Genevieve (Genny) Osaka
Genevieve (Genny) Osaka, 14-month-old infant. When she was 4-months old, she was in a
motor vehicle accident while unrestrained leading to a C-4 spinal fracture and spinal cord injury.
Genny lives with her mother who is a single parent and is an expert in her care. Genny has been
relatively healthy since the accident. Genny has a tracheostomy and is on mechanical ventilation.
She has a jejunostomy tube for feedings and medications, is on an intermittent urinary
catheterization program, and receives suppositories to ensure regular bowel movements. Genny
makes eye contact. She is delayed in her speech and has no movement or sensation below the
level of her injury. Genny’s mother is eager to return to work since the accident and has found a
childcare facility that provides care to children requiring highly skilled care. Genny’s mother
plans to look for a job once Genny is settled into the new childcare. The mother and community
health nurse provide training about Genny’s individual care to the staff at the childcare center.
Genny is prone to orthostatic intolerance and temperature instability. Genny receives
multivitamins and lansoprazole. Genny has increased weight in the last few months so Genny is
to have a nutrition consult to adjust caloric intake of her enteral feedings. Genny has an oral
feeding aversion and refuses to take oral foods or fluids. Genny’s mother expresses concern over
the cost of the childcare center in addition to all of the other healthcare expenses. Genny’s
mother should make an adequate salary when she finds a job as a computer software designer,
but she is concerned about insurance capitation and is interested in learning about public
supports and resources.
Your
Category response Explanation
Community Normal There is no indication that this is a concern in this case.
Assessment acuity
Culture/Beliefs/ Normal There is no indication that this is a concern in this case.
Spirituality acuity
Disease/Illness Increased The client’s care includes measures to prevent illness at all
Prevention acuity levels of prevention.
Education/ Increased The client’s childcare center requires education. The client’s
Counseling acuity mother may require support and counseling as she returns to
work
Health Promotion Increased The client will benefit from health promotion activities of
acuity childhood in addition to specialized care.
Resource Increased The client’s mother and the client may benefit from additional
Identification acuity financial supports and resources.
Risk Reduction Normal The client is not engaging in risk behaviors
acuity
Self-Management Increased The mother provides for client self-management. Childcare
acuity workers need to learn to assist the family and client in self-
management.
Social Determinants Increased The client and family are vulnerable to social aspects of their
of Health acuity environment, including access to care, finances, access to
resources, etc.
Surveillance Normal There is no indication that this is a concern in this case.
acuity
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, Scenario 1
Genny’s mother is a single parent and shares her financial concerns with the community health
nurse. Genny’s mother expresses that her inability to work since Genny’s accident has depleted
her economic resources. The community health nurse praises Genny’s mother for the care she
provides to her daughter and teaches Genny’s mother about potential financial supports for
which the family may be eligible until Genny’s other secures and start a job. Which resources
would be appropriate for Genny and her mother?
Statu
s Label Explanation
Y Women Infants This is correct. Women, Infants, and Children (WIC)
and Children. provides food for children under 5 years of age and for
breastfeeding women. Enteral formula and nutrition
counseling and provisions for caregivers are also
provided. Services are based on financial need.
Y Temporary This is correct. TANF provides emergency funding for
Assistance for needy families. Genny’s mother may or may not be
Needy Families. eligible, but this may be explored prior to the mothers
return to work.
N Medicare. This is not correct. Medicare is health care insurance
provided for elder adult populations and selected
chronic diseases.
Y Social Security. This is correct. Social Security provides financial
support for children with disabilities (SSDI).
Y Children’s This is correct. These state-funded children’s health
Health insurance programs (SCHIP) provide low-cost health
Insurance insurance for children.
Program.
Y Medicaid. This is correct. Medicaid provides health insurance for
low-income individuals and those with significant
disabilities. It is paid with state and federal funds.
Scenario 2
One education area the nurse wants to share with the childcare workers is the unique needs of a
child with a spinal cord injury when they have an elevated temperature. If Genny is found to
have a fever, in addition to calling the mother, and potentially the healthcare provider, the
community health nurse instructs the childcare workers about appropriate interventions. Which
actions would be included in this teaching?
This study source was downloaded by 100000890439723 from CourseHero.com on 02-19-2025 09:28:44 GMT -06:00
https://www.coursehero.com/file/127431973/Genevieve-Genny-osaka-Swift-riverdocx/
Genevieve (Genny) Osaka, 14-month-old infant. When she was 4-months old, she was in a
motor vehicle accident while unrestrained leading to a C-4 spinal fracture and spinal cord injury.
Genny lives with her mother who is a single parent and is an expert in her care. Genny has been
relatively healthy since the accident. Genny has a tracheostomy and is on mechanical ventilation.
She has a jejunostomy tube for feedings and medications, is on an intermittent urinary
catheterization program, and receives suppositories to ensure regular bowel movements. Genny
makes eye contact. She is delayed in her speech and has no movement or sensation below the
level of her injury. Genny’s mother is eager to return to work since the accident and has found a
childcare facility that provides care to children requiring highly skilled care. Genny’s mother
plans to look for a job once Genny is settled into the new childcare. The mother and community
health nurse provide training about Genny’s individual care to the staff at the childcare center.
Genny is prone to orthostatic intolerance and temperature instability. Genny receives
multivitamins and lansoprazole. Genny has increased weight in the last few months so Genny is
to have a nutrition consult to adjust caloric intake of her enteral feedings. Genny has an oral
feeding aversion and refuses to take oral foods or fluids. Genny’s mother expresses concern over
the cost of the childcare center in addition to all of the other healthcare expenses. Genny’s
mother should make an adequate salary when she finds a job as a computer software designer,
but she is concerned about insurance capitation and is interested in learning about public
supports and resources.
Your
Category response Explanation
Community Normal There is no indication that this is a concern in this case.
Assessment acuity
Culture/Beliefs/ Normal There is no indication that this is a concern in this case.
Spirituality acuity
Disease/Illness Increased The client’s care includes measures to prevent illness at all
Prevention acuity levels of prevention.
Education/ Increased The client’s childcare center requires education. The client’s
Counseling acuity mother may require support and counseling as she returns to
work
Health Promotion Increased The client will benefit from health promotion activities of
acuity childhood in addition to specialized care.
Resource Increased The client’s mother and the client may benefit from additional
Identification acuity financial supports and resources.
Risk Reduction Normal The client is not engaging in risk behaviors
acuity
Self-Management Increased The mother provides for client self-management. Childcare
acuity workers need to learn to assist the family and client in self-
management.
Social Determinants Increased The client and family are vulnerable to social aspects of their
of Health acuity environment, including access to care, finances, access to
resources, etc.
Surveillance Normal There is no indication that this is a concern in this case.
acuity
This study source was downloaded by 100000890439723 from CourseHero.com on 02-19-2025 09:28:44 GMT -06:00
https://www.coursehero.com/file/127431973/Genevieve-Genny-osaka-Swift-riverdocx/
, Scenario 1
Genny’s mother is a single parent and shares her financial concerns with the community health
nurse. Genny’s mother expresses that her inability to work since Genny’s accident has depleted
her economic resources. The community health nurse praises Genny’s mother for the care she
provides to her daughter and teaches Genny’s mother about potential financial supports for
which the family may be eligible until Genny’s other secures and start a job. Which resources
would be appropriate for Genny and her mother?
Statu
s Label Explanation
Y Women Infants This is correct. Women, Infants, and Children (WIC)
and Children. provides food for children under 5 years of age and for
breastfeeding women. Enteral formula and nutrition
counseling and provisions for caregivers are also
provided. Services are based on financial need.
Y Temporary This is correct. TANF provides emergency funding for
Assistance for needy families. Genny’s mother may or may not be
Needy Families. eligible, but this may be explored prior to the mothers
return to work.
N Medicare. This is not correct. Medicare is health care insurance
provided for elder adult populations and selected
chronic diseases.
Y Social Security. This is correct. Social Security provides financial
support for children with disabilities (SSDI).
Y Children’s This is correct. These state-funded children’s health
Health insurance programs (SCHIP) provide low-cost health
Insurance insurance for children.
Program.
Y Medicaid. This is correct. Medicaid provides health insurance for
low-income individuals and those with significant
disabilities. It is paid with state and federal funds.
Scenario 2
One education area the nurse wants to share with the childcare workers is the unique needs of a
child with a spinal cord injury when they have an elevated temperature. If Genny is found to
have a fever, in addition to calling the mother, and potentially the healthcare provider, the
community health nurse instructs the childcare workers about appropriate interventions. Which
actions would be included in this teaching?
This study source was downloaded by 100000890439723 from CourseHero.com on 02-19-2025 09:28:44 GMT -06:00
https://www.coursehero.com/file/127431973/Genevieve-Genny-osaka-Swift-riverdocx/
