Jean wanted nothing more than to live her final days at home. It was disappointing that she went to the hospital for lightheadedness and now would never return home. In long-term care, she secretly hoped she would be able to return home, she thought; if she worked hard enough. Her mood was uplifted when visited by her grandchildren. One evening, after her visitors had left, Jean placed her call light on for assistance to use the restroom. She waited for 20 minutes, and nobody came to help. She was worried she would be incontinent and soil her underclothing, so she got up independently. Unfortunately, she was too weak and dizzy and fell on the carpeted floor. Now, she was really scared. She thought she certainly wouldn’t be allowed to return home after falling. Fortunately, she was not injured but would not be allowed to leave her bed without others’ help. She became depressed and, sadly, died one week later surrounded by her family in long-term care.

Reflective Questions
After reading the case study, answer the following questions in a Microsoft Word document. Refer to the learning material presented in this module for guidance.

Reflect on your answers in Activity 1. Did Jean’s desire for independence stand out to you as important? If the staff knew Jean valued her independence, how could they have used this information to promote safety?
Explain how clinical forethought is used to predict potential complications and what it means to you as a future nurse.
Describe the value of seeing healthcare through the client’s eyes. How can nurses have an impact on the lives of clients like Jean?
In your opinion, did Jean receive client-centered care? Why or why not?