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Anna (age 35; she, her, hers; White woman) and Tom (age 36; he, him, his; Black man) Jones have an appointment with you for an evaluation of their older son, Joshua.
They bring all their children to the appointment, including Tommie (6 months; he, him, his; biracial boy), Joshua (5; he, him, his; biracial boy), Sally (7; she, her, hers; White girl), Mari (11; she, her, hers; Black girl), and Janey (15; she, her, hers; Black girl).
You quickly recognize that the entire family needs assistance, not just Joshua.
Joshua was recently diagnosed with acute myeloid leukemia, and he is not expected to live more than a few months. He has been withdrawn and irritable, is crying a lot, and has not been interested in playing or doing the things he used to enjoy before his diagnosis.
Since the diagnosis, his siblings have been fighting a lot at home with each other and their parents and refusing to do their chores. Mari and Janey, the two oldest, are refusing to go to school.
In your initial post, answer the following questions from your perspective as their psychiatric nurse practitioner.
Based on Joshua’s presentation, how would you relate his developmental milestones to his clinical presentation and perception of death and dying?
When providing grief therapy, what information would you provide Joshua and his parents regarding Joshua’s perception of his terminal illness?
Select one of the Jones’ children (except Joshua) and identify the normal developmental milestones you would expect based on that child’s current age.
Identify an age-appropriate national or community resource related to grief for a sibling with cancer and explain the benefit of the resource you provided.
What, if any, cultural considerations should you apply when working with the Jones family?
Excellent
Provides initial post by day 3 of the discussion forum. Includes substantial factually correct content which demonstrates evidence of comprehension, application, and/or appraisal. Includes evidence of self-reflective content which demonstrates views, beliefs, and/or feelings. Connects topic/content to professional role and/or practice. Includes all aspects of the discussion assignment.
Provides 2 or more references with in-text citations to current literature and assigned readings to support assertions made on initial post and at least one or more references on peer discussion posts. All postings are in correct APA format per the current edition of the Style Guide/Manual.
Provides clear, concise postings. Demonstrates the ability to synthesize literature and readings making postings in own words with credit to the author. All postings are grammatically correct with proper spelling and structure.
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