,
it seemed like there were all these nurses doing things all the time. I won't be able to do all the things a nurse can do.
Susan Florman
(writing and talking) Shirley will need help with caregiving.
Rabbi Moshe Zimmermann
Another fact is that the teachings are very clear that no action can be taken that will hasten death - even in the name
of comfort.
Bruce Greenberg
But we don't want Dad to suffer. There's no justification for that, Rabbi.
Susan Florman
Let's keep talking about the facts - I'm hearing two here. First, that we need to be clear about the purpose of what
we're doing. Rabbi, I'm guessing that you're thinking about medications and morphine specifically?
Rabbi Moshe Zimmermann
Exactly.
Susan Florman
Alright - so how about I put down "Concern that morphine could hasten Sheldon's death." And also "Bruce wants
Sheldon to be comfortable and as pain-free as possible."
Charlotte Lambert
Well, if we're just pulling information together, you could put down that I'll coordinate with the doctor to get all of
Mr. Greenberg's medication prescriptions set up through Compassionate Choice. There's a pharmacy service that
will deliver everything you need right to the home.
Bruce Greenberg
That's very convenient.
Shirley Greenberg
You all seem so concerned about medications. I don't want this to be like when Sheldon was in the hospital.
Bruce Greenberg
No, that would be bad. But, mom, you need to trust the people we have helping us.
Susan Florman
How about I put down something like this "There is concern and distrust around the area of medication (specifically
use of morphine)"?
Shirley Greenberg
That's exactly right. There *is* distrust.
Susan Florman
And it's important that we acknowledge that if we're going to be able to find a real solution.
Dialogue 6: Bruce describes his concerns for his father's care and his worries
about his mother's needs.
Bruce Greenberg
For me, the biggest issue is that Dad be kept comfortable and as pain free as possible. And that mom get the support
she needs. We promised her that if Dad came home, she'd have help with caring for him.
Susan Florman
Can you describe what these things look like to you? What does it mean when you say you want your father to be
comfortable and pain free?
Shirley Greenberg
I want the same thing. But when he was in the hospital, I thought they were going to give him so much morphine
he'd go into a coma and never wake up again. He doesn't want to be so drugged up that he can't even be with us
anymore. What kind of life is that?
Charlotte Lambert
It is a goal of hospice nursing that the patient not have to suffer needlessly.
Shirley Greenberg
Sheldon and I have talked about this. He wants to be able to talk to his granddaughters and to Bruce and to me. Can't
we make him comfortable with Tylenol or some other pain killers that aren't so strong?
Susan Florman
This is definitely an issue that we're going to need to discuss thoroughly. Does anyone have any other issues that
need to be addressed? Alright... let me take a minute to summarize what we have and then we can talk about our
perspectives on each of these issues.
Shirley Greenberg
Can I get anything for anyone...? Some coffee or tea?
Bruce Greenberg
I wouldn't mind some coffee. I'll go with you and help you get everything together.
SCENE 4: SUSAN FLORMAN'S OFFICE, COMPASSIONATE
CHOICE HOSPICE
Expository Text:
Back in her office at the compassionate choice hospice, Susan Florman is making calls to coordinate services for
Sheldon's care and Shirley's support.
Instructional Prompt
Click on the characters in the circles to hear their conversations with Susan.
Dialogue 7: Rabbi Zimmermann calls Susan to further discuss some of his
concerns about the Greenbergs' cultural and religious needs.
Susan Florman
Compassionate Choice Hospice, this is Susan.
Rabbi Moshe Zimmermann
Good morning, Miss Florman, this is Rabbi Zimmermann.
Susan Florman
Oh, good morning, Rabbi. It's nice to hear from you again. How are you, today?
Rabbi Moshe Zimmermann
Oh, I can't complain. Well, I suppose I could but what's the point?
Susan Florman
I know some people who make it their only point. How can I help you?
Rabbi Moshe Zimmermann
I wanted to talk to you about the Greenbergs. I must say that I appreciated the way you facilitated the meeting the
other day. You really helped ensure that everyone contributed to finding solutions to the issues we were discussing. I
know that Shirley and Bruce feel more confident about the future.
Susan Florman
I'm glad. Hospice care is a very multidisciplinary field, but even in hospice, people don't always think about what it
means to work collaboratively. It's kind of my thing, though. I take it very seriously.
Rabbi Moshe Zimmermann
I think you should. The work you do and the different people you are assembling for a team; they all have their own
perspective. Collaborating may not necessarily come naturally to them. But... the issue I wanted to discuss is
actually a little more sensitive. There are requirements in the Jewish tradition for how one treats the person who is a
goses - this is a person whose death is imminent - and what must be done with the body when death occurs. I know
that you will have more than one person who will be helping the Greenbergs.
Susan Florman
Yes... Charlotte is the nurse, but we're also helping Mrs. Greenberg and Bruce arrange for a home health aid to help
with basic care such as bathing. I was also hoping to arrange for a volunteer who would simply provide
companionship and support for Shirley.
Rabbi Moshe Zimmermann
Well, there are resources available that talk about our beliefs and what is expected in terms of the people who are
with the dying person. Could I send you some articles and other materials?
Susan Florman
That would be wonderful. I can read through them myself and also share them with the people providing care to the
Greenbergs.
Rabbi Moshe Zimmermann
Thank you so much. I'll get those materials together and send them to you by email. Your email address is on the
business card you gave me?
Susan Florman
Yes, it is. Is there anything else I can do for you today, then?
Rabbi Moshe Zimmermann
No, no ... that was all I wanted to talk about. Thank you, Miss Florman. Good bye for now.
Susan Florman
Goodbye, Rabbi Zimmermann.
Dialogue 8: Mary Ellen Stafford, a volunteer with Compassionate Caring Hospice,
returns a call from Susan.
Mary Ellen Strafford
Hi, Susan ... this is Mary Stafford. How are you doing?
Susan Florman
Not bad, yourself?
Mary Ellen Strafford
Good. I hear you have a new client for me?
Susan Florman
If you're interested.
Mary Ellen Strafford
Yes. I was just thinking the other day that it has been a while since I did any work with you and I realized I missed
it. What can you tell me about the case you have for me?
Susan Florman
The patient is an 83year-old gentleman with terminal cancer. He and his wife have been married for over 60 years
and she's really struggling with the thought of being without him. Also, the family is Jewish and they are a little
concerned that we might be pushing Christian ideas on them.
Mary Ellen Strafford
Interesting. I haven't ever worked with anyone who was Jewish ... in a hospice situation, that is. Is it going to affect
how I engage with the family or the patient?
Susan Florman
I don't really think so. We've met with the family and the rabbi once already. I think we just need to be sure to ask
questions if it seems like there's a miscommunication.
Mary Ellen Strafford
Alright. Why don't I come by tomorrow afternoon to review the file and talk about how I can help in more specific
detail?
Susan Florman
That sounds great. I'll talk to you then. Goodbye for now.
Mary Ellen Strafford
Good bye.
Dialogue 9: Dr. Murphy, Sheldon's oncologist, calls to discuss hospice care for
his patient.
Susan Florman
Compassionate Choice Hospice, this is Susan.
Dr. Gavin Murphy
Susan, this is Gavin Murphy. I'm calling in reference to Sheldon Greenberg.
Susan Florman
Yes. Hi ... thanks for getting back to me. Mr. Greenberg has recently started hospice care and I know that you're his
physician. Our standard practice is to keep the primary physician as the medical contact for the hospice team.
Dr. Gavin Murphy
Excellent. That's my preference as well.
Susan Florman
I am still gathering information so we can put together a treatment plan for Mr. Greenberg. There seems to have
been some tension between his family and the medical staff at RCMC. I'm trying to make sure we all understand the
issues so we can avoid repeating those problems.
Dr. Gavin Murphy
Good. These are good people, the Greenbergs, and they were utterly caught off-guard by this turn of events. I am
concerned that Shirley will continue to have a hard time letting go. This may be a particular issue when Sheldon
reaches that stage when he doesn't want food or hydration. I don't mean to sound like I'm perpetuating stereotypes,
but I have this vision of her trying to feed him chicken soup and matzoh balls up to his last breath.
Susan Florman
I think this is a conversation we should have with him the next time I'm at their home. I'll try to explain it in a way
that isn't upsetting.
Dr. Gavin Murphy
That would be good. It's very typical with the way his cancer metastasized that swallowing becomes very difficult.
Also, as the person draws nearer to death, the body stops being able to metabolize food and water, but some
caregivers don't understand that and can go so far as to force food on the dying patient.
Susan Florman
I do have some literature on this issue. As I said, I'll make sure we discuss this with Sheldon and Shirley now. I
know from my conversations with their rabbi that it's very important for them to not see hospice as something that
will hasten death.
Dr. Gavin Murphy
Well, it's difficult for most people to see food and drink as anything but beneficial. It sometimes helps to explain the
medical side of the issue. To make it clear that - as counterintuitive as it may seem - sometimes what was beneficial
no longer is when a person is actually at the point of dying.
Susan Florman
Rabbi Zimmermann told me there are religious laws concerning the dying person ... what was the term he used ... a
goses - that's the word for a person whose death is imminent. I think he said within three days. I get the impression,
though, that there can be resistance identifying a person as a goses. From what he has told me, the culture of
preserving life above all else really makes some of these conversations difficult.
Dr. Gavin Murphy
I'll see if I can make some time to talk to the Greenbergs. I don't think he's going to be coming in to the hospital, but
perhaps I can speak with him or Bruce on the telephone and help explain some of the physiological aspects
associated with end of life.
Susan Florman
I think that would be helpful. Also, if you could write something to that effect for his hospice treatment plan, that
would also be useful.
Dr. Gavin Murphy
Absolutely. I'll write up something and put it in his electronic health record. You do have access to that, yes?
Susan Florman
Not directly, but I can contact medical records at RCMC and get a copy. Thanks so much for your help with all this.
Dr. Gavin Murphy
Well, he's still my patient. Thanks for coordinating all this. I'll talk to you later. Be sure to call or leave a message if
you need anything else. Goodbye.
Susan Florman
Goodbye.
SCENE 5: RONDO NEIGHBORHOOD, GREENBERG HOME
Expository Text
Susan returns to the Greenberg home to continue gathering the information she will need to create ineffective care
plan. On this day, Sheldon is stronger and so she visits with him, Shirley, and Bruce to discuss the various issues
associated with his care.
Instructional Prompt
Click on all highlighted characters to hear their contribution to the discussion.
Dialogue 10: Feeling better now that he is in his own home again, Sheldon
participates in the discussion with the hospice providers about his needs and
care plan.
Sheldon Greenberg
Who'd have thought that I'd be spending the end of my life entertaining young women in my bedroom?
Shirley Greenberg
Sheldon! Shame on you!
Sheldon Greenberg
Well, at least you're here to make sure I behave myself.
Susan Florman
You seem to be in a good mood today, Mr. Greenberg. How are you feeling?
Sheldon Greenberg
Not too bad, today. Somedays ... not so good, but today, I can't complain.
Bruce Greenberg
Dr. Murphy told us that the exposure to those chemicals caused pleurisy, which caused all the pain. They drained his
lungs and that's helped a lot.
Charlotte Lambert
Good. That's something we'll want to keep an eye on. I'm glad they got it under control. Have you been having
trouble with nausea at all, Mr. Greenberg?
Sheldon Greenberg
Not really. I don't have much appitite, but I keep everything I do eat down. Some things I used to love, they just
don't taste right any more, but there's probably not much you can do for that.
Charlotte Lambert
Not really. I'd say, eat what you're in the mood for and however much you eat, that's fine. You are going to see your
appetite decreasing. That's normal.
Shirley Greenberg
I've been making him soup... a little boiled chicken, some vegetables. But, like he said, he doesn't have much
appetite. Is there something we can do to help that? He can't keep his strength up if he doesn't eat.
Bruce Greenberg
Mom, remember what Dr. Murphy told us about this? That Dad isn't going to be getting better.
Shirley Greenberg
I understand that, but that doesn't mean we all should just give up. Don't you agree, Sheldon? You never know how
much time you might have left if you eat well and let us take care of you.
Sheldon Greenberg
I'm doing my best, sweetheart, but we need to be realistic, too. I'm just happy that I have time to spend with my
family. Even when we're not talking about anything important, it's just comforting to be with the people I love. It's
too bad that I have to be on my deathbed for it to happen.
Shirley Greenberg
Sheldon! Don't say that. You never know... miracles could happen. Your cancer could go away again.
Susan Florman
It could, but it probably isn't going to. I think it's important that Sheldon be able to talk about the fact that he is at the
end of his life. At the same time, though Mr. Greenberg, it's important to remember that you are still alive and your
life has value even now.
Sheldon Greenberg
That's a good point. I'm sorry, sweetheart, I didn't mean to upset you. I just feel bad when I think about leaving you
all alone.
Susan Florman
Perhaps we could talk about that. What your concerns are and how we might be able to help with them?
Shirley Greenberg
That would be good. Sheldon, you were sleeping the other day when Susan was here, but she's very helpful. We all
talked about what we were worried about and then, after we all told our side of the problems, we all talked about
ideas for what to do to solve the problems. She's very good at her job, this young lady!
Dialogue 11: Charlotte turns the conversation to Sheldon's medical issues.
Charlotte Lambert
So, how has it been for you, Shirley, in terms of caring for Sheldon? I know you were worried about your ability to
provide enough care.
Bruce Greenberg
My wife and I have been helping with that, but it's my understanding that hospice will be providing some help?
Susan Florman
Yes, I've been trying to arrange for a home health aide. I spoke with your insurance company and they will authorize
someone to come in for three hours a day, Monday through Friday.
Sheldon Greenberg
What, so I don't need help if it's the weekend?
Susan Florman
I know. It can be very frustrating. The issue is that based on your current status, you aren't qualified for a full-time
aide.
Shirley Greenberg
I don't mind taking care of Sheldon. He's my husband and that's my job, but I just don't know how to do some of
these things. The girls in the hospital, they were just so fast and strong. I'm afraid if I try to help Sheldon to the
bathroom or something, we'll both fall and break a bone and then we'll really be sunk.
Bruce Greenberg
Mom, you definitely don't want to be putting yourself at risk. We can figure something out that will get
Dad and you the help you need.
Charlotte Lambert
Many people find it best if the aide comes in the morning and helps with bathing and other personal care issues.
Then, the family members can usually handle helping the person get ready for bed.
Susan Florman
I'll talk to the insurance rep again. Shirley's age and strength may help justify more time with a home health aide.
Sheldon Greenberg
I hate that I am making more work for everyone. This isn't what I wanted at all. I don't want to be a burden to
anyone, least of all to my wife and son.
Bruce Greenberg
Dad, you're not a burden. We'll figure this out.
MISSION SUMMARY
Congratulations on completing Stages of Dying and Stages of Grief. As you prepare for the discussion question in
your course room consider how Susan went about gathering the information necessary to complete a care plan. Are
there other issues she should be considering? What other professionals might she need to coordinate with as she
continues working with the Greenbergs?
This Summary Document contains a recap of the mission, learning outcomes, and links to additional resources.
CREDITS
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