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Mrs. Black is a 63-year-old woman with pancreatic cancer. You are a nurse on the hospice team treating Mrs. Black and her family. Over the past three months, you have met most of Mrs. Black’s immediate family and feel like you get along well with them. So, you are completely surprised to find out that the family contacted your supervisor and filed a complaint about you. The family is very distraught over Mrs. Black’s new decision to decline artificial nutrition and hydration at the end of life. Based on previous conversations, Mrs. Black had been a firm believer in fighting until the very end for her family. However, over the past month, you have noticed a change in her approach to life and death. This is very difficult for the family to accept. Over the course of your conversations with Mrs. Black, you shared the story of your mother’s battle with breast cancer and her death five years ago. Your mother’s perspective regarding end of life treatment options drastically changed as her health declined. You shared this to highlight that many people change their minds at the end of life; however, Mrs. Black’s family believes you overly influenced her decision.
SCIENCE
HEALTH SCIENCE
NURSING

 
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