I need help with this case study case study Spiros is a 28 year old… I need help with thi

I need help with this case study case study Spiros is a 28 year old… I need help with this case study case study Spiros is a 28 year old man who resides with his wife Rose of 3 years and their 2 year old son George. Spiros was critically injured in a motor vehicle accident 6 months ago, and he has permanent paraplegia as a result of a traumatic spinal cord injury at his T6 level vertebrae. He had been hospitalized in intensive care for 5 weeks following his accident and was discharge to a rehabilitation hospital for an additional 6 weeks of therapy. He is now living in his home with his wife and is having a home care nurse twice weekly and occupational therapy visits once per week. George has been living with his maternal grandparents since the accident. Although Spiros’ parents are living close by independently, they are elderly and weak and cannot help Rose much with George’s care. When Spiros first returned home, he would not talk about the accident or his injuries. When Rose talked to him about this, Spiros told her he did not want to get well. He told her “she would be better without him.” Rose and Spiros admit they are in financial difficulty. One year ago they bought their home in the Danforth area of Toronto with the intention of fixing it up and reselling it as an investment. Now however, the home needs renovating to accommodate Spiros’ wheelchair and it has been difficult for them to afford the home renovations. Before the accident, Spiros worked as a construction laborer and Rose worked in retail. Rose has taken a leave of absence from her job to be home with Spiros. Rose has said she would like to return to work because they need the money, but feels guilty by leaving Spiros alone at home. Rose wishes to bring their son home from the grandparents. Spiros says he feels he cannot be a “real father” to his son and is anxious about George returning home. He is also worried about his aging parents and wonders who will look after them now that he is disabled. Spiros and Rose both acknowledge that he has made considerable progress with his therapy since coming home and is becoming more independent with his ADLs and mobility. However, he says he doesn’t want his son seeing him “crippled like this” and doesn’t know what he can do to help care for him. Rose has been trying to encourage Spiros to talk about his feelings and says that she wants him to believe that she and their son need him, regardless of his injury. She has been urging Spiros to go with her to their local Greek Orthodox Church where they had been married. Using the data from the case study, discuss and analyze* the following:the family’s perceptions of the chronic illnessthe impact of the illness/condition on the family’s structure, developmental tasks, environmental conditions, and strengthsthe influence of the family on the illness/conditionthe intrafamilial, interfamilial and extrafamilial resources the family is currently using *Support your analysis of this family’s experience(s) using your textbooks and relevant nursing literature about families and chronic illness. (You must use your Potter and Perry textbook, the RNAO (2006) Best Practice Guideline “Supporting and strengthening families through expected and unexpected life events” (http://www.rnao.org/Page.asp?PageID=924&ContentID=819) and a minimum of two professional nursing journal references). Discussion/Analysis includes:CriteriaBelow requirements (1 mark)Average (2 marks)Very good (3 marks)Excellent (4 marks)MarksExplain the Impact of the illness on the family include discussion of:*Family structure*DevelopmentalTasks of eachmember*Environmentalconditions*Strengths of thefamilyDescribed in vague terms. Brief.Very few or weak examples; failure to provide depth to discussion of unique challenges associated with specific illness.Quotes/references “plopped in” – not integrated into sentences in meaningful way  Described in general terms but may be incomplete with some content missing or lacks clarity.Some beginning level discussion of unique challenges associated with living with a chronic illness.Evidence used to support some points; quotes poorly integrated into sentences or do not relate well to discussion Described in specific terms using multiple examples.Clearly showing unique challenges of this specific illness for individual and family.Evidence used to support most points; quotes well integrated using relevant examples for support.Described comprehensively, posing new ways to view concepts using multiple examples.Discussion of ideas extends beyond literature.Evidence used to support all relevant points; excellent integration of quoted material into paper      /4Explain the Influence of the family on the illness/conditionDiscussed in vague, irrelevant or superficial terms. Brief.No evidence of understanding how family can influence illnessQuotes/references “plopped in” – not integrated into sentences in meaningful way Described in general terms but may be incomplete with some content or lacks clarity.Evidence used to support some points; quotes poorly integrated into sentences or do not relate well to discussion  Described in specific terms, using some examplesEvidence used to support most points; quotes well integrated using relevant examples for support Described comprehensively, posing new ways to view concepts using multiple examples.Discussion of ideas extends beyond literature.Evidence used to support all relevant points; excellent integration of quoted material into paper     /4Explain One significant determinant of health that is influencing the family.Identified as positive or negative influence and why.None identified or incorrectly identified determinant, not supported by case study data. No explanation of positive or negative influence Identified one determinant but the significance is supported weakly by case study dataminimal explanation of positive or negative influence Identified one determinant; significance is strongly supported by relevant case study dataGood explanation of positive or negative influenceIdentified one determinant, significance is clearly explained and well defined; strongly supported by relevant data from case studyGreat explanation of positive or negative influence   /4Explain and describe what resources and supports are currently used, specifically:IntrafamilialInterfamilialExtrafamilial None identified or incorrectly identified without supporting case study data  Identified but may be incomplete or inaccurate with categorizing resources or supports Identified, mostly complete, with appropriate categorizing of resources or supports Defined, identified, complete and accurate data with appropriate categorizing of resources or supports     /4  Health Science Science Nursing ABA 224497 Share QuestionEmailCopy link Comments (0)

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