Exam (elaborations) People of Amish, American Indian, Alaska Native, a (N512)

Exam (elaborations) People of Amish, American Indian, Alaska Native, a (N512) Jewish Case study First, being a first generation American, I would expect Sarah to air her views on the kind of care that she wants as she approaches the last days of life. Depending on her spiritual beliefs, if she has constructive reliance on faith, I will anticipate a request medical care that is life – prolonging medical care. I would also respect Sarah’s choice to have surgery and initiate chemotherapy because nursing competencies in the 21st century recommend that all care should be patient centered should at all times strive to respect the wishes of the patient. However, I would be forthright when discussing the prognosis so that she able to make a decision that is informed. Questions addressing Sara’s religious affiliation to establish whether she is a conservative, moderate or liberal would help to the depth of her religious practice. Her responses would then assist in determining whether she wholly embraces aggressive life sustaining treatments therapy or not. Her spirituality needs would then be premised on whether she is a fundamentalist who believes that God controls one’s length of life and ascribes to values embracing the utilization of all available treatment. Other spiritual beliefs to guide on the patient’s needs include but will not be limited to her belief in the origin of illness as well as the confidence that miracle cures can happen or the opposing view that those who have faith in God do not require to plan for end of life care. The presence of many visitors in her room is an indication that Sara was a sociable person whose absence impacts significantly on the social needs of those within her social circle. At the same time, the visitors mean that at their individual level, the social relationship that they shared with Sara go beyond the spiritual and cultural matters to the core of human caring thus making them to come and both sympathize as well as empathize with her. In my view, hospice care is appropriate for Sara since it is meant to fulfil the patient’s needs at the end of life not just at the physical level but also the mental and spiritual sphere. While hospice care won’t treat the advanced pancreatic cancer, it will help to keep Sara free of pain and other symptoms and simultaneously offer her family to make the most out of the remaining time they have to share together (Johnson et al, 2016). According to Mohamed Hussain et al (2018), religion has been propagated as a mechanism that significantly helps bereaved family members to sense of the loss of a loved one in a positive way. As such upon the death of Sara, I would ask the family members to send supplications on Sarah’s behalf. I would also with the familys permission lead in praying to God to give them peace of mind once they remember Sara. In addition to this I would ask the family on what the dying wishes of Sara were together with the meaning making activities which would help the family, relatives and friends to regain growth after Sara’ final departure. Withrock et al (2015) posits that some genetic conditions can offer resistance to particular infectious diseases. These researchers found that the alleles of Tay-Sach disease are more prevalent among Ashkenazi Jews which gives them selective advantage by offering protection against Mycobacteria tuberculosis. Other hereditary diseases prevalent amongst Ashkenazi Jews are like Niemann-Pick disease and clotting factor deficiencies besides breast –ovarian susceptibility due to BRCA1 or BRCA2 mutations (Ostrer and Skroecki, 2013). Rubin (2015) observes that the Jewish burial rituals commence with the Aninut period referring to the period before the bereavement to the start of formal mourning followed by the