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[Verified Answer]: Read the following mini-case studies and…

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Read the following mini-case studies and answer the questions that follow.1Mr. Williamson1Mr. Williamson is a 32 year old married male. He has just had extensive surgery following his stage 4 colon cancer diagnosis. The surgery has left him with a permanent colostomy and an uncertain prognosis. When you enter his room to assist him with a bath, he initially refuses care and tells you to leave. He eventually agrees; however, he is critical, agitated and complains angrily about everything. He threatens repeatedly to have you fired.1What behaviors is Mr. Williamson exhibiting? 2Why do you think he is acting this way?3What stage of grief (Elisabeth Kubler-Ross) is Mr. Williamson experiencing?4How should you, as the nursing assistant, respond to him?2Mrs. Jenkins1Mrs. Jenkins is a 78 year old resident in a long term care facility. She has been on hospice for severe weeks due to severe COPD and is always on supplemental oxygen. As you are bathing her, she tells you that she is praying that she lives long enough to see her granddaughter graduate from college in a few months. She says that she will do anything and pray several times a day as long as she gets this wish. 1Mrs. Jenkins is demonstrating behavior consistent with which stage of grieving?Explain your rationale.2Mrs. Jenkins asks you if you think she will live until the graduation. What would you say?3Ms. Carter1Ms. Carter is 63 years old and has been battling an aggressive brain tumor for several years. Three months ago, her physician told her that the tumor has returned and that this time, it is untreatable. She tells you that she has started to give her jewelry away to her daughters and that she is no longer afraid to die. She says that she has had a great life with a wonderful family and a fulfilling career. Ms. Carter states that she is at peace.1What stage of grief is Ms. Carter experiencing?2Why do you think she feels this way?4Mr. Martinez1Mr. Martinez is an 80 year old male and resides at the long term care facility where you work. He has just been diagnosed with lung cancer. When he was told his diagnosis, he exclaimed, There must have been a mix-up with the test results! There is no way that I have cancer! When his family visits later that day, you overhear him telling them not to worry because he feels fine and that the doctor was mistaken. 1What stage of grief is Mr. Martinez experiencing? 2Why do you think he is behaving in this manner?3When you take his dinner tray to him, you tell him, The doctor didnt make a mistake, you know. You must face facts; you DO have lung cancer. Is this an appropriate comment for a nursing assistant to make? Explain your rationale.5Mr. Miller1Mr. Miller, a 56 year old divorced male, has been advised that due to multiple serious health problems, that his life expectancy is six months or less. When you enter his room to take his vital signs, he does not respond to your greeting, nor does he open his eyes. When you tell him that you will return in a bit to help him bathe and freshen up, he states, Dont bother, what difference does it make anyway? His appetite is poor and leaves most of the food on his plate untouched. Later that day, he refuses to see his daughter and grandson.1What types of behavior is Mr. Miller exhibiting?2What stage of grief is Mr. Miller currently experiencing?3What could you, as the nursing assistant, do to help Mr. Miller?6Mr. Nguyen1Mr. Nguyen, an 86 year old married male, has a terminal illness. He is growing weaker by the day but insists on helping with his morning care at the hospital. His nursing assistant, Claire, tells him that from now on, she will handle all his care as it is taking him far too long. Claire knows that it will be easier on him to have everything done for him.1Is Claire right or wrong in her approach to Mr. Nguyens care?2Explain your reasoning3What would you do in this situation?4Mr. Nguyens wife begins to come early each morning and asks if she can help Claire give him his bath. What do you think Claire should say?7Mrs. Morrison1Mrs. Morrison, a 92 year old widowed female, is on hospice care at a long term care facility. She loves Elvis Presley and has several posters of him on her walls in her room. She can often be heard singing his songs as she sits in her wheelchair. When responding to her roommates call light, she calls her nursing assistant, Dasia, over to see her. Did you know that I saw Elvis in concert? Can I tell you about the time I went to Graceland? she asks. Dasia rolls her eyes, as she had heard these stories many, many times and quickly exits the room. 1Did Dasia handle this situation appropriately?2What would you do?

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