Experiential Abuse and Neglect Prevention Training
Bill Brown Scenario
Scenario Overview:
This Scenario focuses on Bill Brown, an 83-year-old man dying of
cancer. Bill has been in extreme pain due to cancer for over a year, and
he and his family have decided to stop cancer treatment. He is expected to
die within the next few weeks. Bill's wife, Betty, has been providing home
care for him for the past year, and Bill has been receiving hospice care
for three weeks. He wants to die at home.
Bill and Betty have one son and three grandchildren who live in
California. They have no other close family members in Wisconsin. Bill is
on morphine and other pain medications. He has begun sleeping more as the
drugs, pain, and cancer take over his body. He has only brief moments of
alertness, is barely eating, and is rapidly losing weight. Rashida, the
hospice aide, realizes that Betty is increasingly overwhelmed with the
task of caring for Bill. Betty has not been turning Bill regularly, which
has resulted in increased pressure ulcers. Rashida also believes that Bill
has not been getting enough pain medication.
Scenario Learning Points:
- Recognize the signs of neglect by a caregiver
- Understand appropriate intervention strategies when observing
possible misconduct by caregivers outside your agency
- Understand duty to report poor care or mistreatment in any
situation
Facilitator's Guide:
Life Binders:
- Bill Brown,
hospice patient (PDF,
138 KB)
- Betty Brown,
Bill's wife (PDF,
166 KB)
- Brent Brown,
Bill and Betty's son (PDF,
214 KB)
- Rashida Hoskins,
hospice aide (PDF,
214 KB)
- Albert Holmes, RN Case
Manager - Rashida's
supervisor (PDF,
139 KB)
- Bea Console, bereavement
counselor (PDF,122 KB)
- Shawn Wright ,
hospice social worker (PDF,
165 KB)
- Randa Records ,
Documentation Specialist (PDF,
145 KB)
Handouts:
Posters:
Support Materials:
Go back to Experiential
Training Page
Last Revised:
May 26, 2009
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