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Project I

Case studies provide the opportunity to analyze problems and demonstrate your understanding of the concepts in our readings. This project is a collaborative, active learning activity. As you answer and discuss the case, remember to consider a variety of solutions and propose them. Remember, there is typically more than one way to solve a problem. Use your text or other credible, academic resource to support your thoughtful discussion of this case.

Case Study Discussion: This week’s project is based on the material in Chapter 9, Understanding Family Needs, Roles, and Responsibilities. Read the case study titled “Mrs. M” and answer the following questions in your initial post. Continue your participation in this case study discussion by posting throughout the week. You must post at least twice during this discussion, once with your initial post answering the questions and again with at least one response post. To begin discussing in this forum, click the forum title. Then, click Create Thread on the Action Bar to post your initial reply. To reply to a fellow participant, click the title of the initial post, then click Reply. Thank you.

Part I: Read the case “Mrs. M” CaseMrsM.docx CaseMrsM.docx – Alternative Formats

In your initial post, answer the following questions:

How might the relationship between Mr. and Mrs. M. be affected by this situation?

Should the parents tell their surviving child that he had a twin brother? Why or why not?

If you said yes, at what age would it be appropriate to do this?

What roles might the grandparents play in this situation?

What conflicts might result?

What services might be required?

Do you think this experience would bring the parents closer together or drive them apart? Support your answer.

Do you anticipate the parents would consider having another child? Why or why not?

CaseStudyGrading Rubric_1_.docx HSC3661Project1CaseStudyGrading Rubric_1_.docx – Alternative Formats ( See attached)

FYI

Chapters 9,

Chapter 9, Understanding Family Needs, Roles, and Responsibilities

By the end of this chapter, learners will be able to:

Demonstrate an understanding of family systems and how they have changed over time.

Recognize the demands placed on individuals caring for a family member or a loved one with an illness or disability.

Provide information about resources available to individuals caring for a family member.

Advocate for both clients and their family caregivers.

Recognize caregiver burden and provide information to family members to assist them in dealing with these issues.

Mrs. M. was 32 weeks into her pregnancy with twin boys when, during a routine prenatal
ultrasound examination, the physician noticed a significant abnormality affecting the heart of one
of the boys. Andrew, the twin with the abnormality, had appeared well up to this point; the other
twin still appeared quite healthy. After being presented with the
news, Mrs. M. was admitted to the hospital, and she and her husband had to decide what to do
next. Over the next several hours additional tests were performed and Andrew’s parents were
faced with the following decisions: (1) Deliver both twins via cesarean section in 3 days with the
hope that Andrew’s heart could be repaired before any additional damage was done or (2) treat
Andrew with medications to strengthen his heart while in utero and allow the pregnancy to
continue for a few more weeks. Either option was risky for the other twin due to the risks
associated with preterm birth and the risks associated with the medications that would need to be
administered to strengthen Andrew’s heart.
Later that night, Andrew’s parents decided the best course of action would be to have the boys
delivered the following week. Andrew was delivered first and immediately taken to the heart
catheterization lab. His brother was delivered a couple of minutes later and was allowed to
remain with his parents for a few minutes before being taken to the neonatal intensive care unit.
The day Andrew was born he spent 12 hours in the heart catheterization lab and undergoing
surgery before he was stable enough to be moved to a suite in the pediatric intensive care unit
(PICU). Andrew was placed on a ventilator and was kept alive by medications infused into his
body by several infusion pumps. Andrew’s heart and the blood vessels exiting the heart were
profoundly damaged. Mr. and Mrs. M. were again presented with many difficult choices.
Eventually, Andrew’s parents decided to have the vessels carrying blood from the heart repaired
to see if the heart could recover. Following another long day in surgery, Andrew returned to the
PICU where he was attached to even more machines than before.
Over the next 2 1/2 weeks Andrew’s condition remained the same: He was unable to live without
the support of several machines. The hospital staff was very supportive and caring. Once again
facing a tough decision, Andrew’s parents decided to remove Andrew from the life-sustaining
machines; Andrew died in his parents’ arms a few minutes later.
Andrew’s twin brother spent about 3 weeks in the hospital before going home with his parents.
He is currently a happy kindergartner.

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