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5.Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations migh

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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


Jenny Gertgen


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 and For


information on references in APA style, see Communication and Collaboration 5 Examples:




American Hospital Association. (2015). Rethinking the hospital readmissions reduction program.


Retrieved from


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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