Discuss several risk factors that may impact health outcomes for the vulnerable population in your case study.


Chamberlain College of Nursing NR443/435/436: Week 3 Case Study

Week 3 Case Study: Maternal Child and Mental Health

This case study provides you with an opportunity to immerse yourself in the role of a community health nurse and explore the resources in your community. As you work through the case, reflect on what you have learned about community health nursing in this course and how you can apply it to this case.

Your Role

You are working as a community health nurse in your local health department. One of your roles with the health department is to case manage pregnant women who receive Medicaid. You work with an interdisciplinary team both within and outside the agency.

Team Members

· Anne is a fellow nurse with the health department. She is going on medical leave and has asked you to assume this case.

· Christina is a social worker with the health department.

· Tracey is a case worker from Child Protection Services (CPS).

· Mark is a dietician with the local Women, Infants, and Children (WIC) office.

Your Client

Mary is a developmentally delayed 23-year-old Hispanic female in her first trimester of pregnancy. She has been diagnosed with bipolar disorder. She is currently unemployed but receives monthly Social Security disability checks and health coverage through Medicaid. She lives with a roommate in a project apartment complex in a run-down part of town.

Anne visited Mary once and provided the following information as she hands the case to you. Mary had a baby removed from her care when she was 19 years old. Mary cannot explain why this baby was removed other than that her house was dirty. She met the father of her current baby on the Internet and states that she has not heard from him recently.

During Anne’s visit, Mary stated that she wants to keep the baby. She asked many questions about healthy eating and having a healthy pregnancy. Mary stated that she visited the WIC office, received WIC vouchers, and met with Mark who talked to her about what to eat. She asked for help to find a nice apartment and make other lifestyle improvements so that she can keep this baby.

When Anne started to explore options and difficulties Mary might encounter in raising this child, Anne stated that Mary became agitated and did not comprehend why her baby might be removed from her care other than, “They are against me!”

Christina, Mary’s social worker, found that past court records indicated the first baby was removed due to neglect and unsuitable living conditions. At that time, Mary lived with her parents in another county. The records indicated that Mary failed to show up for her court hearing to appeal the decision, so the baby was permanently removed and has since been adopted.

According to Mary’s chart, Tracey from Child Protection Services has stated that CPS plans to place Mary’s newborn baby in foster care due to her cognitive impairment and past history.

Your Charge

As your first assignment, you are to identify resources in your community that could assist Mary during her pregnancy and help to optimize the health of her infant.

Next, please go into the Week 3 Discussion, and answer the prompts.

NR443/435/436 Week 3 Case Study 1/2018 LS MM 2