NRS311 - Life Stage Considerations: Child, Adolescent & Family Health - Case Study - Nursing Assignment Help

Assignment Task

Case Study Part One
Use the information in the case study below to complete Assessment Task 2 - Child Protection Case Study (AT2). You may also use this information in your third assessment task (AT3).

Roles:
• The Registered Nurse (RN) – works in a General Practice as a practice nurse.
• Amy – 55-year-old grandmother to baby Rory and mother to Sam.
• Clara– 22-year-old first-time mother (primip) to baby Rory.
• Rory – 6-week-old male infant.
• Sam – 22-year-old female partner to Clara and non-maternal parent (mother) to Rory.

Patient History:
Rory is Clara and Sam’s first child. Rory was conceived with the assistance of a sperm donor, but otherwise the conception and pregnancy was quite normal. Clara had a very traumatic birth with Rory and had a significant post-partum haemorrhage that resulted in her receiving 3 units of blood and having to have an extended stay in the postnatal ward. There were also difficulties establishing breastfeeding, with Rory losing more than 10% of his birth weight in the first 72 hours postpartum. Despite this, the notes indicate that the first couple of weeks at home seemed to have gone well, with Rory gaining weight and feeding without issue.
 

Scenario:
A registered nurse (RN) works in a community general practice and performs immunisations and simple assessments on children referred from their visit with the general practitioner (GP).

Today, the GP has asked the RN to weigh and measure 6-week-old baby Rory and has ordered his 6-week immunisations to be administered. Rory has been brought in today by his grandmother, Amy.
The RN greets Amy and invites her and Rory into the clinic. Rory is fussing in his grandmother’s arms, but she manages to seat herself and jiggles him to soothe him. Amy hands the RN Rory’s ‘Blue Book’, and the RN notes that the GP has completed Rory’s 6-week check and reported no concerns; however, the ‘Learn the Signs. Act Early’ section and other parent questions have not been filled out. The RN asks Amy if she or anyone else has concerns about Rory.
Amy seems hesitant to respond. “A little…” she says warily. “He’s got a bit of nappy rash.”

Case Study Part Two
Use the information below and the documentation attached to complete Assessment Task 3 - Strength-Based Approach Case Study (AT3). You may also refer to information from Part One of the case study in AT3. The information below and the documentation is not relevant for the second assessment task (AT2).
The GP Clinic RN was able to report their concerns appropriately, and a child and family health nurse (CFHN) performed a home-visit with Clara and Rory. The CFHN completed a psycho-social assessment (PSA) and Edinburgh Postnatal Depression Scale (EPDS) with Clara and her family.

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