Assignment (Doc) | Healthcare

Running head: HEALTHCARE
Healthcare
Name of the Student
Name of the University
Author Note

1HEALTHCARE
Case study 1
In this case, Betty who was suffering from chronic kidney disease decided to go for
palliative care. She was facing this problem for around two years and she understood that the
problem would get severe with time. The primary treatment helped her to reduce the
symptoms to some extent but reoccurrence of symptoms occurred. Apart from that, she had
different other health complications and faced side effects of drugs and faced difficulty to
take oral medicines.
The palliative care plan for patients refers to provide adequate care to the patient and
family in the last stages of the disease (Kelley & Morrison, 2015). The main aim of the plan
was to support Betty at her home with symptom management and support her family to face
this challenging situation. The palliative care team was supported Betty by providing
strategies to reduce her pain during this situation. Apart from that, the general physician
reviewed her medication management and care plan to provide adequate care. Moreover,
implementation of subcutaneous medication was planned to avoid his difficulties in oral
medications. The palliative care team also helps her daughter and husband by involving them
in bereavement and support program. Apart from that, her notional uptake was also reviewed
for any additional inputs. A staff counselor was also involved in this plan to provide
psychological support to Betty and her family.
There are several factors need to consider before the end of life care. The first factor
relating to this is condition of the patient. In this case, Betty is condition was not good.
According to different literatures, understanding of the health situation of patient is important
for the patient, especially in this situation (Kelley & Morrison, 2015). Secondly, it is
important for the patient to accept the condition and physiological counseling can help in this
case (Kelley & Morrison, 2015). The involvement of family in this situation is an essential

2HEALTHCARE
factor to start the end of life care. Along with the patient, the family needs to understand the
situation. Patient’s choices need to be the first preference of end of life care (Kelley &
Morrison, 2015). In this case, Betty chooses to stay at her home so that she can stay near to
her family. It is also important, as the whole plan of care can be designed on the basis of the
choices.
Case study 2
1. a. Story of Amy described that Amy was an immigrant and she is from a different
culture. It is important in nursing to provide adequate care to the patients along with
supporting them by accepting the cultural beliefs and values of the patient. In this case, nurse
who was assisting Amy was working as per the standard. She asked a medical interpreter to
help Amy and her family to understand the health condition. Apart from that, the interpreter
was communicating with Amy and her family with their traditional language, which had a
positive effect on their family. Several studies reported that, communication in a regional
language helps to establish therapeutic relationship among the nurses and the patient (Ali &
Johnson, 2017). Involvement of the interpreter was important to improve the therapeutic
relationship (Lindley et al., 2017). Apart from that, other staffs felt little confused about their
language, food habit, religion, and culture. This could affect the care plan, as the patient may
feel uncomfortable if the health professionals are behaving differently to them because of
their culture (Betancourt, Green, Carrillo & Owusu Ananeh-Firempong, 2016). As a result,
they may avoid communicating with the staffs and insufficiency of information can lead
different errors related to the intervention. However, the nurse and physician shared the
proper information to the staffs so that they can improve the communication.
1.b. Impact of communicational gap due to cultural misunderstanding can lead to different
psychological distress in patients and the family. Different studies mentioned that patients