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Case study: Family and Community Health Practice

Case study: Family and Community Health Practice Objective(s): This assessment task addresses subject learning objective(s): A, B, C, E, F and H

  1. Examine and apply the principles of primary health care and health promotion as the basis for health care delivery
  1. Critically reflect on the implications of diverse family structures in Australian society
  1. Explore and critically analyse the complexity of family relationships and responses to stressors and challenges
  1. Critically assess the impact of ongoing colonisation and its pervasive discourse on Indigenous Australians and their health and wellbeing
  1. Critically discuss family and caregiver tasks and the transition to learning new tasks and changes in responsibilities
  1. Assess in partnership with the family any vulnerabilities and develop interventions that use family strengths
  1. Research and evaluate the connection between the wellbeing of the family and the larger community
  1. Critically analyse the complexities of family violence and individuals at risk of harm and identify support services and referral pathways
This assessment task contributes to the development of graduate attribute(s): 1.0, 4.0 and 5.0 This subject also contributes specifically to the following graduate attributes: . A graduate of this course practices within a strengths-based, relationship-focused, family-partnership wellness model. (1.0) . A graduate of this course exhibits specialist nursing knowledge and skills in the care of young children, parents and families at beginning practitioner level. (4.0) . A graduate of this course is a critical thinker who is able to assess a body of evidence and integrate it into practice. (5.0) The context of families and parenting are important social determinants of child development (Maggi et al. 2010). In particular the first few years of life are a critical period of development, during which social factors can optimise or disadvantage child development (Maggi et al. 2010). Child and family health practitioners have an important role in providing support and interventions that promote the development of family and parenting strategies to optimise child development by focussing on developing parent and family strengths and resilience (NSW Department of Health 2009; Rossiter et al. 2011). At the same time, child and family health practitioners are expected to recognise and respond appropriately to concerns of risk of harm for children (NSW Government 2009) and work appropriately within boundaries of acceptable professional practice (Australian Nursing and Midwifery Council and Nursing Council of New Zealand 2010). This assessment item provides you with the opportunity to explore how you would plan and organise care in partnership with a vulnerable family and discuss the challenges and opportunities that can arise for health practitioners working with vulnerable families. You will be required to identify and discuss appropriate strategies to manage your own responses that can arise whilst working with vulnerable families. In this assignment you will:
  1. Discuss the scenario of a vulnerable family in class.
  1. In response to the scenario, you will develop a plan of care that reflects your
understanding of the complexity of family relationships, family vulnerabilities and family strengths
  1. Understand and respond to the complexities of families and children who may
be at risk of harm, and identify support services and referral pathways
  1. 4. Discuss self-care strategies as a means to ensure your own health and
wellbeing when working with vulnerable families. Assignment two: Case study examples As discussed in class, students are required to choose a case study of a family with vulnerabilities. Two case studies are outlined below that students may choose. Alternatively, students may wish to identify a case study of a family from their own practice in preparation for this assignment and may wish to discuss their choice of case study with the teaching staff. Case study one: Cassie and Jordan You are a child and family health nurse, working in an early intervention program for vulnerable families. Cassie and Jordan are one of the families that you are working with. Cassie, aged 24 years, is the mother of Jordan, a male infant aged 5 months. Jordan is Cassie’s first child. Jordan and Cassie are currently living in public housing in an inner city suburb, after recently being discharged from a residential drug and alcohol treatment facility for women and their children. Cassie is recovering from intravenous drug and alcohol addiction. She has been in rehabilitation off and on over the last 2 years, but has managed to keep to methadone only since Jordan was born. Cassie is currently receiving Centrelink benefits, and has previously worked in the sex industry. Cassie has not disclosed the name of Jordan’s father Case study two: Josephine and Martha Josephine, a 23 year old woman presents to the local emergency department with her baby – Martha, aged 3 months. Josephine is seeking treatment for a broken jaw. When asked, she cries and explains that she has upset her partner, Michael, and he punched her in the face. Michael has told Josephine not to return home, or he will beat her. Josephine and Michael live in private rental accommodation in an outer suburb of Sydney. Michael’s family live nearby, but Josephine’s family is based in Brisbane. Martha is their first child. Prior to Martha’s birth, Josephine was working as a casual employee for a local news agency. Michael is currently unemployed and seeking work as a labourer. Marking criteria: Assignments will be assessed according to the following marking criteria:
  • Organisation of the assignment (10 marks)
o Topic background is introduced o Purpose of the assignment is explained o Assignment is clearly and logically structured. o A logical conclusion to the assignment is provided. o Referencing meets Faculty requirements.
  • Plan of care (15 marks)
o An appropriate plan of care is developed o Appropriate priorities of care are identified o Appropriate practice guidelines and policies are used to support plan of care o Awareness of legal and professional boundaries of practice is apparent
  • Knowledge and analysis (15 marks)
o Knowledge of child health and transition to parenting is demonstrated. o Knowledge of current practice in working with families at risk of harm is demonstrated
  • Strategies for self-care (10 marks)
o Awareness of potential impact on self is evident o Appropriate strategies to enable and promote self-care are explored]]>

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