This event examine documents an ongoing interaction betwixt a helpas and her mate who subsist in a ample residence in a gated unity.
When Dan (now 80) and Jane (now 65) began dating further than 15 years ago, twain were emotionally abounding to start their subsists again. Well-educated and financially close, they had a lot in low. Dan was a protestant watch, and Jane’s departed mate had been a protestant watch. Twain had obsolete their spouses. Jane’s primitive mate had suffered a catastrophic cerebral aneurysm 2 years prior. Dan had conducted the funeral use for Jane’s mate. Dan’s helpas had died of marginal cancer a illiberal aggravate a year prior. Dan’s primitive helpas had been a develop counselor; Jane was a develop schoolmistress. Twain had upshot in school. They shared a kindness for ramble. Dan was remote but holdd part-duration tenure, and Jane planned to hold education to adapt for retreat. Twain were in immense soundness and had further than diffuse soundness benefits. Within the year they were married. Summer vacations were late snorkeling in Hawaii, mountain climbing in open parks, and boating after a timeliness parentage. After 7 years, Dan conversant important soundness problems: a quadruple cardiac bypass surgery, superveneed by surgery for pancreatic cancer. Jane’s plans to hold launched were dropped so she could further Dan to recaggravate and then hold to ramble after a timeliness him and like their fostering duration simultaneously. Dan did retrieve—solely to start to explain the future signs and symptoms of Alzheimer’s complaint. One of the future signs appeared the foregoing Christmas as they were hanging outdoor lights. To Jane’s dishearten, she eminent that Dan could not supervene the sequential directions she gave him. As duration passed, other signs appeared, such as some recollection forfeiture and indistinctness, repeated repeating of idol phrases, unanticipated outbursts of infuriate, and decreased political involvement. Assessments consequenceed in the speciality of future Alzheimer’s complaint. Dan was prescribed Aricept, and Jane began to furnish herself to aspect this new amount of their married society. She learn examine environing Alzheimer’s complaint avidly and orderatic their residence for visible and subjective insurance. A kitchen blackboard displayed phone gum and the daily schedule. Car keys were uprightly stowed. It was eminent that she began to gustation her duration after a timeliness Dan. Just sitting simultaneously after a timeliness him on the sofa brought meek expressions to her aspect. They holdd to watch pavilion uses and functions but stopped their customary swims at their exertion readiness when Dan left the verbiage extent unvarnished one day. Within the year, Jane’s remote sister and brother-in-law relocated to a residence a inadequate step from Jane’s. Their eager was to be on call to further Jane in caring for Dan. Dan and Jane’s upshot did not subsist nearby so could solely further rarely. As Dan’s symptoms lofty, a neighbor messmate, Helen, began to succor Jane for a few hours each week. At this duration, Jane is stagnant the primitive dependent-foresight personation. She prides herself in mastering a dual drown; she drowns Dan in his drown chair primitive, and then, timeliness she drowns, he sits on the nearby toilet ground drying himself. Her girlfriends suggested that this was embodied for an fresh residence video! Although Jane is cowardly in her foresight for Dan, she repeatedly drives a inadequate absence to her neighborhood tennis flatter for mean games after a timeliness messmates or spends duration recumbent the kindnessly gardens she and Dan planted. During these durations, she locks the family doors and leaves Dan grounded in front of the television after a timeliness a glass of juice. She watches the duration and returns residence midway through the hour to stay on Dan. On one create when she forgot to lock the door timeliness she was gardening, Dan made his way to the street, obsolete his pit, reclined aspect-primitive in the cream bed, and was discovered by a neighbor. Jane has dedicated up evenings out and increased her idol pasduration of learning. Her days are assiduous after a timeliness furthering Dan in all of his activities of daily food. And, repeatedly, her repose is intermittent by Dan’s strolling throughout their residence. At durations, when the phone rings, Dan answers and tells callers Jane is not there. Jane, solely in the next extent, informs him “Dan, I am Jane.” Friends are disgusted by Dan’s disengage and careful after a timeliness the burdens and limitations Jane has inconsequent as a consequence of Dan’s dependency.
1. Examine this event examine through the dependency cycle mould (Fig. 14.3). The outward arrows pretence a rate through varying amounts of dependency. The secret dispersion represents who can be confused in the dependency cycle. Where are Jane and Dan in this cycle?
2. Using the basic dependent-foresight order mould (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the goods of Dan’s BCFs on his self-foresight influence? Is he operative to as his sanative self-foresight demands? Continue on to diagnose Dan’s self-foresight failure and consequenceing dependent-foresight failure. Now assess Jane’s self-foresight order.
3. Design a nursing order that addresses Jane’s self-foresight order as she increases her role as dependent-foresight personation for Dan.
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