Case study : Mrs. Georgia D’Angelo is 76 years old. She has been married to her husband Marcus for 58 years.
Discussion: Collaborative Relationship
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Discussion: Collaborative Relationship

Discussion: Collaborative Relationship

Question Description
Form a collaborative relationship with the patient, family, and other health care providers.

Instructions:

Case Study: Mrs. Georgia D’Angelo

Mrs. Georgia D’Angela is 76 years old. She has been married to her husband Marcus for 58 years. Marcus is 80 years old. The D’Angelo’s live in a well-kept, middle class home. The D’Angelo’s have three grown children: two sons and one daughter. All of the children are married and only their daughter lives close to them. The two sons each live more than 3 and a half hours away. The D’Angelo’s are very close to their children and talk with the children every day. Four months ago, Mrs. D’Angelo noticed her skin was “yellowish” in color and upon calling her primary care provider, she was told to go immediately to the emergency room for evaluation. After having a CT scan of the abdomen and laboratory studies, Mrs. D’Angelo was told she had pancreatic cancer and that she should immediately have a Whipple Procedure. This news was devastating to the D’Angelo’s and their family and friends. Mrs. D’Angelo called a friend who is a nurse and asked who she might go to for a second opinion. A second opinion was obtained and the second opinion reaffirmed the diagnosis of pancreatic cancer however the recommendation was to have chemotherapy prior to the Whipple Procedure. Mrs. D’Angelo began the chemotherapy and has suffered severe issues secondary to the chemotherapy and her quality of life is greatly impacted with a huge decrease in her functional status and activities of daily living. As of today, Mrs. D’Angelo has not discussed her fear of dying with you as the primary care provider or with her family. She has an excellent attitude about “fighting this horrible disease.”

Based on this case study, imagine you are the nurse practitioner providing primary care for Mrs. D’Angelo. Please prepare a 10–12 slide PowerPoint presentation. The title slide and reference slides are not included in the slide count. You should have 5 peer-reviewed scholarly references no more than 5 years old to support this Assignment. Please address each of the following grading criterion. Include the Grading Criterion as a subheading in your paper in APA 6th edition format.

Discuss the advanced practice nurse role facilitating end-of-life care and advance directives for Mrs. D’Angelo.
Compare and contrast the types of advance directives and discuss the relevance of advance directives to this case study.
Describe how you would approach the topic/issue of advance directives with Mrs. D’Angelo.
Identify 2 ethical principles and 2 legal challenges related to end of life and palliative care for Mrs. D’Angelo that could be an issue if advance directives are not addressed at this time.
Describe communication strategies you will use as the nurse practitioner to effectively engage and collaborate with other members of the intra professional healthcare team and Mrs. D’Angelo’s family
Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format as outlined in the APA Progression Ladder

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

Discussion: Collaborative Relationship

Discussion: Collaborative Relationship

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.