5.Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?
Running head: Communication and Collaboration 1 Client Centered Communication and Collaboration
Rasmussen College Author Note
This paper is being submitted on November 23, 2016, for Cheri Montag?s NUR 2058
Dimensions of Professional Nursing course. Communication and Collaboration 2 Client Centered Communication and Collaboration
In the Hispanic culture, family is very important. Many family members of several
generations will live together or in the same neighborhood. Working with families requires
objectivity. Working with families who are culturally diverse requires not only objectivity but
also a willingness to examine myths and stereotypes. Parents of culturally diverse backgrounds
may not share similar expectations about teaching, learning, or parenting
The best description I can provide is that Mrs. G is feeling total resistance toward the
thought of moving out of a home she has lived in for so many years. There are so many special
memories in her home with her husband who passed away last year. I believe she thinks that if
she leaves she will forget those special memories. No one will be able to take care of her house
the way she took care of it. Nursing home placement can be viewed as abandonment of old and
sick parents and might disturb family harmony and solidarity. Consequently, the emotional
burden on family caregivers, who have to make and carry out the placement decision, might be
Mrs. G?s response to her daughter did not surprise me. Her life has dramatically changed
since losing her husband whom she described as a very loving and caring man who took care of
Mrs. G. I would assume with all the change her life has already been through the past year she
would not want anything else to change. She is most likely still trying to adjust with life alone
and is not prepared to adjust to anymore changes. We all want to stay in our own homes for as
long as we can. When the parent continually refuses to entertain the idea of moving the daughter
needs to back off for the time being. The daughter should not give up. She should seek other
openings to raise the issue again. Sometimes things have to get worse to get better. It may take
the parent falling or being spooked by burglars or having the electricity turned off because she Communication and Collaboration 3 forgot to pay the bills for the realization to dawn that the parent can no longer safely reside in the
home. Even then, it may take the strong urgings of health care providers and extended family
members for the parent to accept the inevitable.
Deep inside Mrs. G?s gut, she harbors the outdated image of an "old folk's home." She
considers a move from the family home one more step away from independence and one step
closer toward death. She thinks a move to assisted living signifies to the world that she now has
the proverbial "one foot on a banana peel and one foot in the grave." This image and mindset is
If I were Mrs. G?s daughter I would ask open-ended questions and give her time to
answer. Conversations may be repetitive and tangential, veering off-topic. It may take several
talks to discover the reason her mother does not want to move. Ask questions to determine why
she refuses help. Is it about a lack of privacy, fears about the cost of care or losing
independence? To build trust, listen with empathy and validate rather than deny her feelings.
Offer Options ? If possible, include the mother in interviews or in setting schedules. Recruit
Outsiders ? Sometimes it is easier for the mother to talk to a professional rather than a family
member. Do not hesitate to ask a social worker, a doctor or nurse, a priest or minister, even an
old friend to suggest her mother needs help. Prioritize Problems ? Make two lists one for her
mother?s problems and another for the steps she has already taken. Writing it down and
numbering by priority can relieve a lot of stress. Accept limits ? As long as seniors are not
endangering themselves or others, let them make their own choices. Persistence can pay off.
Aging parents may eventually realize that it is time to give up. We hope it does not take a broken
neck to get there. Ongoing encouragement and respectful, patient offers of help may be heeded
over time. Communication and Collaboration 4 When we interact with others, we continuously give and receive wordless signals. All of
our nonverbal behaviors ? the gestures we make, the way we sit, how fast or how loud we talk,
how close we stand, how much eye contact we make ? send strong messages. These messages do
not stop when we stop speaking either. Even when we are silent, we are still communicating
nonverbally. Oftentimes, what comes out of our mouths and what we communicate through our
body language are two totally different things. When faced with these mixed signals, the listener
has to choose whether to believe your verbal or nonverbal message, and, in most cases, they are
going to choose the nonverbal because it is a natural, unconscious language that broadcasts our
true feelings and intentions in any given moment. Making good eye contact and nodding your
head in understanding shows that you are interested in what they are saying. When nonverbal
signals match up with the words being said, they increase trust, clarity, and rapport. When they
do not, they generate tension, mistrust, and confusion.
5.Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations
might be available and helpful so the daughter and other healthcare providers can keep her
mother safe and make the most effective decision? References The final portion of the paper is the references section. The references section gives
complete information about all of the sources that are cited in the paper. For Rasmussen papers,
the reference section follows APA formatting rules. For more information on how to write a
paper and use proper APA citation and formatting, please see
http://guides.rasmussen.edu/englishcomposition and http://guides.rasmussen.edu/apa. For
information on references in APA style, see http://rasmussen.libanswers.com/a.php?qid=168857 Communication and Collaboration 5 Examples:
American Hospital Association. (2015). Rethinking the hospital readmissions reduction program.
Retrieved from http://www.aha.org/research/reports/tw/15mar-tw-readmissions.pdf
Evangelista, L. S., Liao, S., Motie, M., De Michelis, N., Ballard-Hernandez, J., & Lombardo, D.
(2014). Does the type and frequency of palliative care services received by patients with
advanced heart failure impact symptom burden? Journal of Palliative Medicine, 17(1),
75-79. doi: 10.1089/jpm.2013.0231
Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had
been married for 50 years and had five children. Her children are grown with families of their
own. All but one of her children live in other states. Mrs. G.'s husband passed away last year,
which was devastating for her. She had been very close to him and relied upon him for
everything. He was "the life of the party" she always said and was a loving and caring man.
Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last
month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse
comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more
often. Mrs. G.'s daughter who lives in the next town over, has been worried and decided with the
urging of her siblings and the doctor to start looking for an assisted living facility for her mother.
She found one last week and talked with the Director who said she would be happy to help in
whatever way was best. The daughter decided to tell her mother that it was time for her to move,
so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, "This will
not happen ever. I plan to stay in this house of loving memories for the remainder of my life."
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