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Case Study: (choose 1 to respond to in initial post)
Young Professional Couple:
A young professional couple, both age 32, have been married for 8 years. They had waited 3 years to begin their family. The wife became pregnant, has a healthy baby girl. The family appears happy and the child is developing normally. Yesterday, the 3 year old girl wandered outside and is later discovered lifeless in the family pool. Although the parents found her within minutes of the incident and she was transported to the local children’s hospital where all efforts to resuscitate her were unsuccessful. She has been determined brain dead and they are taking her off life support later today. You are part of the care team interacting with the family.
What is the best support for this family?
How can you aid in their grieving process?
Describe Bowlby’s stages of separation and mourning.
Familiarize yourself with Kubler-Ross’s 5 stage of grief. What stage would this family be in? What are the characteristics (or expected emotions or behaviors) that are likely to occur at this stage.
Clara:
Clara is 78, lives alone and her children live nearby. Her family is concerned for her safety because she seems more forgetful. She has rejected the idea of living with her children or having someone come live with her as a companion. She states she is quite capable of caring for herself and doesn’t want to be a “burden.”
What factors may cause forgetfulness in the elderly? When is it cause for alarm?
Should the children make a decision for her and force her to move or have a companion? (explain and give rationale for this answer)
What other choices do the children have to help ensure her safety and well being?
List the psychological changes that threaten one’s independence.
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Late Adulthood: choose 2 of the following questions
1. Find at least one peer reviewed article about elder abuse and summarize the findings in at least. Be sure to include signs of elder abuse, who is at risk, what local and national resources are available and what services they provide. Who is responsible for reporting suspected elder abuse and what are the steps. reference the article as well.
2. What do you think it would be like being admitted to a nursing home? Imagine you are an older adult who is either willingly or unwillingly being admitted into a nursing home and answer in a mock diary entry from that person’s point of view.
3. Compare and contrast signs of dementia and delirium. Research current diagnostic tools that are used to help in the diagnosis of patients who may be suffering dementia or delirium.
4. Watch these videos by Kenny Chesney https://www.youtube.com/watch?v=4f0p5KqdU9U & Brooks & Dunn https://www.youtube.com/watch?v=X5z-jjWyAJQ then answer the following questions.
What is the current life expectancy in the United States?
Look in your book about different psychosocial theories that attempt to explain how aging affects socialization and life satisfaction (disengagement theory, activity theory, continuity. Choose one and describe how it can be applied positively to an aging person.
Discuss changes in height and weight that occur as adults age? What are changes that occur with cardiovascular system and respiratory system?
Choose one of the videos and explain how concepts from Erikson’s theory of late adulthood is demonstrated.
What is your personal take away from these videos or concepts you have learned?
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Death & Dying: choose 2 of the following questions
1. Compare hospital and hospice in end of life situations.
What does one offer that the other may not? How do cost and insurance coverage compare? Which provides a better environment for the patient? For the family? Explain your answers with rationale.
2. Describe end of life issues and documents used during death.
Advance directives such as the Patient Self-Determination Act (PSDA)
Living will
Durable power of attorney for health care
Do not resuscitate order (DNR)
3. After watching this music video answer the following questions: https://www.youtube.com/watch?v=VjbOPBAiENQ
What is ALS?
If you had ALS, what fears would you have, and what would you want to have in place to help your family?
What type of grief do you think Ron has (anticipatory or maladaptive). Explain your answer.
It is important nurses are aware of cultural rituals surrounding death. What may be beneficial for Ron.
Read the information in your book about Kubler Ross’s five stages of grief. During the time of this interview/ video. What stage do you think Ron was? Explain your answer.
Provide references to support your answers

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