1. E. L. is an 88-year-old widow who has advanced dementia.
E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is
cared for in the home of her divorced daughter, who is her power of attorney for health
affairs. E. L. requires assistance with all activities of daily living. She spends most of the day
sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed.
She does not speak or acknowledge the presence of others. Recently, E. L. has stopped
eating all meals except for small banana slices. She resists a spoon when it is brought to her
mouth, and she pockets food in her cheeks without swallowing. E. L. was admitted to the
hospital several months ago for influenza and bilateral pneumonia. She was treated in the
intensive care unit for three days and then sent home. The possibility of a feeding tube
insertion was discussed during her hospitalization. E. L.’s daughter is seeking guidance on
artificial nutrition and hydration.Use the assigned readings to guide you in the development
of five discussion pointsDiscussions points should reflect best practices that you will
include as you speak with E. L.’s daughter regarding her mother’s end-of-life care.Cite your
references in proper APA Style.Review the rubric for more information on how your
assignment will be graded.Submit as an attachment to the assignment area.
