RT Book, Section
A1 Schoon, Patricia M.
A1 Martin, Karen S.
A1 Krumwiede, Kelly
A1 Kleinfehn-Wald, Noreen
A2 Schoon, Patricia M.
A2 Porta, Carolyn M.
A2 Schaffer, Marjorie A.
SR Print(0)
ID 1189289553
T1 COMPETENCY #1 Applies the Public Health Nursing Process to Communities, Systems, Individuals, and Families
T2 Population-Based Public Health Clinical Manual: The Henry Street Model for Nurses, 3e
YR 2019
FD 2019
PB Sigma Theta Tau International
PP New York, NY
SN 9781945157752
LK apn.mhmedical.com/content.aspx?aid=1189289553
RD 2024/12/11
AB Kristi  is  listening  to  Beth,  her  public  health  nurse  (PHN)  preceptor,  tell  her  about  the  client  they  are  about  to  visit  for  the  first  time.  The  local  public  health  agency  received  a  maternal  child  health  visit  referral  from  a  local  OB/GYN  for  a  16-year-old,  20-weeks-gestation  primipara.  The  client,  Sara,  has  been  diagnosed  with  anemia  and  is  underweight  with  poor  weight  gain.  Sara  is  single  and  living  with  her  mother,  mother's  boyfriend,  and  two  younger  siblings.  Sara  and  her  family  are  uncomfortable  with  the  idea  of  a  public  health  nurse  who  works  for  the  government  visiting  them  in  their  home.Beth  says,  “Well,  I  think  the  first  thing  we  do  is  go  and  visit  them.  We  need  to  get  them  to  trust  us  if  we  are  to  help  them.”Kristi  responds,  “I  have  never  visited  a  pregnant  teenager  or  her  family  in  their  home.  I  don't  think  I  will  feel  comfortable.  Will  the  family  be  okay  with  me  there?”Beth  responds,  “I  asked  Sara's  mother  if  you  could  covisit  with  me  and  she  was  okay  with  that.  We  will  ask  Sara  and  her  mother  what  their  health  concerns  and  goals  are  and  talk  with  them  about  how  to  arrange  our  visits  and  what  we  can  do  to  help  Sara.  We  will  open  a  case  file  on  Sara  and  begin  to  do  a  family  assessment.  You  can  observe  and  listen  on  this  visit  and  take  a  more  active  part  in  future  visits.”Kristi  says,  “That  sounds  good  to  me!”As  they  walk  to  Beth's  car  she  mentions,  “We  can  start  to  do  a  windshield  survey  on  our  way  to  Sara's  home  as  part  of  the  community  assessment  that  you  and  your  student  work  group  are  going  to  do  of  the  local  community.”Kristi  responds,  “Great.  I  just  happen  to  have  my  camera  with  me.”