- Discuss three external factors that affect Bridget and herfamily.
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Case Study Bridget Farmer is 37 years old and identifies as an Aboriginal woman. She has four children aged 14,12, 8 and 1 year old. Her partner, Thomas, 37 years old, works as a fly in/fly out miner in WA. He is away for six weeks at a time, and then has two weeks at home each block. The family lives in a small country town, one hour away from the closest regional town. Bridget does not have any immediate family nearby. They initially moved there for Thomas work and bought a home with a mortgage, however the mine nearby closed and so Thomas had to take the interstate job. Bridget can only work on a casual basis because she has to care for the children when Thomas is away. It has been a quiet time at her work, so she has only been getting one day a week. Money is tight, so Bridget and Thomas budget carefully. Recently while Thomas was away at work in WA, their 1 year old child was hospitalised with croup. He had to be transferred to the regional hospital an hour away, which meant Bridget had to take all the children with her. Unfortunately, there was no hospital accommodation for families, so during the day, the children spent the time on the ward with her. At night time, Bridget had to stay on the ward with the baby, as he would scream whenever she left his bedside. The children slept in the car, as Bridget couldn’t find affordable accommodation and didn’t know what else to do. Staff notified the Department of Community Services (DOCS) and now Bridget feels like she’s a criminal. She feels that they have discriminated against her because she is Aboriginal, and no one came to talk to her about what was happening. She feels helpless and frightened that they may take her children away from her. Bridget has returned home and has come to see you at the medical centre. She is feeling stressed and anxious, the baby is still recovering and not quite back to normal, very clingy and requiring her constant attention. The other children are back at school, but she feels bad that they had to miss almost a week of school and thinks that might give DOCS more reason to take them away. She tells you she has always been a good mother and would never have done anything like this but she did not know what else to do. Staff at the hospital were too busy to take time with her and she is angry they did not come to her to ask what was happening. Since returning home she has not been able to work because the baby has been so unwell, and she is worried about paying the bills. Part 2: Short answer questions Using the Social Determinants of Health of assessment tool (see Figure 1 below) and the Wellness Model of care from the online module and Tabbosc’s Nursing Care, answer the following questions. Your answers should each be a minimum of 20 words but no longer than 150 words. healthy child development biology.genetic characteristics social support networks gender culture education, litearcy Social determinants of health health services, resources employment and working history health practices,caping skills social enviroments physical environments Figure 1: The SDH Assessment Circle (McMurray and Slender 2015 pp 55)
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