Case 1
Case 2
Case 3
Cases
J.R. is a nurse
practitioner in a clinic on a large, isolated Indian reservation. The clients
in his community have a disproportionately high rate of alcoholism and
suicide. Poverty is widespread.
He believes the most
important component of his job is to promote wellness among his clients. J.R.
reaches out to the people of the community by providing wellness clinics and
educational forums. He uses a holistic approach to health care, incorporating
traditional Indian healing practices along with Western medicine.
P.Q. is a nurse
practitioner in a rural, agricultural community. The community is populated
mostly by the Hispanic families that work in the fields. Many of the families
are migrant workers. They stay in his community during the planting and
harvesting seasons and then migrate back to Mexico or to other communities
where they can find work.
Many of the families
that he helps are struggling to stay together. Many parents must leave their
young children behind in Mexico. Husbands and wives are separated frequently,
putting additional stress on the family system. As a child of migrant farm
workers, P.Q. understands their predicament first-hand and is able to assist
the families he serves with viable health-promotion plans.
M.G. is a school nurse
practitioner in a district with a high number of teen pregnancies. Teen
pregnancy has been a problem in this district for several generations now,
and the rate is one of the highest in the state.
She chairs a task force
created to address the teen pregnancy problems in the school district.
Teachers, parents, students, and other interested community members sit on
the task force. M.G. affects change by providing information the community
needs to develop health-oriented skills, attitudes, and related behavioral
changes.
Questions
for the case
Do you think is
appropriate that J.R. is adapting his practice incorporating traditional
Indian healing practices along with Western medicine? Support your answer
with evidence base practice recommendation.
P.Q. uses the following
five measures of family functioning to determine the effectiveness of
interventions:
·
changes in interaction patterns
·
effective communication
·
ability to express emotions
·
responsiveness to needs of members as
individuals
·
problem-solving ability
Define each one and
give clinical examples.
Create a plan for the
community regarding Teen pregnancy. Include education, prevention, care and
recommendations.
Once you received your
case number; answer the specific question on the table above. Then,
continue to discuss the 3 topics listed below for your case:
1. An
effective health assessment incorporates not only physiological parameters;
please suggest other parameters that should be considered and included on
health assessments to reach maximal health potential on individuals.
2. Name the
different family developmental stages and give examples of each one.
3. Describe
family structure and function and the relationship with health care.
Submission
Instructions:
·
• Your instructor will
assign you your case number and you will post on the case number you have been
assigned.
·
Your initial post should be 500 words per each case study, formatted
and cited in current APA 7th
style with support from at least 3 academic
sources.
·
Turnitin similarity should be less than 14%
·
Quotes “…” cannot be used at a higher learning level for your
assignments, so sentences need to be paraphrased and referenced.
·
Acceptable references include scholarly journal articles or
primary legal sources (statutes, court opinions), journal articles, and books
published in the last five years. No websites to be referenced without
prior approval.
Textbook(s)
Read
·
Edelman, C., & Mandle, C. L. (2018). Health promotion
throughout the lifespan (9th ed.). St. Louis, MO: Elsevier.
o Chapters 6, 7, & 8
Fenstermacher, K & Hudson, B.T.
(2020). Practice Guidelines for
Family Nurse Practitioners (5th ed.). St. Louis, MO: Elsevier.
ISBN: 978-0323554947
Read
·
Edelman, C., & Mandle, C. L. (2018). Health promotion
throughout the lifespan (9th ed.). St. Louis, MO: Elsevier.
Online Activities, Materials, & Resources
·
US Census Bureau. (n.d.). Census.gov. Census.gov. https://www.census.gov/#
o Visit http://www.census.gov/# (Links
to an external site.) and learn more about the
changing family composition in the United States.
·
Visit the CINAHL
Complete under the A-to-Z
Databases on the University Library’s website and
locate the articles below:
o Niemelä, M., Marshall, C.
A., Kroll, T., Curran, M., Koerner, S. S., Räsänen, S., & García, F.
(2016). Family-Focused Preventive Interventions with Cancer Cosurvivors: A Call
to Action. American Journal of Public Health, 106(8), 1381-1387. doi:10.2105/AJPH.2016.303178
o Quinlan, A., Rhodes, R. E.,
Blanchard, C. M., Naylor, P., & Warburton, D. R. (2015). Family planning to
promote physical activity a randomized controlled trial protocol. BMC Public
Health, 15(1), 1-8. doi:10.1186/s12889-015-2309-x.
o Myoungock, J., &
Whittemore, R. (2015). The Family Management Style Framework for Families of
Children with Obesity. Journal of Theory Construction & Testing, 19(1),
5-14.
