Start with a brief introduction that introduces the case study you’re going to discuss.

QUESTION

choose any one case study Case Study 1:
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 has a
contract with a central Queensland mine and Sharon travels to Mt Isa for ten day periods and then
returns to Brisbane two to three times per month.
Background:
● Sharon and Hannah have been married for 10 months. They were delighted to marry in Australia
following the successful Marriage Equality plebiscite in 2017. It is Sharon’s second marriage. She was
married for three years to Michael but then met and fell in love with Hannah, so 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 carry 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 born
premature at 34 weeks gestation.
Extended family:
● Hannah’s mother and father (Maggie 56 and Jim 65) were not happy about their daughter’s marriage to
Sharon and have stopped all contact with Hannah despite Hannah’s attempts to involve them in plans
for the arrival 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 nearby suburb 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.
Current situation:
● Hannah gave birth to twins Gus and Harvey, six weeks premature and they spent two weeks in Special
Care Nursery at the hospital before being discharged home. Hannah has been breastfeeding and
expressing so that Sharon can bottle feed the twins as well. Both babies are breastfeeding well and take
the expressed breastmilk 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 has also experienced some nipple trauma as she had difficulty with breastfeeding 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 worried 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 returned home.
● Matilda is very excited to have two baby brothers, however she is refusing to go to bed at her usual
bedtime 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.

4
Case Study 2:
The Brown Family
Parents:
● Sheila Brown, 24, is a stay-at-home mum, and Scott Brown, 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 Olivia (2 years old) and a newborn son Leo (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
Leo 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 at weekends as they are both still
working so this makes it difficult. They adore Olivia but find her temper tantrums difficult, particularly
since the birth of Leo.
● 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 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 Leo.
● Sheila is feeling very tired and discusses this with you when you attend a newborn home visit. Leo 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 Olivia and would like to have her toilet trained. Olivia does not sleep well
and eats very little. Olivia 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 Olivia is still sucking her thumb.
● She is also unsure about getting Leo immunised, as Scott’s other children were not immunised.
● You refer to the hospital discharge notes regarding Leo’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.
As the Child and Family Health nurse, you check Leo’s progress and notice that he is tracking along the
10th percentile line for weight, length and head circumference measurements since discharge from
hospital

explain assement Summarise the structure of the family based on your examination of the family
assessment findings.
• Identify and briefly describe two (2) strengths of the family you are assessing using the
Australian Family Strengths Nursing Assessment Guide (AFSNA

explain  plan nursing care • Describe the two issues. Use appropriate evidence from scholarly literature to describe
the issue and discuss what is known about the issue/challenge.
• Propose ONE relevant SMART nursing goal for each issue. Justify the relevance of
the goal to the issue support with appropriate scholarly literature.

explain  nursing smart goal

• Outline one nursing intervention for each SMART goal that supports the family to achieve
this goal.
• Outline one recommendation for an existing online resource or appropriate referral for
the family for EACH nursing intervention

I just need overlook and explanation how to write.

ANSWER

Certainly, I’d be happy to guide you on how to approach writing the essay based on the case study. Let’s break down each section and discuss how to structure and write it effectively.

Introduction
Start with a brief introduction that introduces the case study you’re going to discuss. Mention that you will be addressing various aspects of the family assessment, strengths, challenges, nursing goals, and interventions.

Family Assessment Findings
Summarize the key findings from the family assessment. Mention the family members, their ages, roles, relationships, living situation, and any relevant contextual information. This provides the reader with an overview of the family’s dynamics and situation.

Strengths of the Family
Discuss at least two strengths of the family using the Australian Family Strengths Nursing Assessment Guide (AFSNA). These strengths could be related to their support network, coping mechanisms, communication, or any other positive aspects that you observed during the assessment.

Identified Issues
Identify and briefly describe two issues that the family is facing based on the assessment findings. Use evidence from scholarly literature to support your description of these issues. For instance, in Case Study 1, you might discuss the challenges that Hannah faces with caring for premature twins while her partner is away for work, and how it’s impacting her emotional well-being.

SMART Nursing Goals
Propose ONE SMART nursing goal for each identified issue. SMART stands for Specific, Measurable, Achievable, Relevant, and Time-bound. Justify the relevance of each goal to the issue using evidence from scholarly literature. For example, in Case Study 2, you could propose a goal related to improving Sheila’s sleep and mental well-being.

Nursing Interventions
Outline one nursing intervention for each SMART goal that supports the family in achieving these goals. These interventions should be specific actions that the nurse can take to address the issues and work towards the goals. Use evidence-based practices and research to support your choice of interventions.

Online Resources and Referrals
For each nursing intervention, provide a recommendation for an existing online resource or appropriate referral that the family can utilize. These resources could include websites, community support groups, counseling services, or any other relevant sources of help.

Conclusion
Summarize the main points you’ve discussed in the essay. Highlight the importance of a comprehensive family assessment, the role of nursing interventions, and the significance of utilizing evidence-based practices to support families in overcoming challenges.

Remember, the goal is to present a well-structured and well-supported analysis of the case study, showcasing your understanding of family assessment, nursing goals, interventions, and evidence-based practice. Use clear and concise language and ensure that your writing flows logically from one section to the next.