Mrs. Georgia D’Angelo is 76 years old. She has been married to her husband Marcus for 58 years.
Question Description
Form a collaborative relationship with the patient, family, and other health care providers.
Instructions:
Case Study: Mrs. Georgia D’Angelo
Mrs. Georgia D’Angela is 76 years old. She has been married to her husband Marcus for 58 years. Marcus is 80 years old. The D’Angelo’s live in a well-kept, middle class home. The D’Angelo’s have three grown children: two sons and one daughter. All of the children are married and only their daughter lives close to them. The two sons each live more than 3 and a half hours away. The D’Angelo’s are very close to their children and talk with the children every day. Four months ago, Mrs. D’Angelo noticed her skin was “yellowish” in color and upon calling her primary care provider, she was told to go immediately to the emergency room for evaluation. After having a CT scan of the abdomen and laboratory studies, Mrs. D’Angelo was told she had pancreatic cancer and that she should immediately have a Whipple Procedure. This news was devastating to the D’Angelo’s and their family and friends. Mrs. D’Angelo called a friend who is a nurse and asked who she might go to for a second opinion. A second opinion was obtained and the second opinion reaffirmed the diagnosis of pancreatic cancer however the recommendation was to have chemotherapy prior to the Whipple Procedure. Mrs. D’Angelo began the chemotherapy and has suffered severe issues secondary to the chemotherapy and her quality of life is greatly impacted with a huge decrease in her functional status and activities of daily living. As of today, Mrs. D’Angelo has not discussed her fear of dying with you as the primary care provider or with her family. She has an excellent attitude about “fighting this horrible disease.”
Based on this case study, imagine you are the nurse practitioner providing primary care for Mrs. D’Angelo. Please prepare a 10–12 slide PowerPoint presentation. The title slide and reference slides are not included in the slide count. You should have 5 peer-reviewed scholarly references no more than 5 years old to support this Assignment. Please address each of the following grading criterion. Include the Grading Criterion as a subheading in your paper in APA 6th edition format.
Discuss the advanced practice nurse role facilitating end-of-life care and advance directives for Mrs. D’Angelo.
Compare and contrast the types of advance directives and discuss the relevance of advance directives to this case study.
Describe how you would approach the topic/issue of advance directives with Mrs. D’Angelo.
Identify 2 ethical principles and 2 legal challenges related to end of life and palliative care for Mrs. D’Angelo that could be an issue if advance directives are not addressed at this time.
Describe communication strategies you will use as the nurse practitioner to effectively engage and collaborate with other members of the intra professional healthcare team and Mrs. D’Angelo’s family
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format as outlined in the APA Progression Ladder
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.