Week 2: Discussion

Janice Jenkins is a 49-year-old female diagnosed 6 six weeks ago with a recurrence of breast cancer. She now has liver and bone metastases. Her past medical history includes hypertension, osteoarthritis, and type 2 diabetes, all of which are well controlled with medications. Janice is widowed and has three children, who all live within one hour of her suburban apartment. Her children and grandchildren are all active in her life and visit weekly. Janice is involved in the senior center activities in her community. She has many friends in her neighborhood, as well as the church she attends. Hospice care has been mentioned as an option to Janice by a friend whose husband died while receiving hospice benefits from a local not-for-profit organization. Janice has minimal knowledge and experience with hospice care.  She does not fully understand the implications of choosing the hospice benefit, which is offered as an option on her health care plan. Janice has just recently told her family that she is considering hospice care as an option. Her only concern is that she lives alone and is afraid of pain. She states, “I am not afraid to die. It is just how I am going to die that scares me.” Janice understands that to be considered for the hospice benefit, two (2) doctors need to diagnose her as terminally ill. Janice understands that the expectancy to be admitted to the hospice program is six months. She wants to live for another year to see her granddaughter get married. She would like the benefits that hospice provides, but she is fearful that this is not the right time to begin hospice care. 

The American Cancer Society website, www.cancer.org, has a well-prepared overview of hospice-search the term “hospice.” The National Hospice and Palliative Care Organization (NHPCO) and the Hospice and Palliative Nurses Association (HPNA) also have websites at www.nhpco.org and www.hpna.org. Review the websites and respond to the following questions. 

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2. Describe the goals of hospice and the services that may be provided by the hospice interdisciplinary team.
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4. How can Janice obtain a referral for hospice care that will include an assessment by the hospice admission nurse?
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6. Explain how the IDT can address Janice’s fear of pain and her statement, “It is just how I am going to die that scares me”?
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9. Janice’s family does not want her to accept the hospice benefit as a basis for her continued care. They feel that hospice will allow Janice “to give up and die sooner.” As an AGPCNP, explain how you could address this family’s concern.

“CareLead Medical: Problem/Gap”

This is week 2, but for me to do week 2, I have to identify a problem and  a gap found in week 3. So I am assigning you week 3 so go and check on week 3 for you to answer this weeks paper. The other articles are just but to help you with the resaserch.

In this discussion, share a draft of the first part of your Week 3 assignment, addressing the following:

·         State the specific business problem you have selected. Then state the gap in practice that is causing your identified problem to occur.

·         Explain how the gap in practice you identified aligns properly with the selected specific problem. Why is this the right gap instead of another?

·         Discuss how two or more examples of current practitioner literature you have found so far provide evidence for your assertion that your chosen gap in practice is the source of the problem.

Title your post by the problem and gap you have selected (for instance, “Kensington Auto Parts: Problem/Gap 1” or “CareLead Medical: Problem/Gap 3”). Be sure to use APA style to cite the articles you refer to and provide in-text citations if you quote from the articles.research