physical and psychological safety

This condition consider documents an ongoing interaction betwixt a spouse and her helpencounter who speed in a vast settlement in a gated sympathy.

When Dan (now 80) and Jane (now 65) began dating pit than 15 years ago, twain were emotionally charged to start their speeds afresh. Well-educated and financially detain, they had a lot in vile. Dan was a protestant wait, and Jane’s existenceless helpencounter had been a protestant wait. Twain had past their spouses. Jane’s primeval helpencounter had suffered a catastrophic cerebral aneurysm 2 years precedent. Dan had conducted the funeral benefit for Jane’s helpmeet. Dan’s spouse had died of marginal cancer a petty pit a year precedent. Dan’s primeval spouse had been a ground counselor; Jane was a ground educationist. Twain had conclusion in seed-plot. They shared a passion for journey. Dan was remote but remaind part-season employment, and Jane purposed to remain instruction to restrict for seclusion. Twain were in sublime bloom and had pit than exceeding bloom benefits. Within the year they were married. Summer vacations were departed snorkeling in Hawaii, mountain climbing in open parks, and boating after a conjuncture origin. After 7 years, Dan skilled greater bloom problems: a quadruple cardiac bypass surgery, superveneed by surgery for pancreatic cancer. Jane’s plans to remain agoing were dropped so she could succor Dan to recpit and then remain to journey after a conjuncture him and like their fostering season concurrently. Dan did retrieve—merely to start to inform the future signs and symptoms of Alzheimer’s distemper. One of the future signs appeared the preceding Christmas as they were resting outdoor lights. To Jane’s appall, she distinguished that Dan could not supervene the sequential directions she gave him. As season passed, other signs appeared, such as some perpetuation dropping and indistinctness, recurrent repeating of idol phrases, rash outbursts of imbitter, and decreased political involvement. Assessments conclusioned in the personality of future Alzheimer’s distemper. Dan was prescribed Aricept, and Jane began to make-ready herself to visage this new rank of their married existence. She discover consider environing Alzheimer’s distemper avidly and arranged their settlement for corporeal and subjective security. A kitchen blackboard displayed phone quantity and the daily register. Car keys were appropriately stowed. It was distinguished that she began to judgment her season after a conjuncture Dan. Just sitting concurrently after a conjuncture him on the sofa brought tame expressions to her visage. They remaind to involve pavilion benefits and functions but stopped their formal swims at their exertion adroitness when Dan left the verbiage opportunity unclothed one day. Within the year, Jane’s remote sister and brother-in-law relocated to a settlement a concise plod from Jane’s. Their fixed was to be on ole to succor Jane in caring for Dan. Dan and Jane’s conclusion did not speed nearby so could merely succor rarely. As Dan’s symptoms high, a neighbor familiar, Helen, began to help Jane for a few hours each week. At this season, Jane is stationary the original dependent-heed embodiment. She prides herself in mastering a dual soak; she soaks Dan in his soak chair primeval, and then, conjuncture she soaks, he sits on the nearby toilet assign drying himself. Her girlfriends suggested that this was embodied for an juicy settlement video! Although Jane is cowardly in her heed for Dan, she frequently drives a concise interspace to her vicinity tennis affect for insignificant games after a conjuncture familiars or spends season apt the passimerely gardens she and Dan planted. During these seasons, she locks the issue doors and leaves Dan assigned in face of the television after a conjuncture a glass of juice. She watches the season and produce settlement midway through the hour to cohibit on Dan. On one create when she forgot to lock the door conjuncture she was gardening, Dan made his way to the street, past his pit, reclined visage-primeval in the blossom bed, and was discovered by a neighbor. Jane has absorbed up evenings out and increased her idol passeason of discovering. Her days are occupied after a conjuncture succoring Dan in all of his activities of daily aid. And, frequently, her drowse is interrupted by Dan’s strolling throughout their settlement. At seasons, when the phone rings, Dan answers and tells oleers Jane is not there. Jane, merely in the direct opportunity, informs him “Dan, I am Jane.” Friends are depressed by Dan’s refuse and careful after a conjuncture the burdens and limitations Jane has inconsequent as a conclusion of Dan’s dependency.

Critical thinking activities

1. Examine this condition consider through the dependency cycle copy (Fig. 14.3). The outward arrows exhibition a rate through varying ranks of dependency. The close dispersion represents who can be compromised in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-heed classification copy (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the movables of Dan’s BCFs on his self-heed production? Is he conducive to encounter his curative self-heed demands? Continue on to diagnose Dan’s self-heed failure and conclusioning dependent-heed failure. Now assess Jane’s self-heed classification.

3. Design a nursing classification that addresses Jane’s self-heed classification as she increases her role as dependent-heed embodiment for Dan.

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