CASE PRESENTATION

Paige Cozart

BACKGROUND
Ms. Williams
is a 71INFORMATION
year old female
that is diagnosed with COPD,
accompanied by other medical
diagnosis. She lives at home with her
son and daughter in law, along with
their four children. In her younger
days her father was diagnosed with
spinal cancer and shot himself before
the disease took over his body and her
mom has passed away as well from
cancer. The doctors certify that her
illness gives her six months or less to

SERVICES
1 to 2 RECEIVED
visits from
the RN
during the week
Hospice aids 5 times a week
(help with medicine planner,
bathes, dressing wounds).
Meals on Wheels

ABILITY

Strengths

Limitations

Take care of herself without

assistance.

Needs assistance getting

around eg. store errands
and doctors visits.
can not walk far or go
outside for long periods of
time without her oxygen.

Great sense of humor

ASSESSMENT GOALS
For the patient to experience a
peaceful death with dignity.
Maximize her comfort
Support the family and patient
spiritually and emotionally
Asses the families mental and
emotional ability to care for the
patient.

 Perform scheduled physical,

INTERVENTIONS
psychosocial,
and spiritual
assessments (this is ongoing).
When hospice aids are ordered to
perform supervisory visits to the
patient to ensure family satisfaction.
(within 14 days).
The nursing staff will work together
to develop a patients Plan of Care.
Social workers and the Chaplin also
contribute in ways to address the
patients spiritual, emotional and
social needs.

MY BIASES

I did not have any biases against this

patient. When I first heard of her case
in the morning team meeting her
nurses were telling everyone how
funny she is with a little bit of sass.
When I met her during my rounds of
home visits she was just as nice and
down to earth as I perceived.

VALUE DIFFERENCES

Mine
Education
Family
Independence
Good health

HDog
ers

Grandchildren
Children
Independence
Good health

We value most of the same things so, we did

differ much in this area.

LIFE EXPERIENCES

She said that she feels like she

experienced a normal childhood.
Although earlier on when her dad was
diagnosed with cancer he shot himself
and her mother died form cancer as
well. She has come to term with her
disease and makes light of the
situation.

STAFF RECOMMENDATIONS

The nursing staff will work together to

develop a patients Plan of Care. Social
workers and the Chaplin also contribute
in ways to address the patients
spiritual, emotional and social needs.
Scheduled weekly visits 1 or 2 times a
week (upon request).
Anticipate family and patient needs and
intervene to enhance

RESEARCH

Research says

Besides routine scheduled

visit to the doctor. Research
suggest that having a
reliable support system
throughout ones lifetime
during crisis will positively
affect ones physical and
psychosocial well being.

C o n c e p t u a l Fr a m e w o r k
Used

Person in Environment
framework
Helps to grasp an
understanding of the clients
problems and strengths.
Considering their social,
political, physical, spiritual
and economical
circumstances.

WHAT WOULD I DO DIFFERENTLY?

I would not suggest the agency do

anything differently. The hospice
mission statement is to help all
patients and their families experience a
peaceful with ample support. All of the
patients are well accounted for and the
nursing staff is amazing.

REFERENCES

Neimeyer, R. A., Currier, J. M., Coleman, R., Tomer,

A., & Samuel, E. (2011). Confronting Suffering and
Death at the End of Life: The Impact of Religiosity,
Psychosocial Factors, and Life Regret Among
Hospice Patients. Death Studies, 35(9), 777-800.
doi:10.1080/07481187.2011.583200