[Answered]: Mr

Mr. Samuel Okoro is a 68-year-old Nigerian immigrant who was admitted to the hospital with complications of uncontrolled Type 2 Diabetes, including a non-healing diabetic foot ulcer. After a 10-day hospital stay, the care team recommends transfer to a Transitional Care Unit (TCU) for continued wound care, physical therapy, and diabetes education. Mr. Okoro’s daughter, Amaka, strongly opposes the TCU stay. She believes her father should return home where she and her extended family can provide care. She worries that extended institutional care may affect his emotional and spiritual well-being and feels the staff doesn’t understand their family values. She also expressed concern that staying in a TCU would isolate him from his faith community. The providers, however, emphasize that Mr. Okoro requires close medical monitoring, professional wound care, and rehabilitation that cannot be provided at home safely. The care team also notes Mr. Okoro’s fluctuating blood glucose, limited mobility, and the risk of re-hospitalization if discharged too soon. Mr. Okoro himself is torn—he values his daughter’s care and support but also expresses trust in medical professionals. He is a devout Pentecostal Christian, attending a vibrant church weekly, and finds comfort in daily prayer, worship music, and pastoral counseling. What is your plan for dealing with the conflict between the daughter, the healthcare team, and Mr. Okoro? Please identify ONE area of conflict and how you plan to address it. What role do social determinants of health play in this case?