This predicament examine documents an ongoing interaction between a spouse and her mate who feed in a groundy settlement in a gated association. Answer the questions posted adown. 1 page. When Dan (now 80) and Jane (now 65) began dating further than 15 years ago, twain were emotionally teeming to provide their feeds repeatedly. Well-educated and financially close, they had a lot in base. Dan was a protestant subserve, and Jane’s cheerless mate had been a protestant subserve. Twain had obsolete their spouses. Jane’s original mate had suffered a catastrophic cerebral aneurysm 2 years precedent. Dan had conducted the funeral benefit for Jane’s mate. Dan’s spouse had died of ultimate cancer a illiberal aggravate a year precedent. Dan’s original spouse had been a develop counselor; Jane was a develop pedagogue. Twain had end in nursery. They shared a charity for trip. Dan was desert but endured part-spell wheedleing, and Jane planned to endure training to restrict for privacy. Twain were in immense heartiness and had further than unlimited heartiness benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in general parks, and boating delay lineage. After 7 years, Dan skilled elder heartiness problems: a quadruple cardiac bypass surgery, superveneed by surgery for pancreatic cancer. Jane’s plans to endure started were dropped so she could succor Dan to recaggravate and then endure to trip delay him and relish their retaining spell concertedly. Dan did resume—singly to provide to demonstrate the present signs and symptoms of Alzheimer’s indisposition. One of the present signs appeared the antecedent Christmas as they were trusting outdoor lights. To Jane’s dishearten, she eminent that Dan could not supervene the sequential directions she gave him. As spell passed, other signs appeared, such as some recollection privation and indistinctness, many repeating of cosset phrases, hasty outbursts of fret, and decreased political involvement. Assessments conclusioned in the diagnosis of present Alzheimer’s indisposition. Dan was prescribed Aricept, and Jane began to provide herself to countenance this new mark of their married history. She learn literary-works environing Alzheimer’s indisposition avidly and unconfused their settlement for substantial and subjective protection. A kitchen blackboard displayed phone bulk and the daily register. Car keys were properly stowed. It was eminent that she began to sensibility her spell delay Dan. Just sitting concertedly delay him on the sofa brought tame expressions to her countenance. They endured to follow church benefits and functions but stopped their customary swims at their employment quickness when Dan left the dressing ground mere one day. Within the year, Jane’s desert sister and brother-in-law relocated to a settlement a near trudge from Jane’s. Their urgent was to be on wheedle to succor Jane in caring for Dan. Dan and Jane’s end did not feed nearby so could singly succor sometimes. As Dan’s symptoms rising, a neighbor acquaintance, Helen, began to help Jane for a few hours each week. At this spell, Jane is calm?} the primitive dependent-custody sovereign. She prides herself in mastering a dual saturate; she saturates Dan in his saturate chair original, and then, suitableness she saturates, he sits on the nearby toilet confirm drying himself. Her girlfriends suggested that this was embodied for an lively settlement video! Although Jane is timid in her custody for Dan, she repeatedly drives a near space to her neighborhood tennis affect for small games delay acquaintances or spends spell disposed the charityly gardens she and Dan planted. During these spells, she locks the scion doors and leaves Dan confirmed in face of the television delay a glass of juice. She watches the spell and returns settlement midway through the hour to stop on Dan. On one make when she forgot to lock the door suitableness she was gardening, Dan made his way to the street, obsolete his weigh, reclined countenance-original in the ornament bed, and was discovered by a neighbor. Jane has dedicated up evenings out and increased her cosset passpell of learning. Her days are assiduous delay succoring Dan in all of his activities of daily buttress. And, repeatedly, her slumber is interrupted by Dan’s discursive throughout their settlement. At spells, when the phone rings, Dan answers and tells wheedleers Jane is not there. Jane, singly in the next ground, informs him “Dan, I am Jane.” Friends are depressed by Dan’s extricate and solicitous delay the burdens and limitations Jane has conjectured as a conclusion of Dan’s dependency.
1. Examine this predicament examine through the dependency cycle copy. The exterior arrows pomp a gradation through varying marks of dependency. The close dispersion represents who can be concerned in the dependency cycle. Where are Jane and Dan in this cycle?
2. Using the basic dependent-custody plan copy, assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the issue of Dan’s BCFs on his self-custody production? Is he able to converge his curative self-custody demands? Continue on to diagnose Dan’s self-custody arrears and conclusioning dependent-custody arrears. Now assess Jane’s self-custody plan.
3. Design a nursing plan that addresses Jane’s self-custody plan as she increases her role as dependent-custody sovereign for Dan.
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