Summative Assessment To complete this assignment, read the scenario below and address the specific questions and issues indicated. Review the  SOC313 Family Document  for specific information on each member of the family.  Grandmother Ella has had cancer for years now and has followed alternative remedies from the time she was first diagnosed.  Ella had a period of remission; however, the cancer returned and has metastasized to her bones, liver, and lungs.  She is in the hospital after collapsing from weakness.  She is being released from the hospital as she wishes to spend her last days and months at home.  Ella has her preferences for care, 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 when Ella’s life ends.  Ella feels stressed by the discord and discomfort of family members.   For this final assignment, you are the social worker for this case.  You meet this family in the hospital setting.  You learn that Ella wants to return home with care from the Hospice nurse and health aide.  Ella’s husband also wants her to return home; however, several of her children and their spouses want Ella to remain in the hospital or move to a nursing home so she gets professional care.  For this assignment, you are required to use the outline form with subtopic headers from the Week 3 assignment.  Address the following items in your work: Synthesize the current research that is relevant to this scenario.  Discuss the current practices for end of life and palliative care from the Western Medicine as well as the Complementary and Alternative Medicine perspectives. Comprehensively discuss the cultural and/or traditional issues that could arise at this time.  Consider how the integration of Complementary and Alternative 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 each of the following possible scenarios: Ella wishes to continue the Complementary and Alternative practices. Ella is coerced into following mainstream medical advice. Ella’s husband, John, insists that, as father and husband, his family traditions should be followed. 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 Type II 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 (son with leukemia and brother with HIV) Discuss the micro, meso, 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) confl.

1. Summative Assessment
To complete this assignment, read the scenario below and
address the specific questions and issues indicated. Review the
SOC313 Family Document
for specific information on each member of the family.
Grandmother Ella has had cancer for years now and has
followed alternative remedies from the time she was first
diagnosed. Ella had a period of remission; however, the cancer
returned and has metastasized to her bones, liver, and lungs.
She is in the hospital after collapsing from weakness. She is
being released from the hospital as she wishes to spend her last
days and months at home. Ella has her preferences for care,
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 when Ella’s
life ends. Ella feels stressed by the discord and discomfort of
family members.
For this final assignment, you are the social worker for this
case. You meet this family in the hospital setting. You learn
that Ella wants to return home with care from the Hospice nurse
and health aide. Ella’s husband also wants her to return home;
however, several of her children and their spouses want Ella to
remain in the hospital or move to a nursing home so she gets
professional care.
For this assignment, you are required to use the outline form
with subtopic headers from the Week 3 assignment. Address
the following items in your work:
Synthesize the current research that is relevant to this scenario.
Discuss the current practices for end of life and palliative care
from the Western Medicine as well as the Complementary and
Alternative Medicine perspectives.
Comprehensively discuss the cultural and/or traditional issues
that could arise at this time. Consider how the integration of
Complementary and Alternative Medicine and beliefs,
mainstream medical practices, and cultural/traditional rituals

2. and practices might create issues and what they might include.
Describe how the family might react to each of the following
possible scenarios:
Ella wishes to continue the Complementary and Alternative
practices.
Ella is coerced into following mainstream medical advice.
Ella’s husband, John, insists that, as father and husband, his
family traditions should be followed.
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 Type II 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 (son with leukemia and brother with HIV)
Discuss the micro, meso, 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 (meso) reacting
to the situation?
Using your local area, research and discuss two community
resources (macro) that support Ella’s needs for care and/or
improve her quality of life. Evaluate the ability of these
community resources to meet the needs of this diverse family’s
circumstances adequately.
Discuss the relevant medical issues and the advantages and
disadvantages of hospital versus home. In this case, when
discussing medical issues 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) affected

3. 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
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.
The Final Paper
Must be 8 to 10 double-spaced pages in length (not including
title and reference pages) and formatted according to APA style
as outlined in the Ashford Writing Center.
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use five
scholarly sources
in addition to the course text (six total).
Must document all sourced material in APA style as outlined in
the Ashford Writing Center.
Must include a separate reference page that is formatted
according to APA style as outlined in the Ashford Writing
Center.