Public Health

Case Study 1

 

This nuclear family lives in a low-income area and consists of a father, mother, and two children. The mother is currently seven months pregnant with a third child. The family has no extended relatives who live in the area. The mother’s family lives in Florida and the father’s extended family lives in Maryland.

 

Father’s family – The father’s parents are deceased due to alcohol-related illness/accidents. The father has one brother who is in jail in Maine for murder.

 

Mother’s family – The mother’s parents both had a history of typeII diabetes, obesity, and hypertension. Her father is deceased and her mother is 65 and currently lives in a nursing home in Florida after suffering a major stroke five years ago. The mother has one sister whose whereabouts are unknown.

 

Father (Bill)– A 37-year-old male who smokes one pack of cigarettes per day and drinks a six-pack of beer each day. Bill has a disability due to a fall from working a construction job three years ago and suffers from depression. There is a history of both verbal and physical abuse toward his wife when he is drunk. No physical or verbal abuse has been noted toward the couple’s children.

 

Mother (Sally)–A 35-year-old female who has a history of poorly controlled type II diabetes and hypertension. Sally is obese and has a history of PTSD after seeing her father murdered in a drive-by shooting several years ago. Sally is currently seven months pregnant and has had no prenatal care to date.

 

Son (Aaron)– A 4-year-old child with poorly controlled asthma.

 

Son (Nathan)–A 3-year-old child with poorly controlled asthma and developmental delays.

 

No one in the family has seen a physician in the last year for medical or dental care.

 

The family is Caucasian and has no religious preferences. They live in a modest three-bedroom home that they rent. The home is in poor condition and is located in a high-crime area. The family notes they are poor with limited income that they get from the father’s disability claim, food stamps, and welfare for their two children. The children do have medical coverage through the state, but because of the long distance to a doctor’s office, they have not been to the doctor recently. The family’s only method of transportation is the bus. They have minimal funds to buy toys or other items for the children and note they have no leisure time activities.

 

There is a long history of marital problems between Bill and Sally, with poor coping skills and poor parenting skills. Sometimes when Bill gets drunk the police are called, and Bill has been charged with domestic violence.

 

Power structure –Bill makes all the decisions in the family and controls all the finances. Sally is passive and does what her husband tells her to do.

 

 

Using the data from your family and community assessments:

  • Analyze the role of community/public health nursing and community partnerships as they apply to the case study family’s community.
  • Analyze the influence of social determinants of health, such as culture and access to resources, in the case study family’s community.
  • Compare epidemiological data for the case study family’s community to state-level data.
  • Determine at least one community nursing diagnosis that relate to the case study family’s community.

Select one Healthy People 2020 leading health indicator (LHI) that relates to your case study family’s community. Based on your selected LHI topic:

  • Identify at least one nursing intervention for each diagnosis above.
  • List the health partnership(s) that could or do assist in implementing the interventions in the community.

Create a plan for how nurses can advocate within the community for sustained change. Include:

  • Goal(s)
  • Planned action
  • Needed resources
  • Timeframe for evaluation

Include at least one peer-reviewed and one evidence-based reference, and an APA-formatted reference page.

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