Nursing Gerontology case study-Lung cancer essay assignment
Case study : Julia Morales, age 65, and Lucy Grey, age 73, are partners who have been together for more than 25 years.
vSim for Nursing | Gerontology
Julia Morales and Lucy Grey Part 1
Instructor’s Overview:
Julia Morales and Lucy Grey Part 1
Scenario Overview
Patient: Julia Morales
Diagnosis: Lung cancer, stage 4
This scenario is part of the Julia Morales and Lucy Grey Unfolding Case. The scenario can be used as a standalone scenario or as part 1 of the case.
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The Unfolding Case
Julia Morales, age 65, and Lucy Grey, age 73, are partners who have been together for more than 25 years. They are retired and have spent the past several years traveling together. Julia has lung cancer, which has been treated with chemotherapy and radiation, and now she wishes to stop treatment. Lucy is supportive and feels she will be able to care for Julia in their home. Lucy’s past medical history includes a knee replacement. Their support system includes Julia’s son, Neil.
The simulation scenarios begin with the home health nurse evaluating Julia after she has decided to stop treatment for her lung cancer. Her partner Lucy wishes to care for her in their home. In the second scenario, the end of Julia’s life is near and she is surrounded by her loved ones and the hospice nurses. Julia dies during this scenario. The learners are introduced to supportive measures for both the patient and the family during this process. The final scenario concentrates on Lucy and the difficulties she has adjusting to her new life after Julia is gone. The objectives focus on the students’ assessment of Lucy’s grieving process, how well she is coping, and the physical changes that she has experienced over the past few months.
Brief Summary of Present Scenario
This scenario involves a visit by the home health agency nurse. The students are expected to do a physical and functional assessment of Julia and her nursing care needs. Julia inquires about hospice services, but her son Neil urges her to try one more round of chemotherapy. Lucy is supportive of Julia’s decision and tries to comfort Neil. The students should assess Lucy’s caregiver preparedness, and articulate what hospice care means for the patient and family. The assessment tools recommended for this scenario include the Katz Index of Independence in Activities of Daily Living (ADL), and Informal Caregivers of Older Adults at Home: Let’s