Client Centered Communication and Collaboration Essay

In this written assignment, you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.  Client Centered Communication and Collaboration Essay

The Case of Mrs. G.
Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.\’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was \”the life of the party\” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.\’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, \”This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.\”

In 3 – 4 pages answer the following questions:

How would you best describe Mrs. G.\’s feelings about her life, her family, her traditions, and her future?
Did Mrs. G.\’s response to her daughter surprise you? Please explain your answer.
In what way do you believe her culture might be influencing her decision?
If you were Mrs. G.\’s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?
Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?

Author notes should be included on the title page: author notes information example below.  Client Centered Communication and Collaboration Essay

This easy is being submitted on May 1, 2019 for Lori Versaguis NUR 2058 Section 29 Dimension of Nursing Practice

Client Centered Communication and Collaboration



Family is a very important aspect of the Hispanic culture. Family members including different generations believe in living together. Therefore, working with Hispanic families needs a lot of objectivity and cultural competency in order to be able to deliver culturally diverse care (Velasco-Mondragon et al, 2016). Patients from culturally diverse backgrounds may have different expectations regarding care.

Mrs. G.’s Feelings about her Life, Family, Traditions, and her Future

Mrs. G’s feelings can be linked to the attachment and memories she has about the house. She is very attached to the house and holds fond memories of her life. Mrs. G’s traditions are also centered on her family. Therefore she is resisting moving out of the house because she feels by moving out the special memories that include her late husband will fade away.  According to Sørbye et al (2018), older adults such as Mrs. G have raised their families, supported their spouses and some lost them, have let go the image of being career people and hence the last thing they want is to lose control over self. This makes senior adults to ignore the consequences of living alone and resist moving out, especially if they have been in the same house for a long time and have established family memories. This is the case for Mrs. G; she has lived in the same house for a long time and has established family memories especially regarding her late husband. Leaving the house is like leaving her family behind. In addition, some older adults believe that assisted living facilities are where people go to die and where old are abandoned (Hummer & Mark, 2015). This can be another reason why Mrs. G is resisting.  Client Centered Communication and Collaboration Essay

Was Mrs. G.’s Response to her Daughter Surprising?

The response of Mrs. G to the daughter is not surprising especially because Mrs. G is a Hispanic. This is because the Hispanic culture is very dependent and also Hispanics tend to have strong family ties and believe in being supported by the extended families (Zeiders et al, 2016). Therefore, Mrs. G may be expecting to be cared for by one of her family members rather than going to a nursing home facility. In addition, Mrs. G has experienced so many changes in the past, especially with her husband’s death. She has been trying to adjust to living in the house alone and therefore may not be ready to adjust to more changes in a nursing home. Moreover, according to the Hispanic culture, the word of the elderly is to be respected and therefore for the time being the daughter should back off the idea of moving the mother to a nursing home (Zeiders et al, 2016). However, this does not mean she should give up; the daughter should continue seeking other avenues to convince the mother to move due to the imminent dangers of staying alone in the house.

What Mrs. G’s daughter should say to show she is caring and have compassion for her situation and the nonverbal communication?

Mrs. G’ daughter should explain to the mother that the reason they are recommending her moving into an assisted living facility is to ensure she gets the best possible care and avoid possible injuries. The daughter should further inform the mother that they would be there for her while in the facility and she will be visiting her regularly. If the mother does still not want to move, the daughter should demonstrate to the mother that she understands her reason for not wanting to move such as being separated from the family. The daughter could go ahead and enquire if the mother is comfortable having a fulltime caregiver in her own house. Since in Hispanic the elderly should always be respected, it is important for the daughter to explain respectfully to the mother. Client Centered Communication and Collaboration Essay

For the body language, the daughter should ensure that eye contact is maintained during the conversation as this will assure the mother that she is attentive and keenly listening to her. According to Berman & Chukta (2016) eye contact socially communicates to the person talking and the one listening.

Available Resources and Collaborations Available to ensure the Safety of Mrs. G

If Mrs. Completely refuses to leave her home, the daughter can liaise with the social worker and the community nurse to be visiting the mother often to assess her and provide the required care (Orvik et al, 2016). It is also recommendable for Mrs. G to have a live-in caregiver. The caregiver will provide Mrs. G with the ongoing help with activities of daily living. The daughter can also utilize healthcare agencies such as hospitals and other agencies for the elderly like The National Alliance for Caregiving and National Aging in Place Council to get the necessary support for the mother from these organizations.


Berman A & Chukta D. (2016). Assessing effective physician-patient communication skills: “Are you listening to me, doc? Korean J Med Educ. 28(2), 243–249.

Hummer R & Mark H. (2015). Hispanic Older Adult Health & Longevity in the United States: Current Patterns & Concerns for the Future. Daedalus. 144(2), 20–30.

Orvik A, Gerd N, Bihari A & Runo A. (2016). Interorganizational Collaboration in Transitional Care – A Study of a Post-Discharge Programme for Elderly Patients. Int J Integr Care. 16(2), 11.

Sørbye L, Sidsel S & Pay B. (2018). Should frail older adults be in long-term care facilities? J Multidiscip Healthc. 1(11), 99–107.

Velasco-Mondragon E, Jimenez A, Davis P, Davis D & Jose E. (2016). Hispanic health in the USA: a scoping review of the literature. Public Health Rev. 37(31).

Zeiders K, Kimberly U, Taylor U & Padilla J. (2016). Values, Family Time, and Mexican-Origin Young Adults’ Depressive Symptoms. J Marriage Fam. 78(1), 91–106. Client Centered Communication and Collaboration Essay


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