Can Give Rise To Psychological Issues

Explain Can Give Rise To Psychological Issues? Withholding of the truth about Amy can give rise to psychological issues and have an impact on her quality of life. Her physical inabilities as difficulty to find words and repetition during a conversation and lack of concentration are contributing to her psychological distress, as she is unable to understand the reason of her sudden change in behaviour and memory. Withholding the information can have a negative impact on the patient’s attitude. It would reduce her coping ability, cause mood disturbances and anxiety and reduces her ability to prepare for the future(Kelley & Morrison, 2015). The withholding of life limiting illness about Amy also has serious negative impact on her family. Her mother is in her 80’s and witnessing such a change in behaviour and mood in Amy can have psychological impact and extremely painful. Her son Erik finds it difficult to conceal the truth of her life limiting illness from Amy and that might affect her end-of-life care and her compliance with the treatment and medication. This puts her family members in a hard situation and her family members face ethical dilemma whether to inform her or not. This situation raises ethical dilemma for me. Although, Amy and her family members wants to withhold her life limiting illness as posed by the family, the primary concern is to disclose the illness to her in culturally sensitive manner. This ethical dilemma can affect her end-of-life care and response to treatment. As she has limited English speaking ability, it is important to convey through family members or interpreters. The considerations include using of plain language, addressing of one piece of information at a time and ask about Amy’s worries, thoughts and understandings after illness disclosure through culture centred communication (Katz & Johnson, 2013). The care provided to Amy should include her cultural practices and spiritual needs and directed towards culture-centred care. It is important for the staffs to learn about her beliefs, cultural attitudes meanings of illness, health and symptoms. As she is diagnosed with life-limiting illness, it is important to recognize the unique cultural aspects of the care provision at the end-of-life (Wittenberg, et al., 2015). Knowing about cultural values of Amy would help the staffs to understand, grapple and navigate through the limiting illness. Integration of Amy’s cultural needs would help staffs in delivering her end-of-life care. Staffs need to understand that cultural factors and their integration into healthcare would influence her healthcare seeking behaviour, medical and clinical decision-making and finally health outcomes. Therefore, culture-centred end-of-life care act as driving factor in delivering culturally competent healthcare to Amy. By providing culture-centred, care to Amy would help her and family to respond to the end-of-life care and have a positive impact on their psychological well-being. The cultural consideration and specific spiritual needs of Amy would be fulfilled in her terminal diagnosis, as the staffs would provide culturally appropriate care that improves her and family situation. As a graduate health professional, I would like to spend time to develop an understanding of her feelings and specific needs to address anxiety and point of disagreement in providing end-of-life care. I will try to develop an empathetic relationship with Amy and her family in providing culture-centred care. For this culture-centred communication, principles are important through interpreters to understand Amy’s true preferences for receiving illness information. As she has limited English speaking ability, it is important to be cognizant about how her cultural factors and beliefs might affect her end-of-life care. This sensitivity to Amy’s individual and cultural preferences would help to avoid stereotyping and in making incorrect assessments in providing her end-of-life care (Moir, Roberts, Martz, Perry, & Tivis, 2015).   Katz, R. S., & Johnson, T. G. (2013). When professionals weep: Emotional and countertransference responses in end-of-life care. Routledge. Kelley, A. S., & Morrison, R. S. (2015). Palliative care for the seriously ill . New England Journal of Medicine,  373(8), , 747-755. Moir, C., Roberts, R., Martz, K., Perry, J., & Tivis, L. J. (2015). Communicating with Patients and their Families about Palliative and End of Life: Comfort and Educational Needs of Staff RNs. International journal of palliative nursing,  21(3), , 109. Wittenberg, E., Ferrell, B., Goldsmith, J., Smith, T., Glajchen, M., Handzo, G., & Ragan, S. L. (2015). Textbook of Palliative Care Communicaiton. Oxford University Press.