Case Study:
Ann is a seventy-seven-year-old grandmother. She has one daughter and three grandchildren. Two years ago, she was diagnosed with moderately advanced Alzheimer’s disease, which causes her to have periods of confusion, frustration, anger, and obsessive thinking. When speaking, she is uncertain and her speech patterns are choppy. Before her mental deterioration, Ann was a woman of love, intelligence, and patience. Realizing they were getting older, she and her husband, Frank, discussed their wishes should anything happen to them. She told Frank that if there was no chance of survival, she would not want to be hooked to a breathing machine. They never got around to filling any papers.

Frank is a sweet and sensitive man. His wife’s state frightens him. Ann’s love for him has been the focus of his life for sixty years. His urgent desire for the best care for Ann shows his devotion and love. Their daughter, Sarah, is a businesswoman. She is a hard worker and a good mother. She is forty-five, successful, and intelligent. Although she loves her parents dearly, she lives ten hours away. She regrets not seeing much of them, especially recently. Frank feels his role is to take care of Ann. He has spent the past year with her, watching after her, cooking for her, cleaning the home, and witnessing her deterioration. Finally, Ann is unable to walk alone safely and he finds he must have her admitted to a long-term care facility. He calls Sarah to come and help with the arrangements. After having Ann admitted to a local nursing home, both Frank and Sarah remember the pleading look in Ann’s eyes as they walk away.

After three weeks in the nursing home, Ann starts to cough and run a fever. She is seen by doctors and diagnosed as having pneumonia. She is transferred to a local hospital, where she is given intravenous antibiotics. Although the progress of her pneumonia is halted by the antibiotics, she stops talking and refuses to eat. The physician calls Frank to insert a feeding tube. Frank calls Sarah to ask what to do. They wonder, Is a feeding tube equivalent to a breathing machine? Would it be possible to allow Ann to lie there and die of starvation? Is that murder? What would she want? What is the right thing to do? (Burkhardt & Nathaniel, 2008).

Respond to the following:

Discuss the ethical decisions you would make.
Discuss the legal decisions you would make.
Explain, as a nurse, what advice would you give to Frank and Sarah.

 

Using 250-500 words, summarize your strategy for disseminating the results of the project to key stakeholders and to the greater nursing community.

Refer to the “Topic 4: Checklist.”

Prepare this assignment according to the APA guidelines.

NRS-441V: Capstone Project

Topic 4: Checklist

     Developing an Evaluation Plan and Disseminating Evidence

Instructions:

This checklist is designed to help students organize the weekly exercises/assignments to be completed as preparation for the final, capstone project proposal. This checklist will also serve as a communication tool between students and faculty. Comments, feedback, and grading for modules 1-4 will be documented using this checklist.

Topic	Task	Completed	Comments / Feedback	Points
Developing an Evaluation Plan	Described methods used to evaluate effectiveness of proposed solution.			____/ 4
	Described variables to be assessed when evaluating project outcomes.			____/ 4
Developed tools necessary to educate project participants.			_____ / 14
	Developed assessment tool(s) necessary to evaluate project outcomes.			_____ /14
Written Format & Length Requirements for Developing an Evaluation Plan	Assignment formatted according to APA. Word Count: 800-1,000			_____/ 2 _____/ 2
Disseminating Evidence	Discussed strategy for disseminating results of project to key stakeholders.			_____ / 18
	Discussed strategy for disseminating significance of project outcomes to greater nursing community.			_____ / 18
Written Format & Length Requirements for Disseminating Evidence	Assignment formatted according to APA. Word Count: Evidence 250-500			_____/ 2 _____/ 2
			TOTAL POINTS	_____ / 80