Review "Introduction to Miller Family" document for specific information on each member of family.

Grandmother Ella has been dealing with cancer for years now and has attempted substitute remedies and juicing. She went into remission for some time, but now cancer has returned and she is in hospital. Her husband, of American Indian descent, has his ideas about what requirements to be done as Ella comes to end of her life. Ella has her preferences, though she is now so weak that she has given up in numerous ways. Family members are each experiencing their own fears and are grieving as they face loss which will happen as Ella's life comes to a close. Ella prefers to die at home and has felt stressed by discord and discomfort of family members as being hospitalized.

You are social worker for this case. You meet this family in hospital setting as they are thinking of whether patient will stay there for her final days or whether hospice and palliative care will be given for her in her home.
For this assignment, you will:

1. Synthesize present research which is suitable to this scenario. 2. Explain the cultural or traditional issues which could arise at this time. Think how integration of alternative and complementary medicine and thoughts, mainstream medical practices, and cultural/traditional rituals and practices might make issues and what they might include. Explain how family might react to following possible scenarios:

Analyze biological basis for and explain how choices for care might influence other family members with respect to their individual problems, if at all.