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Review the Week 3 Case Study that may be found in Doc Sharing.
Assurance is one of the three core functions of public health. Find a resource in your community (other than WIC) that could assist Mary during her pregnancy. Start by searching the Internet for your local health department?s website. What services do they provide for pregnant women or those with mental health concerns? What about your local welfare office? Do they provide prenatal or mental health services? Are there any service organizations, crisis pregnancy centers, or churches providing help for pregnant women or those experiencing mental health concerns?
Briefly describe the types of services that you found.
Choose one agency and assess this agency in terms of the 4 As. Is it accessible, acceptable, affordable, or available for Mary or other pregnant women that you case-manage?
Chamberlain College of Nursing
NR443: Week 3 Case Study
Week 3 Case Study for Discussion
This case study provides you with an opportunity to immerse yourself in the role of a community health
nurse and explore the resources in your community. As you work through the case, reflect on what you
have learned about community health nursing in this course, and how you can apply it to this case.
Your role: You are working as a community health nurse in your local health
department. One of your roles with the health department is to case manage
pregnant women who receive Medicaid. You work with an interdisciplinary team
both within and outside the agency.
Team members:
Anne is a fellow nurse with the health department. She is going on medical
leave, so has asked you to assume this case.
Christina is a social worker with the health department.
Tracey is a case worker from Child Protection Services.
Mark is a dietician with the local Women, Infants, and Children (WIC) office.
Your client: Mary is a 23-year-old Caucasian female. She is in her first trimester of pregnancy and is
developmentally delayed. She also has been diagnosed with bipolar disorder. She is currently
unemployed but receives Social Security Disability checks monthly. She lives with a roommate in a
project apartment complex in a run-down part of town.
Anne has visited Mary once and provided the following information as she hands the case to you. Mary
had a baby removed from her care when she was 19 years old. Mary cannot explain why this baby was
removed other than her house was dirty. She met the father of her current baby on the Internet and
states that she has not heard from him recently.
During Anne?s visit, Mary stated that she wanted to keep the baby. She asked many questions about
healthy eating and having a healthy pregnancy. Mary stated that she has visited the WIC office, received
WIC vouchers, and met with Mark who talked to her about what to eat. She asked for help to find a nice
apartment and to make other improvements so that she can keep this baby.
When Anne started to explore options and difficulties she might encounter in raising this child, she
stated that Mary became agitated and did not comprehend why her baby might be removed from her
other than ?They are against me!?
Christina, Mary?s social worker, was able to find the past court records indicating that her first baby was
removed due to neglect and living in an unsuitable environment. At that time, Mary was living with her
parents in another county. The records indicated that Mary did not show up to her court appointment
to appeal the decision, so the baby was permanently removed and has since been adopted.
NR443 Week 3 Case Study
11/10/15
LS
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Chamberlain College of Nursing
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