John recorded whether his potential options were relevant and practical
POSSIBLE OPTIONS |
Relevance (Yes/Partly/No/?) |
Practicality (Yes/Partly/No/?) |
| Taking my mother home until the chronic care place becomes available | Yes | Yes |
| Leaving my mother in hospital until the chronic care place becomes available | Yes | Yes |
| Letting my mother choose for herself where she wants to be. | Yes | Yes |
| A mixture of my mother staying for limited periods
of time with me, and with periods in the hospital Variants:
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Yes | ?
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John recorded how well his potential options satisfy his values
ASSESSING OPTIONS |
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Option A Mother home for the "last summer" |
Option B Mother stays in hospital |
Option C Mother chooses |
Option D Mixture of home and hospital |
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| Protecting mother's emotional health (weight - 5)
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2 (probably won't have the depression she might get if in hospital, but she might suffer fear and disorientation at home) |
2 (danger of her depression - depends on what 'institutionalisation' is like and I could alleviate this by visiting often etc.) |
? (don't know what she'll choose so can't judge)
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4 (some danger to her emotional health wherever but mixed option means can be flexible -and she should avoid the depression of the hospital only option and the fear of being left home alone) |
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| Protecting mother's medical welfare (weight - 5)
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0 (grave danger to mother's medical health when left home alone)
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5 (medical health safest)
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? (don't know what she'll choose so can't judge) |
4 (some danger but this option allows flexibility - mother not left alone and can check on when it is safe for mother to be out of hospital) |
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| My life not being severely and negatively affected (weight - 5) |
1 (this option puts many great burdens on me, and if the worst were to happen I might feel terrible guilt) |
2 (doesn't put any great short term burdens on me, but I might come to regret and feel guilty about not doing more in the future) |
? (don't know what she'll choose so can't judge)
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4 (with this option I can put a lot of time and care into looking after my mother but without risking important aspects of my own life) |
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| Mother getting what she wants (weight - 3)
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? (hard to tell as not sure what she'll choose) |
? (hard to tell as not sure what she'll choose)
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4 (if she chooses herself she will get what she wants - although these is some question about whether she can choose what she wants due to her lack of lucidity) |
4 (with this option mother can choose when she would prefer to beout of hosptial on away days and when stay in hospital - she can't choose to stay at home all the time though) |
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| Me feeling I've done all I reasonably can (weight - 2)
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4 (with this option I will certianly be doing a lot for my mother but some doubt about the wisdom of what I am doing) |
0 (this doesn't seem to be all I can reasonably do)
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? (don't know what she'll choose so can't judge)
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4 (with this option I will be doing a lot for my mother,, and what I'm doing seems to be reasonable)
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| My life not being mildly and negatively affected (1)
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0 (my life will be - at the very least- mildly and negatively affected by this option) |
0 (my life will be - at the very least- mildly and negatively affected by this option) |
0 (don't know what mother will choose but whatever it is it seems certain that my life will be - at the very least- mildly and negatively affected by this option) |
0 (my life will be - at the very least- mildly and negatively affected by this option) |
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| Options in Order of Preference (1, 2, 3...)
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3 less favourable than option B due to the increased danger to mother's medical health without reasonable expectation of much better emotional well-being |
2 | ? hard to assess because of uncertainty over what mother would choose - dpoubts though that whatever mother chooses is acceptable because of the possibility that she might choose something that is unwise for her (especially given her lack of lucidity on some occasions) and could severely and negatively affect my life |
1 does better than option A for all three weighty values, and better than option B for emotional health and not severely affecting my life - slightly worse however for medical health. Also better than option B for satisfying mother's wishes. Hard to compare with option C as so much unknown but the risks attached to this option (if mother chooses something that was dangerous for her and could severally and negatively affect me) make it not first choice |
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(2001/2002)
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