What had been the course of Juneís illness?
Alice Singletary, a novice social worker with Magnolia Hospice in Alexandria, Louisiana, met June Plunket, who had terminal cancer, and her daughter, Polly, for an admission interview. June was in quite a bit of pain and trying to cope with dying. Polly blamed Dr. Dubuis and herself for her mother’s approaching death, and was also angry with her brother, who had distanced himself from the family. June and Polly lived in a chaotic and overcrowded household with Polly’s daughter, Jenna, and Jenna’s two young children. While assessing June’s situation, Alice identified a multitude of family problems which had to be balanced with the mission of the hospice. In this situation, Alice was not sure where to begin.
June first saw Dr. Dubuis in 1996 for colon problems. After tests, June had her first surgery, a resection of her colon. Polly and June had the impression that June was completely well. However, the colon problems returned and in April, 1998, June had a tumor removed, followed by chemotherapy and radiation. Then in July, 1999, June had another colon resection. Then in the spring of 2000, Dr. Dubuis said the cancer had metastasized. On April 3, 2000, the doctor discharged June from the hospital and referred her to Magnolia Hospice, something only done when the patient had less than six months to live. Upon arrival, June was in a great deal of pain.
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What will be an ideal response?
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