Assemble evidence-based nursing interventions that maximize wellness for complex patients with chronic co-morbid conditions and is consistent with chronic care delivery model. GEL-7.02: Apply ethical reasoning to ethical issues within the field of nursing. Mr. Bale is an 85-year-old who is oxygen dependent following a recent diagnosis of Chronic Obstructive Pulmonary Disorder (COPD). (He has a history of smoking 2 packs per day for 50 years.) He also has two other chronic co-morbid conditions, Congestive Heart Failure (CHF) and hearing loss. Mr. Bale and his wife live independently at the home of their eldest son, daughter-in-law, and two grandchildren. Two other children also live close. Mr. Bale immigrated from Mexico many years ago and became an American citizen 15 years ago. Mr. Bale’s primary language is Spanish; however, he does speak and understand limited English. His family generally translates for him.
