CHCPRT001 - Tamara Case Study - Identify And Respond To Children And Young People At Risk - Nursing Assignment Help

Assignment Task:

Case study 

Tamara is a four year old girl who has attended your service for three years.  

Tamara’s mother is a firm believer in alternative medicine and has had her homoeopathically immunised.  Tamara rarely attends in clean clothes and doesn’t possess a schoolbag, lunchbox or drink bottle. Her morning tea, lunch and afternoon tea are sent in a plastic shopping bag and usually consists of fruit, yoghurt that is out of date, unwashed and unpeeled vegetables such as carrots and pre-packaged “organic” biscuits.  

At meal times you have observed her trying to grab the other children’s food to eat and you have begun providing her with food from the service’s kitchen to supplement her diet. Her hair is rarely washed or brushed and on some mornings she has been brought into the service in her pyjamas.  On these occasions her mother has declared that Tamara wanted to have “pyjama day” today and she couldn’t be bothered arguing with her.  

During the course of this past year you have noticed the Tamara has been falling behind in both her expressive and receptive language skills.  She appears to be “lost” at times in the classroom and is having trouble following directions.  

Over the last couple of weeks she has started acting aggressively towards the other girls, especially when they are interacting in home corner.  Tamara often tugs at her ears and complains that her ears are hurting her. You suggest to her mother that it might be worthwhile having Tamara’s ears and hearing checked because you suspect that she may be experiencing problems with an ear infection or ‘glue’ ear.

Her mother agrees to do this straight away, but fails to make an appointment with a doctor.  Instead, she visits a ‘healer’ who has prescribed ‘ear candling’ to resolve Tamara’s ear problems.

1. What type(s) of abuse or neglect do you think might be occurring?
2. How could you work with Tamara’s family to resolve the issues relating to her hygiene, health and diet?
3. What external agencies or services could you contact to support Tamara and her family?

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