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Caregiver Role Strain: Ms. Sandra A.

Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy, lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of secondline chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families.

Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney and prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days.

Sandra observed that she was tiring everyone out so much that they could not really enjoy each other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort.

Reflective Questions

  1. What are some of the stresses on Sandra’s middle-aged sisters and their families?
  2. What resources are available to manage these stresses and support the sisters while caring for their dying sister Sandra?
  3. Describe Sandra’s feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer

Sample Solution

My Earliest Memory GuidesorSubmit my paper for examination First recollections of oneself can be effortlessly mistaken for manufactured recollections made by seeing old pictures, films, and hearing stories identified with one's very own history. This is the situation for me: I have seen such a significant number of home films, heard such huge numbers of tales about myself, and seen such a significant number of pictures about my youth, I don't know for certain what my first memory is in reality. Since I can't pinpoint my first memory precisely, I will unfurl a progression of recollections that were the most punctual in my adolescence. trees in windI recollect around evening time glancing through the huge glass windows of our front room at the tremendous pine trees and douglas fir trees, which brushed against our white fence. The trees would influence once in a while fiercely in the breeze, as it was basic in Seattle around evening time. I would watch the trees move, accepting to see many alarming and unusual shapes framing in obscurity, as though the trees were alive in a cognizant manner. The trees would move into the kinds of beasts my creative mind conjured up. I would inform my mom concerning the shapes and structures, yet as a typical mother would do, she attempted to quiet me down rather than cooperate with my ghostly obsession. Another sharp early memory of mine was the point at which I analyzed my body. I was interested, as most kids may be, about the surface and type of the body we are given during childbirth. Since the beginning, I had four activities: two open heart medical procedures, and two hernia medical procedures. I would feel my scars, which scale up my chest and travel close to my crotch as though they were scenes, consumed into my skin until age would blur them away. Other than scars, I would savor over the littlest of points of interest about my eyes, which have hazel lines dashing away from the understudies. I would look at my life state through my eyes: I could perceive how I was all in all through them. My hands were likewise a state of interest for me: my left hand is altogether littler than my correct hand in light of medical procedures. Looking at them was and still is somewhat of a fixation of mine. Free Essay Pre-Grading for an "Offer" GET AN EXPERT TO ANALYZE YOUR PAPER TO KNOW YOUR Evaluation BEFORE TURNING YOUR PAPER IN. Discover Your Grade I figured out how to ride a bike very early, however I don't recollect the specific age. My dad was an expert cyclist at a certain point, and he needed his child to be sharp in the game too. Be that as it may, I recollect my first endeavor to ride a bike without preparing wheels finishing shockingly and entertainingly. Out on the central avenue alongside our home, where there were basically no vehicles driving around in those days because of less populace, I began OK on a little kid bicycle. My equalization was fine from the beginning, however then I got overexcited and lost my parity, in the long run crushing into our post box. In spite of the fact that my father was worried about my wellbeing from the start, after he saw that nothing genuine had transpired, he chuckled decisively and was making jokes about me. I didn't feel disheartened—actually, I was snickering along following a couple of moments. I have a lot progressively dispersed recollections that could consider first recollections, despite the fact that they are blended in with my impressions from watching home films, seeing pictures, and hearing anecdotes about my adolescence. We may not know our first memory for certain, yet once we attempt to uncover it, the world we lived in as a youngster pours through the perspective of visual idea, bringing back the air of this time into the present minute, similar to an incense smoke that delicately twists around our present detects. exposition about existence, article design, chronicled essa
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