The aim of this written assessment item is to apply the nursing process in providing family centred care. When an infant, young child or adolescent experiences a health or social issue, the issue can impact upon 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 allows you to demonstrate an understanding of the functioning of the family unit using family assessment models that enable families to make health decisions and to plan and evaluate evidence-based nursing for families across the lifespan. Instructions: This 2000 word written assignment has two distinct parts that you should address separately. Please use headings for each part. You do not need to provide an introduction or a conclusion for the written assignment or any of the parts. You are to reference link the family scenario throughout for your entire assignment. Family Scenario: The Williams Family Parents:

● Hannah Williams, 29, operates a successful clothes boutique business.

● Steven Williams, 32, is an electrician for an oil company in Gladstone, Queensland. Steven is away for four weeks, then returns home for two weeks leave.

Background:

● Steven and Hannah have been married for 3 years, following Hannah’s bitter divorce from her first husband, Barry. Steven has not been married before.

● Hannah has a 5 year old son, Billy from her first marriage and shares joint custody of her son.

● Hannah had an uneventful first pregnancy and a normal delivery.

● Billy attends the local prep-school.

● Hannah has had trouble conceiving with Steven, but is now 32 weeks pregnant with her second child.

● Hannah plans to stop working at 38 weeks gestation and employ a manager to take care of her business for six months following the birth. After this, Hannah plans to return to work whilst the baby will attend the local day care centre.

● The couple relocated to a larger three bedroom home in a coastal suburb on the southern Gold Coast at three months gestation, increasing their mortgage to do so. Extended family:

● Billy’s father (Hannah’s former husband) Barry (36) is a lawyer and lives in a nearby suburb. He is in a relationship with Jane (34), a primary school teacher. Jane and her two children (from a previous relationship) Ronan (12) and Emily (10), live with Barry. Billy enjoys spending time with his father.

● Hannah’s mother, Marion (52), had postnatal depression (PND) after the birth of Hannah. This remained undiagnosed and untreated until Hannah went to school.

● Two years ago Marion retired to the northern Gold Coast. She is very supportive of Hannah and is looking forward to helping more with her grandchildren.

● Hannah’s father, Sam (59), lives and works in the Philippines. He has a new Filipino wife, Ariel (39) and they visit Australia twice a year.

● Steven’s father, Henry, died last year at 64 years of age from coronary heart disease. He and Steven’s mother, Mavis (59) had been married for 39 years. Mavis lives in Sydney, and is trying to cope with the loss of her husband. Steven and family do not see her very often. Steven describes his father as a harsh disciplinarian who was not warm and hit him with a belt occasionally if he misbehaved as a child. Current situation:

● Hannah gave birth to a baby girl, eight weeks premature. Hannah was discharged from hospital six weeks ago, and has been visiting her baby every day in the Special Care Nursery in the hospital. The baby is now breast feeding, having been tube fed expressed breast milk for the first week of life. The baby will be discharged from hospital tomorrow, into Hannah and Steven’s care. Hannah is planning to breastfeed the baby for the first six months before she returns to work. She also plans to paint and make new curtains for the baby’s bedroom, the lounge and dining areas to save some money. She likes to keep fit and hopes to join a new parents walking group to meet other new mums.

● Due to work commitments over recent years and with the new move, Hannah and Steven have not met many people on the Gold Coast, except for a small group of mothers met through Billy’s prep-school. Since moving to the Gold Coast Steven has taken up golf during his time off work. He has joined the local Golf Club and plans to take the family there for lunch soon, declaring that this might be a good place to meet some people.

● Due to Hannah’s caesarean section delivery, she has declined to resume any form of sexual relationship with Steven, which he says he understands. He is anticipating that they will be able to resume sex within a week or two, stating that ‘things will be back to normal again soon’. He adds that because Hannah is taking time off work he thinks she will be rested, more relaxed and willing to resume their sexual relationship.

● Steven is a little concerned about how they will manage financially during the first six months, while a paid manager is looking after Hannah’s business, so is keen for Hannah to return to work full time. When asked about how he will manage being woken up by the baby early in the mornings he says that, ‘Hannah can sort that as I will go for an early round of golf in the mornings when I’m home. And besides, she has done this all before when Billy was a baby’. He adds that he still plans to help with the cooking in the evenings when he is home. In the weekends he is looking forward to family time as long as the baby ‘doesn’t cry too much’. .

● Hannah is concerned how she will cope with two small children, especially when Steven is away working his four week rotation. . As the Child and Family Health nurse, the Midwife has notified you about Hannah and her baby’s impending discharge. You meet the family at the home visit when they are discharged from hospital. . . Essay Requirements: Part 1 – Nursing Care of the Family: Assessment (500 words maximum) A) Create a genogram to visually depict the family’s structure. You must use the supplied template PowerPoint slide which will be attached to create your genogram. Save the slide as a picture file (*.jpeg), and insert the picture into your document. Correctly uses text and symbols to visually represent the family and creates an accurate, comprehensive genogram. B) Below the genogram, Maximum of 500 words 1) Accurately summarise the structure of the family to demonstrate your understanding of the family assessment findings and then 2) use the Australian Family Strengths Nursing Assessment Guide (AFSNAG) to clearly identify and describes two (2) strengths of the family scenario you are assessing. +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Part 2 – Nursing Care of the Family: Planning, Implementing and Evaluating (1,500 words) A) Select 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., breastfeeding, social isolation, transition to parenting; they should not be ‘medical’ issues e.g., diabetes, high blood pressure. B) For each issue/challenge identified in the family assessment Eg issue 1 write about below points 1,2,3 & 4 in 750 words then proceed to the second issue/challenge and write abouts points 1,2,3 & 4 in 750 words using academic writing. Always refer to the marking criteria to ensure all items thoroughly addressed.

1) Describe the issue

a) Use appropriate evidence from scholarly literature to describe the issue/challenge experienced by the family or its members and

b) clearly and logically discuss what is known about the issue/challenge. (word count approx. 325)

2) Plan nursing care.

a) Provide a relevant nursing goal and then

b) provide a clear, logical justification for the chosen goal (why it is relevant to the issue) using appropriate evidence or policies. (word count approx. 325)

3) Implement nursing care

a) Outline & discuss one nursing intervention that supports the family to achieve the goal.

b) Provides a clear, logical justification for the chosen nursing intervention.

c) Each nursing intervention should be supplemented by the recommendation of an existing online resource for the family and providing an appropriate referral. (word count approx. 325)

3) Evaluate nursing care Describe how you, as a nurse, would evaluate the effectiveness of the intervention to address whether it met the planned goal of care. (word count approx. 325)