Child and Family Nursing Practice
Assessment 1, 2018
“Nursing Process applied to a Family”
2,000 words Weighting: 40 %
Due Date: FRIDAY 17th August 2018 by 5.00 pm
_____________________________________________________________________________________
Aim:
The aim of this written assessment item is to provide you with the opportunity to practise
applying the nursing process when providing family centred care. When an infant, young child
or adolescent experiences a health or social issue, the issue can impact all family members.
Nurses working in acute care and community settings need to understand the functioning of
the family unit so they can care for and assist the whole family.
This written assignment addresses course learning outcomes 2 and 3.
Task Description:
• There are 2 parts to this task. You must complete both parts.
• Use scenario below. You must refer to the same scenario throughout this written assessment.
• Use the headings below to organise the parts of your written assessment task.
Part 1 - Nursing Care of the Family: Assessment (500 words)
For Part 1 you need to:
• create a genogram to visually depict the family’s structure (template and exemplar provided)
• summarise the structure of the family to demonstrate your understanding of the family
assessment findings
• identify and
iefly describe two (2) strengths of the family you are assessing using the
Australian Family Strengths Nursing Assessment Guide (AFSNAG). (Attached)
Part 2 - Nursing Care of the Family: Planning, Implementing and
Evaluating (1,500 words)
For Part 2 you need to:
• Identify two (2) issues/challenges for the family or a member of the family you have
selected. These issues may be identified by the nurse, family or both. These can be health,
social, or developmental family issues/challenges e.g.,
eastfeeding, social isolation, transition
to parenting; they should NOT be ‘medical’ issues e.g., diabetes, high blood pressure.
• For each issue/challenge identified in the family assessment (allow approximately 750 words
per issue):
a) Describe the issue
o Use appropriate evidence from scholarly literature to describe the issue and discuss
what is known about the issue/challenge.
) Plan nursing care
o Provide a relevant nursing goal and justify the goal (explain why it is relevant to the
issue) using appropriate evidence or policies.
c) Implement nursing care
o Outline one nursing intervention that supports the family to achieve the goal. Each
nursing intervention should be supplemented by the recommendation of an existing
online resource for the family and an appropriate refe
al.
d) Evaluate nursing care
o Describe how you would evaluate the effectiveness of the intervention to address
whether it met the planned goal of care.
Other Instructions:
1. You do not need to provide an introduction or a conclusion for the written assignment or
any of the parts.
2. You must use the PowerPoint slide which will be supplied to you within the Assessment
Folder on the course site to create your genogram. Save the slide as a picture file (*.jpeg) and
insert the picture into your document. (Genogram template attached)
Other elements:
• Do not include a cover page at the start of your assignment. You will agree to the assignment
submission statements when you submit electronically.
• Refer to the Health Writing and Referencing Guide for guidance on writing, and referencing
according to APA 6th style and presentation.
• Ensure that you use relevant scholarly literature1 (digitised readings, research articles,
elevant Government reports and text books) that has been published within the last seven (7)
years. If you use literature older than 7 years, you will need to justify why you are not using
ecent literature. Please note it is preferable to locate and use Australian sources if you are
describing the extent or magnitude of the issue.
• Use academic language throughout and write in the third person.
• Refer to the marking criteria when writing your assignment. This will assist you in calculating
the weightings of the sections for your assignment.
• State your word count (excluding your reference list) on your assignment title page.
• Maintain academic integrity.
• Submit your assignment as a word document (not a PDF).
• Submit a draft assignment via Turnitin and check your Turnitin report (allow up to 24 hours
for report generation). If you need more information about Turnitin, make use of the online
esources.
• Submit your final assignment via Turnitin as per the instructions on the course site [Submit in
the ‘Assessment’ tab].
• Keep your Turnitin receipt as a record of successful submission.
_____________________________________________________________________________________
Family Scenario One:
The Wilson Family
_____________________________________________________________________________________
Parents:
● Hannah Wilson, 27, is a primary school teacher.
● Sharon Wilson, 30, is an engineer for a Brisbane based engineering company. Her company
presently has a contract with a central Queensland mine and Sharon has to travel to Mt Isa for
ten day (10) periods and returns to Brisbane two to three times per month.
Background:
● Sharon and Hannah have been ma
ied for 10 months. They were delighted to ma
y in
Australia following the successful Ma
iage Equality plebiscite in XXXXXXXXXXIt is Sharon’s second
ma
iage. She was ma
ied for three years to Michael, but then met and fell in love with
Hannah. Michael and Sharon divorced, leaving Sharon with full custody of their daughter
Matilda, who is now 3 years old.
● Matilda attends the local kindergarten 5 days per week.
● Hannah and Sharon agreed that Hannah would ca
y their first baby together and so Hannah
underwent IVF with donor sperm to conceive twins shortly after their wedding.
● Hannah was due to go on maternity leave from her job as a primary school teacher at 36
weeks gestation, however she went into premature labour and twin boys Gus and Harvey were
orn at 34 weeks gestation.
Extended family:
● Hannah’s mother and father (Maggie 56 and Jim 65) were not happy about their daughter’s
ma
iage to Sharon and have stopped all contact with Hannah despite Hannah’s attempts to
involve them in plans for the a
ival of the twins.
• Maggie (56), had postnatal depression (PND) after the birth of Hannah, and Hannah was left
with her Grandmother Eleanor and Grandfather Tom for much of her childhood years. Eleanor
(76) and Tom (77) are living in a retirement village in a nea
y subu
but no longer drive their
car and rely on public transport. They are both so happy for Hannah, Sharon and Matilda, and
visited Hannah and the twins every day while they were in hospital.
● Sharon’s parents (Catherine 60 and Carl, 59) both live in New Zealand and usually fly over to
visit Sharon and Matilda every year. They attended Sharon and Hannah’s wedding and are both
delighted about the twins and cannot wait to visit.
Cu
ent situation:
● Hannah gave birth to twins Gus and Harvey, six weeks premature, and they spent two weeks
in the Special Care Nursery at the hospital before being discharged home. Hannah has been
eastfeeding and expressing so that Sharon can bottle feed the twins as well. Both babies are
eastfeeding well and also take the expressed
eastmilk from the bottle easily. Hannah and
Sharon both feel exhausted due to getting up for frequent overnight feeding and Sharon still
has three 10 day rotations of work commitments in Mt Isa before she can take parental leave.
This means that Hannah will be alone with the twins and Matilda for ten days at a time.
● Hannah had a vaginal delivery for the birth of the twins but she needed to have a small
episiotomy and 3 stitches. The episiotomy has since become infected and is causing Hannah
constant discomfort. She is having regular warm salt baths during the day to help with healing
and is on a course of antibiotics. Hannah has also experienced some nipple trauma as she had
difficulty with
eastfeeding in the first few days and this has been very upsetting and painful
and she is not sure what to do to help improve this.
● Sharon is very wo
ied about how Hannah will manage when she is away for work and has
noticed that Hannah has been very teary and easily upset in the past week since they have
eturned home.
● Matilda is very excited to have two baby
others, however she is refusing to go to bed at
her usual bed time and is instead running around the house and leaving her toys everywhere,
instead of in the rumpus room, when Hannah and Sharon are feeding the twins.
As the Child and Family Health nurse, the Midwife has notified you about Hannah and her
twins’ discharge from hospital. You meet the family at the home visit when they are
discharged from hospital.
PowerPoint Presentation
Children - oldest on left:
Female:
Sperm Donor:
Misca
iage or abortion (give year):
2010
Index/focus person:
Male:
Children - twins:
Children - adopted:
Ma
iage (M):
Common-law (CL):
(Male on left, Female on right, indicate year)
M 2010
R 2010
S 2010
Marital separation: (indicate year)
Reconciliation after separation:
(indicate year)
D 2010
Divorce:
(indicate year)
Death:
(indicate year)
2010
2010
Barnes & Rowe 3rd proof.indd
11
1 • LOCATING THE CHILD, YOUNG PERSON AND FAMILY IN CONTEMPORARY HEALTHCARE
At the time of writing, this policy is in review. Limited information about likely
policy and service direction is available via the Well Child homepage at www.moh.
govt.nz/wellchild.
Family assessment: working with children, young
people and families
The application of
oad policy frameworks in practice through program
development and service delivery is described throughout the chapters in this
text. Nurses and midwives are integral to these services and programs. To practise
effectively, nurses need to be equipped with a range of competencies and attributes
described in the Introduction. Among these competencies is the ability to undertake
a comprehensive family assessment and to recognise the interplay of family,