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This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community.<\/p>\n

When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Jane\u2019s deceased husband had been a protestant minister. Both had lost their spouses. Jane\u2019s first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Jane\u2019s husband. Dan\u2019s wife had died of terminal cancer a little over a year earlier. Dan\u2019s first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Jane\u2019s plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recover\u2014only to begin to exhibit the early signs and symptoms of Alzheimer\u2019s disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Jane\u2019s dismay, she noted that Dan could not follow the sequential directions she gave him. As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimer\u2019s disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimer\u2019s disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Jane\u2019s retired sister and brother-in-law relocated to a home a short walk from Jane\u2019s. Their intent was to be on call to assist Jane in caring for Dan. Dan and Jane\u2019s children did not live nearby so could only assist occasionally. As Dan\u2019s symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dan\u2019s wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him \u201cDan, I am Jane.\u201d Friends are saddened by Dan\u2019s decline and concerned with the burdens and limitations Jane has assumed as a result of Dan\u2019s dependency.<\/p>\n

Critical thinking activities<\/h3>\n

1.\u00a0Examine this case study through the dependency cycle model (Fig. 14.3<\/a>). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?<\/p>\n

2.\u00a0Using the basic dependent-care system model (Fig. 14.4<\/a>), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan\u2019s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue\u00a0on to diagnose Dan\u2019s self-care deficit and resulting dependent-care deficit. Now assess Jane\u2019s self-care system.<\/p>\n

3.\u00a0Design a nursing system that addresses Jane\u2019s self-care system as she increases her role as dependent-care agent for Dan.<\/p>\n \n

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