Larry
Explain how common skills (e.g. communication and values attitudes and beliefs) can ensure good interprofessional practice for Larry and his wider family.
Communication skills are a vital part of both personal and professional practice (Axtell, 1990; Dimitrius & Mazzarella, 1999). They are necessary in the workplace and in families that function well, but they are also certainly necessary when it comes to how people are treated when they are injured, sick, or unable to care for themselves (Roter, 2001). Because Larry was the primary caregiver to his wife but did not want anyone to know that she was suffering from dementia, he made the problems that he is currently facing more difficult for himself and also for his wife, Jeanie. Larry should have been open and upfront about Jeanie's problems, so that others would be able to plan for any eventuality. If people who are sole caregivers for ailing family members do not have any kind of backup plans in place, it can make it very difficult for them when they are suddenly unable to care for that ailing family member anymore.
With Larry, the fact that he was active and relatively healthy should not have been the main issue. His age should have overshadowed that and told him that there was a possibility of something happening to him where he would not be able to take care of his wife in the same way that he had in the past. Because he did not consider this possibility or convey it to other people in the family, Jeanie ended up in a nursing home instead of with a family member or close friend who could give her the kind of care that she needed. Larry believed that it was his responsibility to care for his wife, and that is certainly admirable. However, it is unfortunate that he took that so far and that he assumed that he would have to be the only one to care for Jeanie. With her in the nursing home, she is not getting the kind of care that she would be getting from Larry, and he is concerned about her safety, happiness, and security. While this is understandable, it is also likely that Larry feels some semblance of guilt because he is no longer able to care for her.
Sole caregivers need to be brave enough to speak up and say that they need help, or at least to ensure that they have a plan in place for a time when they are no longer able to provide the level of care that they have provided in the past. By suspending their own values and beliefs and instead looking at the needs of the one for whom they care, they are better able to make the right choices for their partner, child, or other family member. Values and beliefs can be quite strong, however - especially in the older generation. Men were expected to care for their wives and their families, and that was simply the way things were done. No outside help was necessary, and it often was not even desired. Because of that, many elderly men today are "stuck" taking care of loved ones. They may care deeply for these people, but they need help and they are not willing to ask for that help.
They become frustrated with themselves for being unable to provide proper care, and they start to feel as though they have failed their spouse or other relative. That is not a good feeling, of course, but the problems could have been mitigated by asking for some help. That does not mean that Larry is to blame for the issues which he is facing. He is a product of society and his generation, and he may simply have never thought much about the possibility that he may not always be able to care for Jeanie properly. Now that he has damaged his ankle and has been in the hospital for several days, he realizes that he left no option for Jeanie other than a nursing home. Family members can take Larry in because he does not require around-the-clock care, but they cannot take in Jeanie because they work full time and she needs more than they can offer to her. If Larry had been upfront about her condition from the beginning, he may have been able to make other arrangements for her and she would not have needed to go to the nursing home.
Larry was also understandably frustrated when he was...
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