The purpose of this task is that you demonstrate knowledge

Describe a plan that you believe will provide the best quality of life for the client and family. 1. Describe the approach you would take to discuss the plan with the client and family in a sensitive manner to reach a shared decision. Your communication methods must be appropriate, relevant, and beneficial to the client and family. 2. Explain the significance of key end-of-life care documents to advance care planning and decision-making. SCENARIO : A 45-year-old Hmong woman, Ms. T., moved to Detroit, Michigan, with her husband and daughter. Her husband is HIV-positive. Her husband was abusive, and their marriage eventually ended. A few years ago, the client was diagnosed with HIV and hepatitis C. Since her diagnosis, Ms. T. has struggled with adhering to antiretroviral therapy. Though often working as a nail technician, she has been unhoused at various times during the past five years. According to a family nurse practitioner at Health Outreach Clinic, care providers were able to help Ms. T. improve her CD4 cell count. They, however, were not aware of the full scope of her symptomology because of miscommunication. The client refused to work with an interpreter because she believes her illness has a spiritual cause and did not want to discuss the problem with another person. A Hmong translator was brought in to help the client understand her symptoms. After further testing, the client was diagnosed with stage III colon cancer when three large tumors were discovered. The first round of chemotherapy did not help, and the cancer progressed to stage IV. Since her cancer diagnosis, Ms. T. has been unable to secure housing. She qualifies for some rental assistance programs due to her HIV-positive status. Because of her beliefs, however, she does not want to reveal her HIV status to help secure housing. Her situation is also complicated by the fact that she holds a green card but is not a citizen of the United States. Her 25-year-old daughter lives in another state and helps her mother as much she is able.

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