2810NRS: Child and Family Nursing Practice - Cooper Merino and Renee Case Study - Nursing Assignment Help

Assignment Task:

Aim: 

The aim of this written assessment item is to apply the nursing process in providing family centred care. When individuals experience a health or social issue, the issue can impact upon all members of the family. Nurses working in acute care and community settings need to understand the functioning of the family unit so they can care for and assist the whole family. 

This written assignment addresses course learning outcomes 2 and 3: 

2. Demonstrate an understanding of the functioning of the family unit using family assessment models that enable families to make health decisions; 

3. Plan and evaluate evidence-based nursing for families across the lifespan.

Case Study 

Situation Cooper Merino is a 5-year-old boy who has been admitted to the emergency department with exacerbation of his asthma. This is his third admission in the last six months for the same issue. Aside from his asthma, Cooper does not have any other medical history and is otherwise well. His mother Renee has brought Cooper in each time and is reluctant to leave him alone. 

Background

Renee [31yrs] and David [33yrs] live in Pimpama, and they have two children: Cooper, and Ella his 3-year- old sister. David is a FIFO (fly in fly out) worker who is currently working in Paraburdoo, Western Australia, and can be away for 6 weeks at a time. Betty and Tom, Renee’s parents who have retired, recently moved to Brisbane from Cairns so that they can be closer to the family and help when needed. When Cooper is in hospital Ella stays with the grandparents if David is at work; however, they live too far away to drive her to day care so she stays at home with them. Although David likes Betty and Tom, he does not like leaving the children with them, as he feels they are “too old to keep on top of the kids”, and often remarks that they do not discipline the kids appropriately. 

Assessment

While reviewing Cooper taking his medication you note that Renee is administering it without a spacer, and you are therefore unsure of what dose Cooper is receiving. Renee states that she has tried to use the spacer, but Cooper does not like it and does not want to make him upset in case that makes his asthma worse. You are also aware that Cooper is withdrawn with you and other health professionals and is often found to be loud, defiant, and ‘playing rough’ with his mother. This is often associated with Renee asking Cooper to do some schoolwork such as reading. Again, Renee is keen not to upset Cooper and therefore does not ‘push’ him if he does not want to do something. Renee has previously commented that Cooper is normally very quiet and calm at home but is likely just very bored at being in hospital, which she feels is also the reason that he has again started to wet his bed at night. The grandparents have also come to visit Cooper and have brought Ella along. They do not visit the hospital often as they find it is difficult to navigate the roads and afford the cost of parking. Although they love seeing Cooper, these challenges mean they have few visits. Renee is very happy to see Ella, however, Ella appears very shy and reluctant to go to her mother, wanting to cuddle her grandmother. 

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