Discussion Board Activity: Case Study #3 (Julia Morales and Lucy Grey)

This discussion board activity involves a case study adapted from National League for Nursing. (2018). Advancing care excellence for seniors. Unfolding case: Julia Morales and Lucy Grey. Washington, DC: Author.

Overview

Julia Morales, age 65, and Lucy Grey, age 73, are partners who have been together for more than 25 years. They are retired and have spent the past several years traveling together. Julia has lung cancer, which has been treated with chemotherapy and radiation, and now she wishes to stop treatment. Lucy is supportive and feels she will be able to care for Julia in their home. Lucy’s past medical history includes a knee replacement. Their support system includes Julia’s son, Neil, and Lucy’s niece, Nora.

Monologue

The introductory monologue takes place in Julia’s home prior to an initial home health nurse visit. In the monologue, Julia discusses her life, including raising a son to adulthood, then meeting Lucy. She reviews her history with cancer and relates her understanding of home hospice care and her desire to die at home. She expresses concern about leaving Lucy alone.

Please utilize the resources in the readings and this activity to answer the following questions for the initial post*:

  1. What are Julia’s strengths?
  2. What are your concerns for this patient?
  3. What is the cause of your concern?
  4. What information do you need?
  5. What are you going to do about it?
  6. What is Julia experiencing?
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