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JL Family Case Study

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The JL family is a family with young children. The adults are the caregivers to the young children. The addition of LD with prematurity needs, creates challenges for the JL and CD relationship. In addition, the relationship between CD and JL’s two older boys is very weak. JL stated she is unsure if CD is able to handle the additional responsibility of two older children who are quite energetic. CD is adjusting to his new job and shows stress discussing the “whistle blower” legal issue. CD relies on JL to show him how to cope and transition to parenthood. The loss of a friend’s infant in NICU created a sudden need for CD to become closer with JL and her boys. Upon hearing of the NICU infant death, JL began to grieve more openly, questioning the diagnosis of post-traumatic stress disorder for herself, and ponder her …show more content…

JL recalls questioning the provider at a local hospital facility about an otitis media diagnosis that did not meet LD’s symptomology. JL received support and health care advice from her work colleagues to see another provider. Two days later, LD returned to NICU for an additional three days to treat pneumonia. JL stated she learned to go with her instinct as a nurse and mother, with support from her work colleagues.
Functional Assessment The functional assessment refers to the routine activities of the JL family. Wright and Leahey (2013) divide the functioning into instrumental (routine) and expressive (communication) types of functioning.

Instrumental functioning. The daily routines of the JL family consist of the two older boys staying in their respective beds until 6:30 am. The time in the morning allows JL to tend to herself and LD as needed. LD remains in a bassinet in JL’s room. During the weekdays the two older boys go to daycare at 7:30am. The consistency of the daycare routine minimized the boy’s separation anxiety of not having JL with them for 12

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