Case Study Analysis: Healthcare Risk, Intervention, and Legal Issues

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Homework Assignment
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This assignment analyzes a healthcare case study involving a young mother, Lucinda, facing challenges related to family support, mental health, and legal considerations. The Q&A addresses the main risk area, which is the lack of a support system to cope with family issues, leading to Lucinda leaving her studies and experiencing depression and fear. The intervention strategies proposed include a community nurse for prenatal care and a child daycare to support Lucinda's well-being and enable her to continue her studies. The assignment also discusses the need for Cognitive Behavioral Therapy (CBT) to treat Lucinda's mental health concerns. Finally, it outlines two crucial legal issues for nurses: confidentiality and maintaining appropriate professional relationships. The assignment provides a comprehensive overview of the case, offering insights into healthcare interventions and legal considerations within a family context.
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Running head: QUESTION & ANSWER
Question & Answer
Name of the student
Name of the university
Author’s name
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1QUESTION & ANSWER
Q1A.
The main risk area in the case-study is that there is no supporting person that can help in
coping with the family issues. The case-study speaks about Lucinda whose first child Emily was
born when Lucinda was in her second year in her university. Since Jerome was the only one in
the family who was working, these lead Lucinda to leave her studies. Lucinda was exhausted and
weak when she gave birth to Emily; she wanted her mother to visit her to help her take care of
Emily, but due to lack of money she could not buy her a ticket and Jerome’s family used to live
far away (Ferrell & Kravitz, 2017).
Q1B.
The intervention will consist of a community nurse and a child daycare. The community
nurse can provide prenatal-care for Lucinda’s second child. The community nurse can have a
friendly check-in by giving a call or can visit Lucinda when she is living alone. The community
nurse can organize for organizations who can deliver proper meal at home (Smolowitz et al.,
2015). The role of the daycare will be to take care of Emily during the morning time. Then it will
help Lucinda to again start her studies. After her second child is born she can also send her
second child to the daycare, which will assure and give a peace of mind to Lucinda knowing that
her children are safe while they she is not at home (Back & Kim, 2017).
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2QUESTION & ANSWER
Q2A.
The mental health concern regarding Lucinda is that she feels depressed, stressed, and
fear of having another baby. These kind of mental health problems are occurring because the
family does not have any supporting person that can help in taking care of the children, or may
go to work to earn money. Since Lucinda have to take care of Emily and she had to leave studies
and failed in helping Jerome by working, she feels guilty and is afraid of having another child.
According to the case study, she scored 12 on the Edinburgh Perinatal Depression Scale.
Q2B.
To treat Lucinda regarding her mental health condition she will require Cognitive
Behavioral Therapy. A psychiatrist or a registered nurse will speak with Lucinda and help to
identify their negative thoughts and will help her by replacing those negative thoughts with
positive ones. The therapist will talk with Lucinda and set treatment goals. Since CBT is a short
target-oriented treatment, thus it will be conducted once a week or once every 2 weeks. The CBT
lasts till 5 to 20 sessions, and each session lasts for around one hour. It is one of the most
effective treatments similar to antidepressants for conditions where depression, stress, and fear
are the main issues. It is the most effective psychological treatment for moderate and severe
depression (Sockol, 2015).
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3QUESTION & ANSWER
Q3.
Two legal issues that a nurse needs to consider when working with Lucinda are –
1. Confidentiality – According to APA Standard 4.01, a nurse should be responsible to take
proper measures regarding the safety of the information regarding patient. When a
community nurse works with Lucinda, they should be aware of not to spread the
confidential information of Lucinda as it might increase danger for her and other
members involved in therapy (Behnke & Warner, 2002).
2. Relationships – If any kind of relationship with the patient leads to risk of hampering the
objective, capability, or efficiency of the nurses or psychologist while doing their work,
then they should refrain from entering or forming a relationship (Butts & Rich, 2019).
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4QUESTION & ANSWER
REFERENCES
Back, S. H., & Kim, J. S. (2017). Child daycare teachers' role perception, knowledge, self-
confidence and educational needs regarding infectious disease management in children.
The Journal of the Korea Contents Association, 17(7), 253-264. doi:
https://doi.org/10.5392/JKCA.2017.17.07.253
Behnke, S. H., & Warner, E. (2002). Confidentiality in the treatment of adolescents. Monitor
on Psychology, 33(3), 44.
Bellesheim, K. R. (2016). Ethical challenges and legal issues for mental health professionals
working with family caregivers of individuals with serious mental illness. Ethics &
Behavior, 26(7), 607-620. doi: https://doi.org/10.1080/10508422.2015.1130097
Butts, J. B., & Rich, K. L. (2019). Nursing ethics. Jones & Bartlett Learning.
Ferrell, B. R., & Kravitz, K. (2017). Cancer care: Supporting underserved and financially
burdened family caregivers. Journal of the advanced practitioner in oncology, 8(5), 494.
Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L.
(2015). Role of the registered nurse in primary health care: meeting health care needs in
the 21st century. Nursing Outlook, 63(2), 130-136. doi:
https://doi.org/10.1016/j.outlook.2014.08.004
Sockol, L. E. (2015). A systematic review of the efficacy of cognitive behavioral therapy for
treating and preventing perinatal depression. Journal of Affective Disorders, 177, 7-21.
doi: https://doi.org/10.1016/j.jad.2015.01.052
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