To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the "Introduction to the Miller Family" document for specific information on each member of the family. Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing.  She went into remission for some time, but now the cancer has returned and she is in the hospital.  Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life.  Ella has her preferences, though she is now so weak that she has given up in many ways.  The family members are each experiencing their own fears and are grieving as they face the loss that will occur as Ella’s life comes to a close.  Ella prefers to die at home and has felt stressed by the discord and discomfort of family members since being hospitalized.   You are the social worker for this case.  You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.   For this assignment, you will: Synthesize the current research that is relevant to this scenario.  Discuss the cultural or traditional issues that could arise at this time.  Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include. Describe how the family might react to the following possible scenarios: Ella wishes to stick with alternative and complementary practices.  Ella is coerced into following mainstream medical advice.  Ella’s husband insists that, as father and husband, his family traditions should be adhered to.  Examine the biological basis for care and describe how the choices for care might affect the other family members with respect to their individual problems, if at all. Son Sam, the alcoholic  Daughter Lila, with diabetes  Grandson Josh, starting to have drug problems  Granddaughter Lucy, bipolar with more entrenched drug problems  Daughter-in-law, Sarah’s stress related to her family’s medical issues (nephew with leukemia, brother with HIV, and her father’s perspective that they are all “crazy!”)  Discuss the micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella’s medical condition and prognosis. What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?   How is the neighborhood and extended family (mezzo) reacting to the situation?  If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them.  Critique the ability of these communi.

1. To complete this assignment, read through the scenario below
and address the specific questions and issues indicated. Review
the "Introduction to the Miller Family" document for specific
information on each member of the family.
Grandmother Ella has been dealing with cancer for years now
and has tried alternative remedies and juicing. She went into
remission for some time, but now the cancer has returned and
she is in the hospital. Her husband, of American Indian
descent, has his ideas about what needs to be done as Ella
comes to the end of her life. Ella has her preferences, though
she is now so weak that she has given up in many ways. The
family members are each experiencing their own fears and are
grieving as they face the loss that will occur as Ella’s life
comes to a close. Ella prefers to die at home and has felt
stressed by the discord and discomfort of family members since
being hospitalized.
You are the social worker for this case. You meet this family in
the hospital setting as they are considering whether the patient
will remain there for her final days or whether hospice and
palliative care will be provided for her in her home.
For this assignment, you will:
Synthesize the current research that is relevant to this scenario.
Discuss the cultural or traditional issues that could arise at this
time. Consider how the integration of alternative and
complementary medicine and beliefs, mainstream medical
practices, and cultural/traditional rituals and practices might
create issues and what they might include.
Describe how the family might react to the following possible
scenarios:
Ella wishes to stick with alternative and complementary
practices.
Ella is coerced into following mainstream medical advice.
Ella’s husband insists that, as father and husband, his family
traditions should be adhered to.
Examine the biological basis for care and describe how the

2. choices for care might affect the other family members with
respect to their individual problems, if at all.
Son Sam, the alcoholic
Daughter Lila, with diabetes
Grandson Josh, starting to have drug problems
Granddaughter Lucy, bipolar with more entrenched drug
problems
Daughter-in-law, Sarah’s stress related to her family’s medical
issues (nephew with leukemia, brother with HIV, and her
father’s perspective that they are all “crazy!”)
Discuss the micro, mezzo, and macro influences affecting both
the patient and the diverse family members in this scenario as
impacted by Ella’s medical condition and prognosis.
What are the pertinent and likely family (micro) conflicts and
differences, and concerns that could be encountered?
How is the neighborhood and extended family (mezzo) reacting
to the situation?
If she returns home, what considerations need to be taken into
account as part of her discharge plan? Using your local area,
research and present the needed or preferred community
resources (macro) that would be available to them. Critique the
ability of these community resources to adequately meet the
needs of this diverse family’s circumstances.
Discuss the relevant medical issues and the advantages and
disadvantages of hospital versus home. When discussing
medical issues in this case, use appropriate medical
terminology.
Discuss the psychological and social issues that are present and
will possibly be more pronounced at this stressful time. How
has the fact that this illness has been ongoing (chronic)
impacted the family?
Analyze the current scenario as it pertains to diversity, as well
as to cultural, psychological, and social perspectives and
influences, taking into account the stories that you have been
discussing throughout the course.
Discuss the impact of lifespan development on the perspectives

3. of the various members of the family (i.e., their intellect,
cognitive abilities, insight, and judgment) as well as their
sociocultural perspectives, preferences, understandings, and
positions on the situation.
Writing the Final Paper
The Final Paper:
Must be eight to ten double-spaced pages in length, and
formatted according to APA style as outlined in the Ashford
Writing Center.
Must include a title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must begin with an introductory paragraph that has a succinct
thesis statement.
Must address the topic of the paper with critical thought.
Must end with a conclusion that reaffirms your thesis.
Must use at least three scholarly sources.
Must document all sources in APA style, as outlined in the
Ashford Writing Center.
Must include a separate reference page, formatted according to
APA style as outlined in the Ashford Writing Center.