Critical Thinking Activities

When Dan (now 80) and Jane (now 65) began dating further than 15 years gone, twain were emotionally charged to just their feeds again. Well-educated and financially arrest, they had a balballot in despicable. Dan was a protestant involve, and Jane’s estateless spouse had been a protestant involve. Twain had past their spouses. Jane’s original spouse had suffered a catastrophic cerebral aneurysm 2 years antecedent. Dan had conducted the funeral utility ce Jane’s spouse. Dan’s spouse had died of ultimate cancer a inconsidereffectual aggravate a year antecedent. Dan’s original spouse had been a school counselor; Jane was a school tutor. Twain had commodities in school. They shared a charity ce journey. Dan was solely stagnant endured part-space avocation, and Jane intended to endure training to render-capeffectual ce retreat. Twain were in grand soundness and had further than comprehensive soundness benefits. Within the year they were married. Summer vacations were departed snorkeling in Hawaii, mountain climbing in exoteric parks, and boating with race. After 7 years, Dan practiced main soundness problems: a quadruple cardiac bypass surgery, flourished by surgery ce pancreatic cancer. Jane’s plans to endure launched were dropped so she could becoadjutor Dan to recaggravate and then endure to journey with him and relish their cherishing space conjointly. Dan did retrieve—solely to just to evidence the existing signs and symptoms of Alzheimer’s malady. Single of the existing signs appeared the prior Christmas as they were relative quencheddoor lights. To Jane’s dishearten, she eminent that Dan could not attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual flourish the sequential directions she gave him. As space passed, other signs appeared, such as some reminiscence privation and indistinctness, continual repeating of jewel phrases, unexpected quenchedbursts of ruffle, and decreased political involvement. Assessments producted in the personality of existing Alzheimer’s malady. Dan was prescribed Aricept, and Jane began to just herself to aspect this novel grade of their married estate. She unravel con-over environing Alzheimer’s malady avidly and unconfused their residence ce corporeal and psychical protection. A kitchen blackboard displayed phsingle collection and the daily list. Car keys were truly stowed. It was eminent that she began to sensibility her space with Dan. Just sitting conjointly with him on the sofa brought meek expressions to her aspect. They endured to involve pavilion utilitys and functions stagnant stopped their certain swims at their exertion address when Dan left the dressing compass denuded single day. Within the year, Jane’s solely sister and brother-in-law relocated to a residence a inadequate trudge from Jane’s. Their urgent was to be on persuade to becoadjutor Jane in caring ce Dan. Dan and Jane’s commodities did not attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual feed nearby so could solely becoadjutor rarely. As Dan’s symptoms elated, a neighbor coadjutor, Helen, began to succor Jane ce a scant hours each week. At this space, Jane is stagnant the earliest dependent-economy principal. She prides herself in mastering a dual saturate; she saturates Dan in his saturate chair original, and then, make she saturates, he sits on the nearby toilet fix drying himself. Her girlfriends suggested that this was representative ce an fresh residence video! Although Jane is timid in her economy ce Dan, she frequently drives a inadequate separation to her vicinity tennis affect ce illiberal games with coadjutors or spends space disposed the charityly gardens she and Dan planted. During these spaces, she locks the stock doors and leaves Dan fixed in face of the television with a glass of juice. She watches the space and avail residence midhabit through the hour to obstruct on Dan. On single make when she cegot to lock the door make she was gardening, Dan made his habit to the street, past his poise, reclined aspect-original in the bloom bed, and was discovered by a neighbor. Jane has loving up evenings quenched and increased her jewel passpace of unraveling. Her days are populated with befriending Dan in perfect of his activities of daily aid. And, frequently, her doze is interrupted by Dan’s strolling throughquenched their residence. At spaces, when the phsingle rings, Dan answers and tells persuadeers Jane is not attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual attributeffectual there. Jane, solely in the present compass, informs him “Dan, I am Jane.” Coadjutors are disgusted by Dan’s extricate and watchful with the burdens and limitations Jane has conducive as a product of Dan’s dependency.
Critical thinking activities
1. Examine this plight con-over through the dependency cycle mould (Fig. 14.3). The quencheder arrows pomp a series through varying grades of dependency. The interior divergence represents who can be implicated in the dependency cycle. Where are Jane and Dan in this cycle?
2. Using the basic dependent-economy classification mould (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) ce each. What is the commodities of Dan’s BCFs on his self-economy action? Is he effectual to as his curative self-economy demands? Endure on to diagnose Dan’s self-economy arrears and producting dependent-economy arrears. Now assess Jane’s self-economy classification.
3. Design a nursing classification that addresses Jane’s self-economy classification as she increases her role as dependent-economy principal ce Dan.

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