Oncology Patient Interview Paper

Response Write Eleven In modern American society, it is typical to place elderly adults in assisted living centers once they become unable to care for themselves. Even if their children and relatives wanted to care for them in-home, the person is likely to insist on “lifting their burden.” In fact, if an elderly adult does not see their presence as a burden on their family, they are viewed as selfish or irresponsible. Such is the situation with my uncle at present.

Theoretical Framework of Dementia Transitional Care Patients and their caregivers are often the only common factor moving across healthcare settings and it is important to create a transition model intended to improve care transitions and involve both patients and caregivers (Coleman, Smith, Frank, et al., 2004). Research on theoretical frameworks specifically on transitional care for persons with dementia is limited. In a systematic review, Enderlin et al. (2013) summarized six different transitional care models for older adults. Out of these six, four of the models of transitional care were geared for older adults transitioning from hospital to home; the fifth was specific from clinic to home and last model was from nursing home to hospital.

Elderly abuse can take a variety of forms including physical, sexual, mental, financial, and neglect. The abuser can be anyone; a caregiver, family member, other patients, or self-inflicted. Recent research states that prevalence of elder abuse in long-term care ranges from 2% to 10% (Connor et al., 2011). According to Shaffer, Williamson, & Dooley (2007), the vulnerability of abuse can be directly related to mental illness, such as dementia, as well as the depression or resentment of caregivers. Kohl, Sanders, & Blumenthal (2012) define the populations at risk as frail elders, those with dementia, and families with a history of violence.

The Amedisys Hospice service that I work for is special, loving, kind and caring; which we provide comfort and support for our patients, which are facing life- limiting illnesses for each family member and loved ones. The reason I chose the topic to write and tell about my story to tell; is because I am a Hospice aide that I experience each week days. I travel from home, to home, work at facilities, and work in the office some. There are lots of our patients choose to be home for their comfort of their illnesses; and some that aren’t able, or do not have the time for their loved ones; they chooses the facility’s such as the nursing homes, not stating that they do not want to care for them in their home, because they have busy schedules or what

I 've learned while conducting these interviews that both indivuials have similar issues within the healthcare system. one of the biggest issues both interviewees faces was the cost of healthcare and health insurance coverage. One of the interviewees has a chronic illness, and at times has to decide if she wants to purchase her needed medication or to buy groceries for herself and her family. The other interviewee although employed, doesn 't have health insurance coverage because its too costly every month. it seems they 're both appreciative of the fact there is a somewhat healthcare system with health care providers and professionals available to them, but feels its only available if you have health insurance coverage.

Interview Appraisal The patient interview video that was provided was a health history of new information as well a review of old information. Patient interviews and history taking is a way of obtaining comprehensive information about the patient and applying that information to provide the best care possible for them. Without the interview process we would not be able to have the full health history and would not be able to provide patient-centered care. “The health history interview is a conversation with a purpose” (Bickley 2013, p. 55).

Dr. Diane Meier states just as you wouldn 't send a young physician to do a surgical procedure without a lot of training and practice and supervision, having conversations with persons and their families about very complex medical decisions, in the context of a serious illness, is a procedure and it requires training and practice and supervision for doctors as well as nurses in palliative care. Dr. Diane Meier illuminates essential points and helpful advice when discussing illness and end of life concerns in a supportive setting of particular importance is step 6: Ask, Tell, Ask: Part II – “Tell” • Possible script: “I’m sorry to have to tell you Mrs. Jones, but your PET scan has shown a progression of ….” • Once bad news is delivered, STOP

After the sudden loss of my oldest brother in 2011, my life changed in the blink of an eye. While trying to overcome this heartbreaking experience was one of the most challenging things ever faced with, his death soon turned into a true inspiration to me. Not only do I cherish all the memories I was able to share with him over the years, I soon came to realization that tomorrow is not a promise to anyone and to live life to the fullest. With this being said, having the opportunity to have an impact on someone everyday whether through communication, actions and/or attitude to help heal is something very powerful to me. Nursing is a profession that allows individuals to open new doors to learn something new and making the best of everyday for each

- Cultural: A persons culture for example Muslims, are against euthanasia and it is forbidden, this can underpin a person choice to die by free will and not suffer and this could case an entire family to be shunned - Religious: A religion may require the palliative pt to go without pain relief and suffer or be confined to their room without anyone entering ect which impacts health and can be questioned - Spiritual: A persons religion for example Catholics, are against cremation at the end because they feel they have to return to the earth - To avoid cultural, religious and spiritual differences a Nurse or someone in charge should put these plans into motion. - Ask interpreting services when care plans are developed and reviewed and of course whenever informed consent is required. - Before the palliative care

but it tends to have focused either on the patient or caregiver; here we looked at the patients and their partners within the family unit. This study would be able to be use as a guideline for future studies done in this subject. It’s important to understand that by helping those that are caregivers and offer them support, the lifeworld of both can be better.

This theory has five phases regarding the changing identity of a caregiver: the first phase is the beginning of caregiving, the second is the caregiver’s realization that their caregiving responsibilities are more than they expected, the third phase is when both caregiver and care recipient become uncomfortable in their roles, which is also the phase when some caregivers walk away from their role, and for the caregivers who continue in their role, in the fourth phase there is another identity shift with the caregiver identity becoming dominate, and the final phase is when the care recipient is moved to a long-term care setting and the caregiver relishes the majority of the caregiver responsibilities and attempts to reclaim their identity at

It can be challenging to conduct an interview with another person. Especially when you know the interview needs to be safe, comfortable, and produce useful knowledge. How should you go about making sure these criteria are met? I explored these topics in hopes of gaining new knowledge of interview skills.

Eighty six point six percent of caregivers who were above 60 years reported feeling of impaired health sometimes to nearly always while 16.7% of those 20-40 years reported feeling of impairment of health sometimes to nearly always. It is worthy of note that 80% of those who were 18-25 years never had feeling of impaired health on account of caregiving. Those who are above 60 years may be less energetic and may suffer from some illnesses that may come with age. These may add to the burden they experience while being a caregivers of a cancer patient. Older cancer caregivers have been reported to experience the highest level of burden (Given, Wyatt, Given et al.,

Interviewing families provides the nurse with information that can help the patient and their family manage chronic illness. By asking the family questions, the nurse can gain an increased understanding and appreciation of the illness impact on the family and the family’s concerns and hopefully help soften suffering and encourage hope and healing (Wright & Leahey, 2013). Following the conclusion of the interview, the nurse can assess the success of the interview and look for opportunities to improve the next family interaction. This is the fifth installment of the family assessment of two sisters, J.A. and R.C. This final paper will discuss the personal and professional impact that this family interview process had on the interviewer and discuss any opportunities that may have been conducted differently.

Their days are no longer filled with the duties of caring for a home or children, and many times they are often lonely and feel that they no longer have direction or purpose. For many, there are health issues, and concerns, and medical care can take up a significant part of their lives. For some, being elderly means freedom from the drudges of work, but now they must face the fact that life has changed and that they must find other ways to maintain a sense of relevance and well-being. In addition it means that they must learn to depend on new ways of thinking and being to achieve that kind of sense of well-being. For others, it means depression and a sense of hopelessness that is known to plague our elderly.