Case Study: Ayden's Biological Family

Sabastian was ordered to have weekly weight checks. It is believed that Gabriella and Shomari do not feed Sabastian properly. There were also concerns about the white area of Sabastian’s eye. The process had begun to refer Sabastian to a specialist. Sabastian was last seen 2/21/18; a visit was scheduled for the week of 2/26-3/2/18, but he had the flu. Gabriella and Shomari received new parent support, 1 on 1 parent support with basic infant care and being able to parent. Although Gabriella and Shomari received parenting support, they were unable to demonstrate what they’ve learned. Gabriella and Sabastian moved to MS to live with Rhonda (maternal grandmother) on 3/3/18. Shomari remains in North Carolina waiting to be discharged from the Navy. After being discharged Shomari will also move to MS. Rhonda is a social worker; she has guardianship of Gabriella’s oldest son (unknown). Jessica spoke with Gabriella the morning of 3/5/18; Gabriella confirmed that she and Sabastian had made it to MS. Jessica informed Gabriella that she needed to continue to follow up with Sabastian’s weekly weight

The DD Waiver intake was held at the Woodman office with Jordan, Grandmother/Legal Guardian Carolyn and, Uncle/Consumer Direct Assistant Robert. Jordan is a 9 year old in a contained classroom. He loves electronics and watching videos. He communicates through body gestures, and becomes easily agitated when he is not comfortable. With the combination of medications Grandmother states his head banging, biting, hitting others has gotten better.

Intervention: Ms. Smalls (MHP), Mrs. Clark (MHS) and Taliana discussed Taliana adjusting to the home. MHP encouraged Taliana to ask questions if she does not understand something. MHP praised for willing to communicate with MHS and family. MHP, MHS and Taliana discussed Taliana’s emotions about family visits and no contact with biological mother. MHP praised Taliana expresses her feelings. MHP explained to Taliana and MHS that the DSS case worker will visit next week. MHP provide an update from DSS worker about clothing and eyeglasses. MHP administrated the Casey Life skills. MHP allowed Taliana to share stories about her biological mother and family.

An interprofessional team consisting of Medical student, Pharmacist student, Nursing student and social work student met with Patient (A.O.) to perform a collaborative family assessment in a home visit. A.O. went to foster care for two months, but his father gained custody in July 2012. The father mentioned the foster care had an effect on A.O. A.O. lives with his father and his grandmother. The father works at a thrift store. A.O.’s Mother has Neurofibromatosis Type I too. The father mentioned that A.O. had a speech delay. A.J.’s father mentioned that they received assistance from the government. A.O.’s grandmother and father reported that he eats a good variety of food as he eats fruits and vegetables. A.O. reported liking pizza and McDonalds

R/s Christopher age (7) is an insulin-dependent diabetic. R/s Christopher medical needs are not being met. R/s special insulin is required for Christopher when he eats but sometimes he doesn’t get the insulin. R/s paternal grandparents Janet and James Hariis have custody of Christopher. R/s bio dad Timothy is incarcerated and bio mom Amanda had court on yesterday for previous drug charges. R/s Christopher condition is severe and the matter of him getting his medicine correctly is life and death. R/s there is a concern if Janet is physically able to care for the child due to Janet having Pancreatitis and Cirrhosis of the liver.

and his family on four separate occasions in order to assess and discuss the needs of the family, and later to provide information and education to R.M. and his wife. Upon the first visit, the student took time to inform the family of the purpose of the paper and complete the family agreement form. The confidentiality of the paper was stated to the family, and the student informed the family that there would need to be additional visits in the future. Plans were made to complete the in-home visits before the month of April, as C.M. was scheduled for her C-section that month. R.M. and C.M. both expressed their gladness to have the time to talk about the issues that were a concern to

On September 5th, the worker completed a home visit with The McClellan family and revised the safety plan. Upon arrival, the worker was greeted by Mr. McClellan. The worker went over the revised safety allowing Mr. McClellan back in the home with supervised contact with Hailey and Ja’Shonna. The McClellans were excited about the father returning home. The worker went over the expectation and requirements from Ja’shonna and Mr. McClellan (substance abuse treatment and drug screen. Home visit continued transited with Mrs. McClellan and Hailey. The worker noticed Hailey is gaining weight from the first time she saw her. According to Mrs. McClellan Hailey is doing well. The worker reminded Mrs. McClellan of Hailey’s sickle cell appointment.

Action: MHS was finishing up a meeting with Jonathan’s adoption worker. Jonathan was sitting in the chair next to MHS. Johnathan appeared calm and not involved in the meeting. MHP and MHS discuss communicating with Jonathan and he adjust to the home. Johnathan become very vocal and active. Jonathan was looking through the window yelling as people walk by the home. MHS asked Johnathan to move from the window because Johnathan pulled down the curtains. MHP and MHS observed Johnathan move around the home without assistance. MHS report Jonathan is learning the family member’s names. MHS provide a report of Jonathan’s behaviors in the community and at

Health Care Integrator (HCI) met with Shawn at the park for the first visit of the month to provide him with coordinate services, evaluate satisfaction with services, and to track Shawn’s progress in the program and towards his goals. Shawn was at the park with biological mom’s (BM) male friend. Shawn was sitting on the mat playing with grass. HCI approached Shawn and asked him can they sit on the benches so they are able to talk. HCI inquired to BM male friend about her whereabouts he stated that BM was at the home and she was painting one of the bedroom. HCI will continue to assess in meeting Shawn’s needs and preferences.

Catherine and I filled out the Medical Health History of the Family and created a family genogram.

The child chosen for this child observation paper is a nine month old male, who appears to a healthy normal child. His mother is Caucasian and father is half Caucasian and half Hispanic. Mother and father are together however, are not married. He lives in the home with grandmother, mother, father, aunt, uncle a older

Focus: Samantha and family will be able to establish and demonstrate healthy, meaningful relationships. Ms. Smalls (MHP), Samantha and Ms. Smith (MHS) discuss Samantha process information of possible adoption.

The worker contacted Delois Stevenson who is the aunt of Johnne Leake. The worker asked Mrs. Stevenson if she had any safety concerns for Ms. Leake or her boyfriend Jamel Bowen when their newborn child Jayce. Mrs. Stevenson stated “I’ve never had any cause for concern when it comes to Johnee’s decision making abilities. I do not have any safety concerns for either parent, I just saw Jayce yesterday (1/4/17) and the baby seemed healthy, happy, and clean. Jayce is bonding well to Johnee and Johnee is motherly to the baby. Jamel wasn’t there yesterday when I was visiting. Mrs. Stevenson stated “I don’t know Jamel very well but from my time around him he hasn’t shown me any cause for any safety concerns being around Johnee or Jayce. Jamel and Johnee

Ms. Antoine expressed to this Developmental Specialist and NYC Adult Protective Services representative (Kiana Bridgeman) that she willing gives her money to Mr. Williams (Birth Father). Ms. Bridgeman stated she cannot assist Ms. Antoine with services; as a result Ms. Antoine is mentally cable to control her funds.

The objective of doing the genogram is to get to know the patient by gaining understanding of his/her family background. Assessing the family using systemic approach enables health care providers to learn about the ways in which family members interact, what are the family expectations and norms, how effective is the members communication, who makes decisions and how the family deals with life time stressors (Hockenberry & Wilson, 2007). This paper outlines the assessment and analysis of the three generation of Wits’ and Smiths’ families, its relationship, health pattern, habits, tradition and structure. It also provides a nursing teaching plan. The interview was conduced with Alina Wit, a second generation mother of three.