Ella has end-stage cancer and is being released from the hospital to spend her final days at home. Her family is struggling with her prognosis and each member has their own health issues to deal with. The family must determine the best end-of-life care for Ella, taking into account her preferences for alternative remedies, her husband's desire to follow family traditions, and the needs of their diverse family members. Community resources and medical factors regarding hospital versus home care will also impact Ella and her family's circumstances.

1. Discussion: End of life and palliative care
Discussion: End of life and palliative careDiscussion: End of life and palliative
careGrandmother 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 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. Discussion: End of life and palliative careElla 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 alcoholicDaughter Lila, with Type II diabetesGrandson Josh,
starting to have drug problemsGranddaughter Lucy, bipolar with more entrenched drug
problemsDaughter-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 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

2. 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 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 PaperMust 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 paperStudent’s
nameCourse name and numberInstructor’s nameDate submittedMust use five scholarly
sourcesPreview the documentView in a new window (Links to an external site.)Links to an
external site.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.ORDER
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