Reference no: EM133544108
Assignment:
The Brown Family
Parents:
? Sheila Brown, 24, is a stay-at-home mum, and Scott Brown, 38, is an accountant. They have been married for 2 years.
Background:
? Sheila met Scott while she was undertaking a TAFE course studying accountancy. Sheila has completed a Diploma in Accounting but has not been employed since finishing this qualification.
? They have one daughter Olivia (2 years old) and a newborn son Leo (4 weeks old).
? Scott has been married twice before and has three sons (10, 8 and 6 years old) from his prior marriage to Shelly and no children from his first marriage to Lydia.
? Sheila stays at home with the children as Scott prefers Sheila to be able to have quality time with the children before they go to school. Sheila would like to work part time as a teacher in the future, however she will have to study again for that. She might look for part-time bookkeeping work when Leo is older.
? They recently moved to a four bedroom house set on 20 hectares of property, 40 km from town.
Extended family:
Sheila's parents Mary (55) and Keith (60) live over 2 hours away although they visit whenever they can.
Mary and Keith would like to come and help Sheila more often, but they prefer to come when Scott is not home as he is not always welcoming. They generally come at weekends as they are both still working so this makes it difficult. They adore Olivia but find her temper tantrums difficult, particularly since the birth of Leo.
? Scott's mother Brydey,79, lives alone in an assisted living unit two hours away but does not feel settled there and is becoming increasingly forgetful and agitated. She moved there after her husband Robert passed away suddenly two years ago from bowel cancer at 84. The only time Sheila met Scott's parents was at her wedding to Scott.
Sheila is finding it quite difficult having a toddler who does not sleep much, who is not toilet trained and still in nappies, in addition to a new baby. Sheila is feeling rather isolated, particularly as they only have one car and Scott needs the car to drive to work. They live one kilometre away from the closest bus stop, which makes it difficult to go anywhere.
? Scott regularly comes home late from work and often brings work home with him. Scott expects the house to be immaculate and dinner ready on the table when he arrives home from work. Sheila has found this very difficult, particularly with the arrival of Leo.
? Sheila is feeling very tired and discusses this with you when you attend a newborn home visit. Leo is breast fed although Sheila says he cries all the time. Sheila has not had much sleep over the past 4 weeks.
? Sheila is also worried about Olivia and would like to have her toilet trained. Olivia does not sleep well and eats very little. Olivia is also quite withdrawn, and Sheila would like to take her to day care, but this is too far away by public transport. Her tantrums are also annoying Scott who gets very cross with her. You notice that Olivia is still sucking her thumb.
? She is also unsure about getting Leo immunised, as Scott's other children were not immunised.
? You refer to the hospital discharge notes regarding Leo's pre-term birth and notice that there had beensome complications and Sheila had an emergency lower segment caesarean section [LSCS] for foetal distress during her labour at 34 weeks.As the Child and Family Health nurse, you check Leo's progress and notice that he is tracking along the 10th percentile line for weight, length and head circumference measurements since discharge from hospital.
According to the case study, identified issues
1. Sheila's parental exhaustion and isolation
2. Leo's Immunisation interventions to meet smart nursing goals
1. provide sheila information about local support groups and community resources
2. provide information about childhood immunisation and it is safety for the child
Question
How to provide an evaluation for EACH of the interventions. Specifically explain how EACH intervention can be evaluated by the nurse to demonstrate if the nursing care goal has been met. Which information would be relevant for this evaluation.
Markin scheme: Exceptionally high standard as evidenced by clear, and comprehensive discussion of highly useful method/s to evaluate both interventions and explains how this could be used to meet the goal.