Family as Client Community Video Case Study PDF

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Community Case: Family as Client Case Part 1 Natalie Shelton, 17 years old, was recently released to her mother’s custody from the juvenile detention center, where she spent the night following her third arrest for driving under the influence. Natalie is now at home with her mother and younger brother. Natalie’s father committed suicide 4 months ago, and the family has been under a great deal of stress since that time, which has been exacerbated by Natalie’s drinking. The family’s response to stress is often a time for nursing intervention. Questions for students: 1. Discuss some approaches to the family as client. What resources exist that could help this family?

As the nurse you could educate the mother on how everyone expresses grief differently and that her kids may be experiencing grief and expressing it much differently. Natalie is expressing common grief responses that teenagers experience. Natalie is showing signs of anger, withdrawal, and self-destructive behavior[ CITATION Tor11 \l 1033 ]. These are all common responses to death and grieving, but they are actions that need to be monitored and addressed for Natalie and her family’s well-being. The nurse should discuss with the mother and/or Natalie about resources for her to seek help discussing her feelings or finding appropriate ways to cope with the loss of her father. Natalie is at the age where she seems to not want to talk with people and express her feelings, so a better alternative to get her thoughts out may be journaling. The younger brother is struggling because he is having difficulties being able to talk with his family, due to the conflict between his mother and sister. He has found comfort in talking

From Lippincott CoursePoint for Community and Public Health Nursing. © Wolters Kluwer.

with his school nurse about his feelings of anxiety and fears. Another resource for kids at his age would be a form of counseling or giving him ana opportunity to sit down with someone and express his emotions, negative and positive[ CITATION Tor11 \l 1033 ]. Dealing with the death of a spouse then having to juggle a grieving family in addition is not easy and cannot be done alone. We can suggest resources for the mother such as support groups for widows or connecting her with a counselor or someone to hear and reflect on her thoughts with her as well.

2. Consider the functions of the family as discussed in your Harkness and DeMarco eBook. Discuss how understanding more about the Shelton family’s functioning will help the community and public health (C/PH) nurse identify appropriate family interventions.

In order for the community and public health nurse to identify appropriate interventions for the family, she needs to use the Calgary Family Intervention Model (CFIM) to assess the family’s form of communication, strengths, and domain[ CITATION Ros19 \l 1033 ]. The interventions that are applied are based on the three domains of family functioning that strive to lessen family suffering and promote family healing and well-being[ CITATION Ros19 \l 1033 ]. The three domains are cognitive, affective, and behavioral. An approach like this within the family home helps the nurse collect information on patterns of coping and the communication between family members[ CITATION Ros19 \l 1033 ].

From Lippincott CoursePoint for Community and Public Health Nursing. © Wolters Kluwer.

3. What will the C/PH nurse observe in a family who is experiencing a healthy response to stress as compared with a family experiencing a maladaptive response to stress?

The community and public health nurse could approach a family who is experiencing a healthy response to stress in the same way as a family experiencing a maladaptive response to stress. Using the CFIM to evaluate the family function and communication strategies is a great way to evaluate the interventions of discussions needed to help the family [ CITATION Ros19 \l 1033 ]. Families responding to stress or grief in a healthier manner might be more inclined to openly express and share their feelings with their family and the nurse, rather than those who are handling stress in a poor or more difficult manner.

From Lippincott CoursePoint for Community and Public Health Nursing. © Wolters Kluwer.

References Demarco, R. F., & Healey-Walsh, J. (2019). DeMarco and Healey-Walsh: Community and Public Health Nursing. Retrieved from Lippincott CoursePoint: https://coursepoint.vitalsource.com/#/books/9781975147068/ Torbic, H. (2011). Children and Grief: But What About the Children? Home Healthcare Now, 6777.

From Lippincott CoursePoint for Community and Public Health Nursing. © Wolters Kluwer....