Mr. Lopez, a 72-year-old man with advanced lung cancer, is receiving palliative care at home. His wife, Mrs. Lopez, is his primary caregiver. Their adult daughter, Maria, visits often with her two young children. The family immigrated from Mexico 20 years ago and follow Catholic traditions.Mr. Lopez expresses a wish to remain at home, surrounded by family. Mrs. Lopez is overwhelmed with caregiving responsibilities and is reluctant to accept outside help, fearing it would be seen as not caring enough. Maria worries about how to involve her children in visits without causing them distress.The PSW notices that Mrs. Lopez seems physically and emotionally exhausted. The family has not yet discussed advance care planning with the health care team.
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