Grandma Ella’s end of life care: Outline
SOC313: Social Implications of Medical Issues (CGF1516A)
Instructor: Mark Mussmann
Date submitted: May 4, 2015
Miller family is filled with traditions, diversity and cultural values. In the scenario, Grandma Ella has been experiencing various issues with regard to having alternative treatments and medicines. Ella’s decision is hugely influenced by her cultural and traditional expectations that may influence directly or indirectly on the care given to her in her end of life days. In addition to that, there are other systems like micro, mezzo, and macro influences affecting Ella and her family members ...view middle of the document...
A. Cultural or traditional issues that might arise
1. Insistence of traditional healing practices by her husband of American Indian descent.
2. Extended family plays a critical role in decision-making (Gallant, Spitze, & Grove, 2010).
3. If Ella wants to stay with alternative and complimentary treatments, question arises whether her family, especially her husband, will be supportive or not.
B. Micro, Mezzo, and Macro Influences Affecting Ella and her family members
1. Micro influences
a. The preferences or cultural values of Ella about her role in managing the condition, as she wishes to continue with her care at home.
b. The attitudes and beliefs of the family members will affect the decisions for healthcare delivery.
2. Mezzo Influences
a. Availability of support groups for people with chronic conditions in the neighborhood.
b. The existence of expertise and appropriate tools among health care workers in the community (Holosko & Dulmus, 2013).
c. Availability of community resources such as consumer groups, non-governmental agencies and patient advocates (Davidson, 2014).
3. Macro Influences
a. The existence of a severe legislative framework for enhancing quality of health care services (WHO, 2002).
b. Government prioritization and distribution of resources for management of chronic conditions (Holosko & Dulmus, 2013).
c. Emphasis on continued education for health care providers across the nation.
C. Advantages and Disadvantages of Hospital vs. Home Care
1. Advantages of hospital care
a. Specialized equipment and medical care for cancer treatment are available immediately (Davidson, 2014).
b. Constant monitoring by medical staff round the clock.
a. There may be little patient privacy.
b. Family members may not be able to participate actively in care giving at the hospital setting (Smyer & Stenvig, 2007).
3. Advantages of home care
a. Ella might feel most secure, comfortable, relaxed and loved at home.
b. The home environment offers flexibility for the patient and the family in their daily routines (Holosko & Dulmus, 2013).
a. It may be problematic to handle emergencies at home.
b. Many home environments do not have adequate facilities required for effective health care delivery.
D. Psychological and social issues evident in the scenario
1. The prospects of Ella’s death is emotionally burdening to the family members.
2. Drug problems by...