Question

case study

CASE STUDY Individuals and a Family as a Client Mila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children's deceased father. Mila's older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in difficulty sleeping, and worsening fatigue since her husband's stroke generalized pain, Use the Neuman systems model as a conceptual framework to respond to the following 1 Describe the Jefferies family as a client system using each of the five variables. 2 What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative? 3. What additional nursing assessment data are needed considering Robert's medical diagnoses? What additional data would be helpful for Susan's medical diagnoses? What about each of the children? 4. What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family. providing care to this family. 5. Identify your nursing priorities if you were

Answer 1

Q. No. 1. Answer :

Five variables includes :

1. Physical or physiological : physiologically she disturbed like, pain, difficulty in sleeping, worsening fatigue.

2. Psychological : she disturbed mentally because her husband had stroke.

3. Sociocultural : she is widow some times society will not accept her to follow all cultural activities.

4. Developmental : her daughter is suffering from developmental disorders that is autism spectrum disorder and dyslexia.

5. Spiritual : she felt some of the problems due to curse of God.

Q. No. 2. Answer :

Stessors :

Interpersonal stressors : these are occurs with in the person.

Interpersonal stressors : occurs between individuals that means, her and surrounding her children health problems.

Extra personal stressors : from the outside of the individual , like here place change from urban neibour hood to rural area. There are some factors to causes, diseases to the people.

Actual stressors are :

* she is 36 years old widow,

* her children are having developmental disorders and asthma.

Potential stressors are :

* moving from urban to rural area to caring of her parents, it is still more problematic,

* distance of school for her children.

These are negatively effect her.

Q. No. 3. Answer :

Additional nursing assessment data for Mr. Robert medical diagnosis is,

* vital signs to know the hypertension,

* history collection to know any family and genetic history,

* physical examination and neurological examination,

* CT scan brain and other blood investigations should be done.

Additional data should be helpful for susans medical diagnosis is : X ray should be done to know abnormalities and some other blood investigations to detect Amy infections.

Q. No. 4 answer :

Levels of prevention :

1. Primary prevention : it can not be applicable because they are suffering from stressors.

2. Secondary prevention :

Identification of symptoms and providing treatment according to the clients problems.

3. Tertiary prevention :

Provide reeducation and counseling to the clients regarding her problems to get psychological and emotional support.