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MSN 5550 Well being Promotion: Prevention of Illness
Case Examine Module 12
Directions: Learn the next case research and reply the reflective questions. Please present
rationales to your solutions. Be sure to offer citations/references to your solutions in APA
format.
Deadline: Due by Sunday at 23:59 p.m.
CASE STUDY: Caregiver Function Pressure: Ms. Sandra A.
Sandra, a 47-year-old divorced lady, acquired a prognosis of stage three ovarian most cancers four years
in the past, for which she had a complete hysterectomy, bilateral salpingo- oophorectomy, omentectomy,
lymphadenectomy, and tumor debulking adopted by chemotherapy, consisting of cisplatin
(Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did effectively for two years after which
moved again to her hometown close to her household and underwent three extra rounds of secondline
chemotherapy. She accepted a much less anxious job, purchased a home, renewed previous friendships,
and have become extra concerned along with her two sisters and their households.
Sandra developed a number of problems, together with metastasis to the lungs. Then she may no
longer work, drive, or look after herself. She had been instructed by her oncologist that there was
nothing else that could possibly be accomplished and that she ought to take into account coming into a hospice. She met her
lawyer and ready an advance directive and accomplished her will. She determined to have
hospice care at dwelling and, with the assistance of her household, arrange her first flooring as a residing and
sleeping space. She was cared for by relations across the clock for roughly three days.
Sandra noticed that she was tiring everybody out a lot that they may probably not take pleasure in every
different’s firm. At the moment, she contacted the Visiting Nurse Affiliation (VNA) to hunt
help. Her plan was to attempt to take pleasure in her household and buddy’s visits. After evaluation, the VNA
nurse prioritized her issues to incorporate fatigue and caregiver position pressure. Different potential
drawback areas which will must be included into the care plan embody anticipatory grieving
and impaired consolation.
Reflective Questions
1. What are a number of the stresses on Sandra’s middle-aged sisters and their households?
2. What assets can be found to handle these stresses and help the sisters whereas
caring for his or her dying sister Sandra?
three. Describe Sandra’s emotions about dependency and lack of autonomy as a result of she is
unable to do her personal actions of every day residing any longer
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