Parents: ● Sheila Jenson, 24, is a stay-at-home mum, and Scott Jenson, 38, is an accountant. They have been married for 2 years. Background: ● Sheila met Scott while she was undertaking a TAFE course studying accountancy. Sheila has completed a Diploma in Accounting but has not been employed since finishing this qualification. ● They have one daughter Jessie (2 years old) and a newborn son Grant (4 weeks old). ● Scott has been married twice before and has three sons (10, 8 and 6 years old) from his prior marriage to Shelly and no children from his first marriage to Lydia. ● Sheila stays at home with the children as Scott prefers Sheila to be able to have quality time with the children before they go to school. Sheila would like to work part time as a teacher in the future however she will have to study again to do this. She might look for part-time bookkeeping work when Grant is older. ● They recently moved to a four bedroom house set on 20 hectares of property 40 km from town. Extended family: ● Sheila’s parents Mary (55) and Keith (60) live over 2 hours away although they visit whenever they can. ● Mary and Keith would like to come and help Sheila more often but they prefer to come when Scott is not home as he is not always welcoming. They generally come on weekends as they are both still working so this makes it difficult. They adore Jessie but find her temper tantrums difficult, particularly since the birth of Grant. ● Scott’s mother Brydey, 79, lives alone in an assisted living unit two hours away, but does not feel settled there and is becoming increasingly forgetful and agitated. She moved there after her husband Robert passed away suddenly two years ago from bowel cancer at 84. The only time Sheila has met Scott’s parents was at her wedding to Scott. Current situation: ● Sheila is finding it quite difficult having a toddler who does not sleep much, who is not toilet trained and still in nappies, in addition to a new baby. Sheila is feeling rather isolated, particularly as they only have one car and Scott needs the car to drive to work. They live one kilometre away from the closest bus stop which makes it difficult to go anywhere. ● Scott regularly comes home late from work and often brings work home with him. Scott expects the house to be immaculate and dinner ready on the table when he arrives home from work. Sheila has found this very difficult particularly with the arrival of Grant. ● Sheila is feeling very tired and discusses this with you when you attend a newborn home visit. Grant is breast fed although Sheila says he cries all the time. Sheila has not had much sleep over the past 4 weeks. ● Sheila is also worried about Jessie and would like to have her toilet trained. Jessie does not sleep well and is eating very little. Jessie is also quite withdrawn and Sheila would like to take her to day care but this is too far away by public transport. Her tantrums are also annoying Scott who gets very cross with her. You notice that Jessie is still sucking her thumb. ● Sheila raises some concerns about the children when you do a home visit. Sheila discusses Jessie’s increasing temper tantrums and not being toilet trained in addition to her poor sleeping. She is also unsure about getting Grant immunised, as Scott’s other children were not immunised. ● You refer to the hospital discharge notes regarding Grant’s pre-term birth and notice that there had been some complications and Sheila had an emergency lower segment caesarean section [LSCS] for foetal distress during her labour at 34 weeks. ● His APGAR scores at birth were 3 at one minute, and 6 at five minutes. ● He was in Neonatal Intensive Care Unit (NICU) on CPAP for 24 hours and spent two weeks in Special Care Nursery (SCN) prior to discharge. Questions: Uses the supplied template to create a genogram and insert it into the body of the assignment. Correctly uses text and symbols to visually represent the family and creates an accurate, comprehensive genogram. Accurately summarises the family structure and demonstrates understanding of the family assessment findings Clearly identifies and describes two family strengths using the AFSNAG Describes an issue/challenge experienced by the family or its members Clearly and logically discusses what is known about this issue/challenge Provides a relevant nursing goal Provides a clear, logical justification for the chosen goal (why it is relevant to the issue) Discusses one appropriate nursing intervention to achieve the goal Provides a clear, logical justification for the chosen nursing intervention Supplements the nursing intervention by recommending an online resource for the family and providing an appropriate referral