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Case study 5-2: Talking About Death  

 

Mitch is a 10-year-old with leukemia, which, after considerable treatment, is now considered a terminal condition for him. In the 2 years since his diagnosis, his parents and other family members have focused on being optimistic around him and have asked his healthcare professionals to do the same. No one has discussed with Mitch the possibility that he might not survive his leukemia. Registered Nurse Teresa is Mitch’s primary nurse during his current hospitalization for an infection. Teresa has developed a good relationship with Mitch and his family during previous hospitalizations. Mitch now seems depressed and uncommunicative. His family is still avoiding directly talking with Mitch about his deteriorating condition and impending death. Teresa asks Mitch’s mother about the circumstances surrounding Mitch’s decreased communication. His mother responds, “Do you think he knows he is dying?”

 

2. Because the door has been opened to question what Mitch knows or does not know about his illness, what can Teresa do to help Mitch and his family maintain the greatest well-being during the dying process, which may be either rapid or slow? 

SCIENCE
HEALTH SCIENCE
NURSING
ETHICS SU1

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