minimum 300 words 2 references within 5 years APA style Case Study This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community. When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Janes deceased husband had been a protestant minister. Both had lost their spouses. Janes first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Janes husband. Dans wife had died of terminal cancer a little over a year earlier. Dans first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Janes plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recoveronly to begin to exhibit the early signs and symptoms of Alzheimers disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Janes dismay, she noted that Dan could not follow the sequential directions she gave him. As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimers disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimers disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Janes retired sister and brother-in-law relocated to a home a short walk from Janes. Their intent was to be on call to assist Jane in caring for Dan. Dan and Janes children did not live nearby so could only assist occasionally. As Dans symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dans wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him Dan, I am Jane. Friends are saddened by Dans decline and concerned with the burdens and limitations Jane has assumed as a result of Dans dependency. Critical thinking activities 1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle? 2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dans BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dans self-care deficit and resulting dependent-care deficit. Now assess Janes self-care system. 3. Design a nursing system that addresses Janes self-care system as she increases her role as dependent-care agent for Dan. Image 1: FIG. 14.3Dependency cycle. Source: (From Taylor, S. G., Renpenning, K. E., Geden, E. A., Neuman, B. M., & Hart, M. A. . The theory of dependent-care: A corollary to Orems theory of self-care. Nursing Science Quarterly, 14, 3947.) Image 2: FIG. 14.4Basic dependent-care system. BCF, Basic conditioning factors; DCA, dependent-care agency; DCD, dependent-care demand; SCA, self-care agency; SCDF, self-care deficit; SCS, self-care system; TSCD, therapeutic self-care demand. Source: (From Taylor, S. G., Renpenning, K. E., Geden, E. A., Neuman, B. M., & Hart, M. A. . The theory of dependent-care: A corollary to Orems theory of self-care. Nursing Science Quarterly, 14, 3947.)
Why Choose Us
High Quality, 100% Original and Well-Researched Papers
HireProWriter always ensure that our writers follow all your instructions precisely. You can pick your academic level: high school, college/university or professional, and we will assign a writer who much your field or discipline.
Professional and Experienced Academic Writers
Our Company has a team of professional writers with experience in business articles and academic papers. The majority are native speakers and capable to tackle any task for which you need assistance.
Free Unlimited Revisions
Do you think we missed something on your paper? No worries, send your order for a free revision. We give you up to 10 days to submit the order for review after you have received the final document. You can do this yourself after logging in to your account or get help from our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need an extension to master your paper, we will contact you on time regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
100% Plagiarism free work! We use premium writing tools to check plagiarism. Our professional editors carefully review all quotations in the text. Besides, we guarantee maximum confidentiality in all of our services.
Customer Support 24/7
Our support team is available 24/7. We are dedicated to giving the best customer experience. Feel free to get in touch any time for assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Why work on your paper all night? While you can sleep tight, as we cover you back. HireProWriter offer all kinds of writing services.
No matter what kind of academic assistance you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at a reasonable cost. HireProWriter take care of all your academic paper needs with a 24/7 customer care support system.
Admission and Business Papers
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You don't have to worry about writing a presentable College admission essay, You can be rest assurred that through our services we will write the best admission essay for you.
Editing and Proofreading
Our Team (academic writers and editors) make the necessary adjustments to your essay/paper so that it is polished. Besides, we format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
We value our clients feedback, our system is designed to ensure that we deliver quality work through collaboration of our team and clients. In case you need an improvement in your paper, you are free to request for revision. For such case, your paper will be checked by the writer or assigned to an editor. Your Satisfaction is our Concern!