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Think about Casey and his family from the beginning of the chapter. Case-(s family is coping with his initial survival of a serious brain injury, and facing a long rehabilitation process. The family is just now recognizing that life as they have known it is changing.

Casey is totally dependent for care including bathing, toileting, feeding, and mobilizing. Although he is expected to regain self-care abilities, the impact of the injury on his cognitive ability and future functioning is unknown.

Casey’s mended family has provided support to the family during the past 12 days, but the level of support in the future weeks will decrease because of other family obligations. Casey’s mother has already initiated leave of absence from work so she can care for him when he returns home; however, this will mean the f.1mily has reduced income during that time period.

Casey’s younger brothers have been able to visit him, and they are very anxious because Casey cannot talk with them. They have been trying to avoid bothering their mother and father during this time, but they are wondering when life will be more normal and they can again participate in their usual after -school activities.

1.       What information about the family strengths, needs and resilience can be identified form the chapter –opening scenario, the ecomap on page 37 and the previous informations?

2.       What additional information would be helpful to know about family strengths and needs prior to developing a nursing care plan?

3.       Based on your assessment of the family and challenges facing them, list at least one nursing Diagnosis (additional to those listed on page 46) that address issues important for planning nursing care for casey and his family.

4.       Describe the use of family- centered care principles in planning casey’s nursing care in collaboration with the family .

 

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