Special Care Pregnancies

The family recently relocated to Arizona for better job opportunities in MJ’s work field. Recently, SJ was diagnosed with Sickle Cell. AJ is currently 31 weeks pregnancy and has recently displayed signs of preterm birth causing frequent visits to the hospital. MJ had previously worked overtime hours to support the family but hasn’t been able to recently due to frequent visits to the hospital with AJ and SJ. AJ does not work and is feeling overwhelmed with the pregnancy, care of SJ and household responsibilities (Kaakinen, Gedaly-Duff, Coehlo, & Hanson,

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

She exhibited motivation in planning for a safer living arrangement before the birth of her child. Maria showed responsibility and genuine concern for the welfare of her unborn child by receiving regular prenatal care during pregnancy. Maria has supportive relationships with her grandmother, grandfather, mother, and aunt. Maria had the ability to look to these relationships as resources when she needed help. Maria appeared open and honest during her interview and was very articulate. She appeared to be warm and caring with Baby Boy

In Lonita’s situation, Tano is making enough money to make it just above the poverty line, this makes it extremely difficult to pinch their pockets and pay for medical examinations. To avoid a stressful nine months, it is best for them to find a comprehensive health care program available in close proximity to them or in their area. These programs educate expecting couples on how to stay motivated and empower their children so they have a greater, and more successful outcome than they do. Attending these programs would inform Lonita on the fact that when she has flu-like symptoms, she should not self diagnose herself and

She informed the family that the CPW CW had changed to Tamika Harvey and she provided me and the family with contact information. We discussed the concerns that the Garcia family shared in regards to the case. The family reported that they feel that they are the “bad guys” in the situation and they reported that they do not understand what is going on. The family discussed that the previous CPS CW has been extremely rude to them and during their last phone call she was yelling at them. The family reported that this has been a very hard walk for them. We also discussed the latest conversation in regards to the biweekly visits with the maternal family. The Garcia family reported that they have very busy schedules and they cannot make any promises to be available for transportation during each visit. I informed the family of my earlier discussion with the CPS CW and also informed them that Angelheart had suggested moving the meeting times on Friday to occur during business hours to allow Angelheart to help with that burden for transporting. I informed the family that we had not received a response from the CPS CW at this

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.

Under no circumstances should this meeting begin before the mother was present. The service coordinator should act as representative of the family throughout the duration of the service plan. Unfortunately, this was not the case in this scenario. The service coordinator communicated she had limited time to commit to the meeting after acknowledging how difficult this case was. In Section II of this code, ethical responsibilities to families is essential to enhance a child’s development in their early childhood program (NAEYC, 2011). Ideal 2.2 states how necessary it is for the child’s caretakers to develop a trusting relationship with family as well as create a meaningful partnership with them (NAEYC,

As it was previously mentioned, nurses will be the leading members of this project. Administrative tasks such as hiring, budgeting, recording inventory, developing partnerships, and evaluating quality and performance, will be carried by the nurse manager. Delivery of prenatal care will be mainly performed by a team of CNMs and RNs. One CNM will be the primary care provider in charge of the complex cases presenting in the Prenatal Care Mobile. The scope of practice of the CNM allows patients to receive medical diagnoses and prescriptions that otherwise, could not be provided by a RN. A couple of RNs will be delivering most of the care for the uncomplicated patients, while also performing comprehensive assessments, screening or diagnostic tests,

Belinda said mom told her she was going to keep the child because she was coming to take her out of town. Mom told her if mom came to get her then she couldn't bring her back to her. On June 27th, mom arrived and took the child on the coast. On June 28th, the child called and said she was back in Meridian. She asked could she come to her house and the grandmother told her no that she needed to go with her mother. The child said mom was going back to the coast; reporter told her she needed to go with her. Mom left the child with the father. Reporter has concerns that the child has no where to stay. The grandmother is doing the best she can but she really can't afford it. She needs some assistance with the child. The grandmother doesn't know what she is going to do from one day to the next. The child is being fed, bathed, and clothed. The grandmother had to buy new clothes because the ones mom sent were too small. There are working utilities in the home. Reporter has to get the child approved for Medicaid because she took her to the dentist for a toothache and she didn't have insurance. She doesn't need immediate medical

You bring up a great point that while we may be believe the Mrs. McNeil’s presenting problems are related to her pregnancy and comorbid health and psychiatric concerns, she believes one of her presenting problems is related to her the welfare of her son. Until the social worker addresses Mrs. McNeil’s concerns surrounding her son she may not be able to effectively move forward in counseling due to being overwhelmed with concerns for her son. In addressing Mrs. McNeil’s primary concern of her son’s wellbeing, the Social Worker is building the frame work for a therapeutic alliance with Mrs.

On the event date above, CP arrived to the Jamaica Family Center shelter to meet with Shakia Pinckney. Upon arriving the Cp waited nearly 10 minutes because Ms. Pinckney was in the shower. Ms. Pinckney apologized to the CP for not being prepared for the visit. The CP then noticed that Justin, her son, was asleep in his grandmother’s room and Belinda Pinckney was not present. According to Ms. Pinckney, her mother stepped out. The CP informed Ms. Pinckney that she submitted the referral for parenting classes with Forestdale, Inc. and to expect a phone call from the program. The CP also mentioned to Ms. Pinckney about enrolling into the GED program. Ms. Pinckney stated that she is still interested and also interested in security training. The

The SW went over with the family the reason why they are seeking preventive services. Jesse and Jeremy do not want to go to school, they do not wake up early and most of the time they go to school late. The children do not follow Ms. Desalas rules such as at the time they need to be in bed, cleaning after themselves, and not going out with friends if she does not give them permission. They do not have a morning and afternoon routines neither household chores nor curfew. The SW normalized the kids’ behavior by saying that she is not the only mother that is going through this struggles and this is because of the kids’ developmental stages, school age. At lot of family that are in this stage are going through the same problem. In her case she is a single mother with school age children that need to attend school, morning and evening routine, chores, help with homework.

and Mrs. J. B’s family is a traditional nuclear family of five. The family originated from Ghana and they have been living in the United States for the past 30 years. Mr. and Mrs. J. B have been married for over 35 years and they have 3 children namely J. M who is now 27 years old, J. H, 23 and J.S, 19. I contacted the family and informed Mr. and Mrs. J. B about the assessment interview for admission of their son J. H into outpatient PACT program. The first family member introduced was Mr. JB. He is a 59 year old entrepreneur, he owns a well-established “heat and plumbing” company and he is assumed the family “breadwinner”. Mr. JB reportedly has a medical history of “well-controlled” hypertension. Mrs. JB believes her husband tedious job and “family situation” contributed to husband’s high blood pressure. She stated “You know he works every day and he is sad about JH condition”. Mr. JB responded “I need to work” to keep my family afloat. Mrs. JB is a 55 year old office secretary at one private logistics firm, has medical history of “high cholesterol “ and “ left knee arthritis”. She sees herself as “supportive wife”. The family has 3 children 2 male (JM and JH) and one female (JS). Both JH and JS were present during the family interview. JM the eldest son lives in another state after he secured a job. The family showed great interest, open for conversation and shared information. The interview took place in the family residence, present at the meeting were the four out five members of the family. The interview lasted for about 2hours and 17minutes. I informed the family that I will be taking notes during course of assessment and their privacy will be

It is no secret that low income communities are at a disadvantage when it comes to health. Studies have repeatedly shown that people with low income tend to be in poorer health and also be more at risk for health complications. The Henry J. Kaiser Family Foundation notes that economic stability, neighborhood and physical environment, education, community and social context, food, and the health care system are all factors that play a role in health outcomes (Heiman & Artiga, 2015) which has also been articulated in class. Many of those are factors in the lives of families at the Northern Virginia Family Service (NVFS) Early Head Start program (EHS) which creates complications presently and in the future for communities. Two of the main factors

This ideology incorporates the typical British mindset of preventive medicine and how “an ounce of prevention is worth a pound of cure” (Reid 187). Furthermore, because the British operate a national health system they are forced to constant be mindful of cost and therefore this mindset may influence why midwives dominate all facets of prenatal and postnatal care.