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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...

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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

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
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
• 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
● 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.
● 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
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
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.
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:
Sperm Donor:
iage or abortion (give year):
Index/focus person:
Children - twins:
Children - adopted:
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
(indicate year)
(indicate year)

Barnes & Rowe 3rd proof.indd
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.
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,
Answered Same Day Jul 29, 2020


Tp Academic answered on Aug 02 2020
150 Votes
Table of Contents
Part 1    2
Preparing a genogram    2
Structure of family and description of understanding of family assessments findings    2
Two strength of family    2
Support    2
Acceptance    3
Part 2    4
Two issues of the family    4
Issue 1- Breastfeeding    4
A. Description of problem    4
B. Plan of nursing care    4
C. Implementing nursing care    5
D. Evaluation of nursing care    5
Issue 2: Transition to parenting    5
A. Description of problem    5
B. Plan of nursing care    6
C. Implementing nursing care    6
D. Evaluation of nursing care    6
Reference list    8
Part 1
Preparing a genogram
(Refer to PPT)
Sharon Wilson,
30 years, Enginee
Tom, 77 years
Jim, 65 years
Catherine, 60 years old
Eleanor, 76 years years
Maggie, 56 years
Carl, 59 years old
Matilda, 3 years old
Post natal depression
Hannah’s parents are not happy with the ma
Happy with Sharon’s ma
iage, lives in New Zealand
, attend their daughter’s wedding and glad about the twins and visit them.
iage Equality plebiscite in 2017
Happy for Hannah, Sharon, Matilda and for the twins, unable to drive car, often visit hospital to see the twins
Attends local kindergarten school and happy to meet twins
Premature delivery (34 weeks),
Hannah Wilson, 27 years, Primary school teache
IVF experienced
, give birth of twin boys
Structure of family and description of understanding of family assessments findings
From the provided case scenario, it has been evidenced that Hannah Wilson and Sharon Wilson have been ma
ied for 10 months successfully and lives in Australia by following the successful Ma
iage Equality plebiscite in 2017. Sharon was divorced by Michael, and thus it is her second ma
iage. Sharon has a 3 years old daughter from her first ma
iage, named Matilda, who is now attending a kindergarten school, 5 days a week. Hannah and Sharon gladly adopted Matilda, and they all live together happily. However, it has been evidenced that Maggie and Jim, parents of Hannah are not at all happy with the ma
iage. Maggie was suffered from postnatal depression after the birth of Hannah, and thus, she lived with her grandparents, Eleanor and Tom. This refers that Hannah is more close to her grandparents. However, as they both are getting old, therefore, they are not able to drive the car or use public transport. However, they both are pleased with Hannah's ma
iage, Matilda and their newly born twin Boys, Gus and Harvey.
As commented by Hall et al. (2015), parental support always helps to make the right decision and helps to be happy. Sharon's parents, Catherine and Carl, who are living in New Zealand and fly over to visit Sharon and their grandchildren Matilda every year, which reflects a strong emotional bond with them. They are delighted with Hannah and Sharon's ma
Hannah and Sharon agreed to make In Vitro Fertilization (IVF) with donor sperm, and Hannah decided to ca
y the baby, which results into giving premature birth to two twin boys, named as, Gus and Harvey. However, they got exhausted while feeding their babies and due to lack of sleep. Moreover, as Sharon had to go to Mt Isa for her job, therefore, Hannah should live alone in the house for 10 days with their twins and 3 years old Matilda. However, Matilda has developed an excellent emotional bonding with her twin
others and intended to play. Thus, she refused to go to bed early at night and therefore, she does not get enough rest. This makes the direct effect on their health.
Two strength of family
The provided case scenario has been depicted that Hannah and Sharon have made their decision of getting ma
ied. According to El-Toukhy et al. (2016), by getting constant mental support from the family and dear ones motivates people to make the right choices. From the case scenario, it has been evidenced that, Sharon's daughter from her first ma
iage, named as Matilda, has been adopted by the couple and to make this choice, Hannah has given immense mental support to Sharon. Maalouf, Campbell & Jayaprakasan (2017) have commented In Vitro Fertilisation (IVF) is recognised as one of the most advanced medical procedure that helps couples to conceive babies and enjoys feelings and responsibilities of parenthood. In order to experience parenthood, Hannah and Sharon both have supported each other for undergoing IVF. Furthermore, Sharon also supports Hannah to raise their twin babies and very much wo
ied about her health. Thus, she intended to take parental live after the premature delivery of Hannah and take care of her properly.
As per The Australian Family Strengths Research Project, it has been evidenced that in every family, there are particular strengths, which helps to increase bonding among family members and help them to live happily. As commented by Hirani & Singh (2016), to make a right choice, family members are always required to accept new decisions gladly. From the case scenario, it has been evidenced that Hannah and Sharon's ma
iage has been supported by Sharon’s parents as well as Hannah’s grandparents. They have gladly accepted Hannah and Sharon's wedding as well as their daughter. Therefore, they are pleased after getting news of their twin babies. However, Hannah's parents are not happy with the ma
iage and could not accept Sha
on. Therefore, they also not accepted Matilda as their grandchildren. This creates an emotional conflict between Hannah and her parents, which results in the decline of the relation between them.
Part 2
Two issues of the family
Issue 1- Breastfeeding
A. Description of problem
From the case scenario, it has been...

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