We can work on Wk5 discussion responses 2


Guided Response: Review several of your colleagues’ posts and respond to at least two of your peers who selected a different scenario than you by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful and interactive discourse in this discussion.In your responses, compare and contrast your own recommendations and the information leading to those recommendations with those of your classmates. For each response, critically evaluate the information your classmate has provided by considering different points of view. What specific information presented in your classmate’s post requires clarification and elaboration? What assumption(s) has your classmate made about the scenarios and/or information provided? Are there specific issues with the recommendations provided that could potentially be challenged? Explain. Continue to monitor the discussion forum until 5:00 p.m. (Mountain Time) on Day 7 of the week and respond to anyone who replies to your initial post.Ileena Hill What is the best recommended course of action for the client currently, and why?Geri needs to get with a psychologist and talk about her next steps and how to go about telling her son. Her son may need the option of talking to someone as well when he is told the news. Her next steps not only affect her future but also her son’s future. I would recommend she cut back to part-time at work to spend more time with her son. She needs to call family members to see if someone can come be with her during this time for support. I don’t think it is wise to uproot her son with his last year of school. He needs to be around people he is comfortable with and stay to his normal routine. To uproot him and put him in a whole new state and school district will cause a lot of stress on him being a teen and not knowing no one. He will have loss his mother and now all his friends and school family he has known all his life. She needs to investigate pain management and if she wants to be on life saving machines or not. After she talks with her son she needs to put everything in writing so that we may know what her wished are in the event she cannot communicate any more. What potential effects would theme such as the client’s culture, ethnicity, family, education, and gender have on the situation and recommendation(s)?Potential effects may be that she is a woman and is still young with a young son. By her being so young the thought of having to prepare for her death never crossed her mind so she did not have anything in place. Not being financially stable is one problem because she does not have the funds to stop working and spend her last days with her son. Another factor is her being single she does not have anyone to help her with these decisions, so she is on her own. How does the client’s developmental stage factor into your recommendation?With her developmental stage she is a young adult still full of life. Because she is young there is so much she did not think about because she is young. It has not hit her yet that she is dying so she does not want to change things she just wants to go as is. Some things need to change, and some things need to stay the same. How do the client’s physical, cognitive, and psychosocial states affect your recommendation(s)?Because the client is still young and alert she can still do so much before she starts getting to a point where she cannot help herself. She is at a stage where she can still think properly for herself and her son, so she wants to get all the paperwork out of the way, so they can start to live their life. How might the developmental stage(s) of the client’s family member(s) affect your recommendation?The son is a teenage his developmental stage affected my recommendations a lot. Because he is not of legal age to provide for himself his mother needs to do everything possible to ensure he will not have a hard time when she is gone. She is a single mother, so she is all he has. She can’t waste time and figuring out her next moves for his future. How will you present your recommendation(s) to both the patient and family member(s)?It is best to have everything written out to go over with the patient and the family. I will talk with mom alone first to see what her wishes are. After we have established a good idea of how things are going to go we will bring her son in and talk to him about what is going on. After telling the son what is going on and what we came up with we will give him a chance to say how he feels and if he wants anything to change and if he understands everything. The option of therapy will be there as well, so he can have another outlet to release the pain he is feeling.◦What consideration(s) would affect your manner of presentation?The fact that the son does not know would affect my manner of presentation. Also, the fact that she is only 38 also factors my manner because she is still young with a lot of stress on her already she just needs someone to be there for her in this time of need. Are there considerations that cannot be processed at this time because of lack of information in the written scenario?There is a lot that is not said that’s why it is important to make some notes then have a meeting with her in person to get more information. I want to know where the father is and if there would be any issues with custody he will he challenge it. That can also add more stress on the child’s life which is not good. Also, does she have any life insurance. Also, burial plans who is involved in it and making those arrangements. Will she have a family member come stay with her to help her so her and her son is not alone.In the code of ethics to codes stood out to me section 2: Competence and section 4: Privacy and Confidentiality. It is important when talking to the patient you are competent in the information you are giving. This information you are giving is life or death to the patient and their family. The wrong information can cause a lot of pain in the family. Also, the privacy of the patient is important. You can not go around telling the patients business. It is not your right to tell the patients son what is going on the patient must tell him.Amy Johnson I chose the scenario of Geri.Geri needs to really sit down and think about all her options. She might need to seek professional help as well as a close friend she can confide in. I think as a far as telling her son and when she does, that she needs to make sure that she has plans and options in place. I think her son should be given the option of where he wants to spend his senior year of high school. This way I feel that he is able to feel that is helping in the decision making process, it can help make a smoother transition. I feel that if she wants to work and keep things normal that it’s fine, but if she wants to work part time or quit to spend time with her son then it’s her decision. I think that when Geri tells her son about the tumor, that she needs to be completely honest with him. She can offer to get him counseling and maybe even some support groups if needed. The main thing I think is that having options open to him about his future is going to help so that he doesn’t feel so overwhelmed.Potential Effects:Geri has so many decisions to make. She not only has herself to think about but her son. She appears not to be financially stable. Her sister is several states away. There is no mention of a Dad in the scenario.Client’s developmental stage:Geri is still young. She has her whole life to live. She is used to working,being independent, and taking of her son. Things are changing so fast now she can’t decide what to do. Some thing’s she’s not prepared for.Client’s physcial, cognitive, and psychosocial states:Geri at this point is still young and able to do the things she wants and needs. Cognitively, she is very aware of the things that is going on around her. She can not decide what she needs to do. Geri wants to figure things out and enjoy the rest of her time with her son.Developmental stage of the client’s family:Geri’s son is only 17. He’s not legally able to make decisions for himself or care for himself without an adult. He is only a junior in high school and with his senior year coming soon and then college.There are lot’s of decisions to make. Like what will he do after high school? Also his Mother appears to be the only parent he has.Presentation:First thing I would like to do is sit down and look at things and go over it. Then I would like to meet with Geri alone. When she feel’s comfortable and feels that she has plans in place then we can meet with her son and caregivers for her or her son as needed. After meeting with everyone I will take all the questions and considerations into perspective and look for other resources and options as needed. I think counseling and support groups could be used.Considerations:I personally feel that Geri needs to have already told her son before we meet. I think that it would be harder to meet with me and him hear it. There will be lots of emotions and I think that it would be hard to hear something like this in the presence of a stranger. Considerations that cannot be processed:There are lot’s of considerations. Where is the Father, does he have any contact with him. Will he try to get custody, which in some states like my own he is old enough to make his own decision of who he lives with. Does she have medical insurance? It will sometimes pay for caregivers, does she have life insurance? Any money in savings, if she gets to where she can’t work?The code of ethics I chose was Section 4: Privacy and Condfidentialty: I feel that it’s important to maintain confidentialty of the things that’s going on with the family. The family also needs privacy, and may need some alone time.

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