Subject Code & Title :- NURS1025 Person Centred Care Across The Lifespan
Weight: 40%
Type of Collaboration: Individual
Length:- 1,200 words
Curriculum Mode :- Case Study
Aim of the Assessment :-
This assessment is an opportunity to demonstrate how you will provide person centred care in one stage during the lifespan. Every nurse and midwife must be able to understand the specific needs of a person/woman and develop a care plan based on those needs. This analysis of a case will enable you to develop an understanding of how a person centred care plan is constructed from the information given to you by the person.
NURS1025 Person Centred Care Across The Lifespan Case Study
The Task
There are three (3) case studies and each student will select one (1) case study to analyse by completing the following questions:
1.What is the person’s primary concern? How has this affected their life and relationships with their family, friends and community?
2.What is the person’s stage in the lifespan? According to Erikson’s Psychosocial Theory, what challenge is the
person facing? And discuss how the person is navigating this challenge.
3.Discuss the facilitators and barriers that the person may face as they navigate ways to resolve their concern.
4.How will you as a nurse or midwife assist the person to find person centred solutions for the person’s dilemma?
Case Studies:
Case study 1: Adolescence
Elsie is 11 years old and is in year 6 but has recently been accepted into a selective all girls’ high school that regularly comes in the top 10 schools for the highest HSC results. She has just started her first period and as her mother is helping her manage this, she says:
I hate my body! This should not be happening to me!
Elsie’s mother says:
Don’t say that this means that you will be a mother and have a beautiful baby.
Elsie replies:
Honestly don’t you listen! I have been telling you I am a boy for ages and that my name is Ned!
Ned decides to make a few decisions of his own. Although his school uniform allows him to wear trousers and a polo top he is starting to look increasingly male. He hates the way the girls stare at him and talk about him behind his back. Others are more open in their comments about his appearance. He makes a decision to not go to school until he is allowed to enrol in the local comprehensive co-ed high school as a boy. However, this causes a great deal of family conflict and Ned’s father leaves the family home saying:
NURS1025 Person Centred Care Across The Lifespan Case Study
I will not come back until all is rubbish is sorted out.
He tells Ned that he is not a boy, his name is Elsie and that changing from the selective all-girls school to the local co-ed school will be the biggest mistake he will ever make.
Ned finds his mother crying not long after his father leaves. And when he asks what is wrong she says:
I know that you are trying a new identity and you believe this is right for you but it has caused so many problems in our family.
Ned blames himself for all his family’s problems and considers living as a female but he knows he cannot do that. However this is so difficult and painful that Ned starts to self-harm. One day Ned’s mother finds him bleeding from his left forearm after he has cut himself with a razor blade. After Ned’s mother applies basic first aid he is taken to the Emergency Department where you are caring for him. When you ask Ned why he is here, he replies:
NURS1025 Person Centred Care Across The Lifespan Case Study
Because nobody lets me be who I truly am and I am not sure I can keep living like this.
Case Study 2: Young Adulthood
Sarah is 21 years old and has just started a job as a personal carer in an aged facility. She is saving to get a rental property and is currently living in her caravan park with her daughter Zara who is almost two. Sarah is very upset as she has just discovered she is four months pregnant with her second child. She was living in Adelaide until two months ago when her partner, Jason, insisted that they move to Sydney because he said he didn’t like Sarah’s parents and that they were interfering all the time. Sarah left Jason two weeks ago when he threatened to leave with Zara and make sure that Sarah never saw her daughter again. Sarah has not told Jason that she is having another baby.Sarah arrived at the antenatal clinic for her booking in appointment. She found the first birth difficult as Jason would not let her go to antenatal classes and she did not really under stand what was happening to her when she commenced labour. She is now very scared of giving birth to another baby. The midwife, Louise, asks:
Is there someone with you?
Sarah shakes her head without answering the question verbally. Louise asks her how she is and Sarah turns her head away before answering that she has no-one to help her. Sarah becomes very tearful and says she is so ashamed that she has messed up her life and that she doesn’t know how she will cope with another baby.
When Louise continues the interview, she finds out that Sarah is very afraid of Jason knowing where she lives and that she she cannot afford the rent at the caravan park. Sarah says that she may end up living in her car. Sarah is also concerned because she had many difficulties during her last pregnancy because she felt very nauseated and tired all the time. Sarah would love to talk to her mother but is so embarrassed about what has happened to her that she cannot face ringing her up.
Case Study 3- Older Adult
Claude is 82 years old and has lived with his partner, Michael (aged 85 years) for 52 years. They met when they were both working for the same accounting firm but because this was a time when homosexuality was against the law they had to hide their relationship from their families friends and other people in their community. However Claude says that the happiest day of his life was when he and Michael married in 2018 in front of all their family and friends when Same Sex Marriage was legalised.
Now Claude has been Michael’s carer for the last 3 years since he was diagnosed with Alzheimer ’s disease. When Claude and Michael first learned of this diagnosis, they made a decision together that they would maintain their independence and stay in their own home for as long as possible. However Claude is finding that caring for Michael is becoming increasingly difficult as his memory deteriorates and that he needs 24-hour supervision and assistance with all activities of daily living. Claude is becoming frail and is increasingly distressed by the situation. Claude can no longer participate in the activities he loves such as his weekly bridge afternoons and the occasional golf game. Claude is hoping to find an aged care facility that will accept both of them together and provide the appropriate care for Michael. However he finds that many facilities are reluctant to accept them together as other residents may not want a gay couple moving in with them. Claude has been looking for an LGBTIQ+ facility but there is nothing available at present. Claude says that he is be side himself with worry and believes that he is letting Michael down.
Instructions :-
· This assessment is to be presented in an essay format with an introduction middle and conclusion (please see the PCALS Resource Book to guide you in developing your assessment).
· The assessment is to be written using correct sentence structure spelling grammar and appropriate choices of vocabulary.
· You need to ensure that your answers are based on high quality evidence found in current literature that is literature published in high quality nursing journals found on CINAHL and Ovid Medline- refer to Module 1- check with a librarian if you are unsure how to access either the CINAHL or Medline databases.
NURS1025 Person Centred Care Across The Lifespan Case Study
– Your references should be:
a) Current (published in the last five years),
b) Reliable from a reliable source such as a peer-reviewed journal text-book government or recognised Nursing and Midwifery website),
c) Valid (the article makes sense provides evidence and includes scholarly references),
d) Objective well supported unbiased information),
e) Accurate (based on accurate facts with reliable statistics)
· All literature used to support the answers you give needs to be referenced correctly both intext and in the reference list according to APA 7th reference style.
· There will be a PCALS webinar for this assessment and the recording will be placed on the vUWS site. Students are strongly advised to watch this webinar before beginning to prepare this assessment.
· Your assessment must reflect the values of person centred care – respect individualised care and empathy.
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