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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

 

immense.

 

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

 

stubborn.

 

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:

 

References

 

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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