Skool Essay

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Case Study 02.qxd 3/30/06 3:36 PM C A S E Page 2-1 S T U D Y 2 : I n f a n t Adapted from Thomson Delmar Learning’s Case Study Series: Pediatrics, by Bonita E. Broyles, RN, BSN, MA, PhD. Copyright © 2006 Thomson Delmar Learning, Clifton Park, NY. All rights reserved. GENDER F AGE 8 months old SETTING ■ Hospital ETHNICITY ■ White American PSYCHOSOCIAL ■ ■ Single teenage mother Family history of abuse LEGAL ■ Mandatory reporting ETHICAL ■ Suspected abuse T H E I N T E G U M E N TA R Y S Y S T E M Overview: This case requires knowledge of burns, child abuse, as well as an understanding of the client’s background, personal situation, and mother-child attachment relationship. 2-1 Case Study 02.qxd 3/30/06 3:36 PM Page 2-2 2-2 Client Profile Kyla is an 8-month-old infant who lives with her mother, grandmother, and great grandmother in Cincinnati, Ohio. Her mother, Sierra, is a 16-year-old who stopped going to school after she became pregnant by her on-again, off-again 18-year-old boyfriend, Kyle, who visits Sierra but shows no interest in Kyla. He frequently becomes annoyed and leaves when Kyla needs to be fed or have her diapers changed. Sierra’s father was very abusive to both Sierra and her mother as Sierra was growing up. He died 6 months ago as a result of a knife wound that occurred during a fight at a local tavern. He and Sierra’s mother lived together with their five children and when he worked, he worked for a minimum wage that barely fed his family. Kyla’s aunts and uncles (Sierra’s three sisters and one brother) keep in contact with their mother and sister, but are busy with their own lives and families. Although Sierra participates in Kyla’s care, her mother is the stable caregiver when she is not working. The relationship between Sierra and her mother has been strained since Sierra became pregnant and frequently the two engage in
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