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Case Study Care Plan Strategies: Shanti Care Plan Strategies: Shanti

Shanti’s story describes the death and dying process of a 63 year old Indian woman with breast cancer and metastasis. She had lived in the United States for 32 years and both her and her family still strictly followed their Hindu beliefs and traditions. Shanti knew she was ill but not her diagnosis or prognosis. She was in constant pain and suffered from anorexia, weight loss, and digestive problems. Her religious and cultural beliefs were that all that happened in this life was the result of her past life and that her next life would be determined by her actions in this life. To Shanti the pain she was suffering was given to her by the gods and relief from her pain would produce bad karma and result in negative consequences in her next life (Gefland, Raspa, & Briller, 2005, pp 177-178). Because of her beliefs Shanti and her family had chosen not to know her diagnosis or prognosis which created multiple dilemmas in planning hospice care for the patient. After consulting their legal team and ethics committee hospice was able to honor the patient’s wishes and provide services. For the purpose of this paper the author with describe a care plan developed for the care of Shanti that respects the patient’s cultural and religious beliefs but still provides quality care. The care plan includes communication between staff, the patient, and family, treatments that align with the patient’s cultural and spiritual beliefs, family involvement, solutions to barriers, and cultural responses. Four nursing diagnosis were used in developing this care plan including: Readiness for enhanced Spiritual Wellbeing, Acute Pain, Knowledge deficit, Altered Nutrition: less than body requirements.

Readiness for enhanced Spiritual Wellbeing Shanti was an ill woman that was suffering in pain but her...

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