How to Answer Scenario Bridget Farmer Questions (Complete Guide)
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Original Question
Scenario: 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. Questions 1) Define – Holistic health models Contemporary nursing care can be understood through a holistic model of healthcare, where the interplay of physical, psychological and spiritual dimensions of an individual’s health is acknowledged and a broader reference to both traditional and non-traditional therapies is included. This model demonstrates respect for an individual’s healthcare beliefs; their right to participate in their healthcare planning and the need for collaboration between all carers in this planning ( Crisp et al 2017 ). Ideally, this holistic model of healthcare delivery creates an empowering environment that enables individuals to assume a greater control over culturally appropriate healthcare options. One of the earliest models was developed in the 1940s by Abraham Maslow. He proposed that a person’s motivations and behaviour are formed by attempting to meet their basic needs. Maslow defined basic human needs as physiological needs, safety and security, love and belongingness, self-esteem and self-actualisation ( Maslow 1970 ). Maslow’s ‘hierarchy of needs’ emphasises that some needs are more basic than others and that the more basic needs need to be met before consideration of higher needs. Maslow’s hierarchy has provided an important foundation for human services, including nursing, where it forms the basis of most nursing models. (Koutoukidis, G., Stainton, K., & Hughson, J. (2021). Tabbner’s Nursing Care: theory and practice (8th ed.). Elsevier Health Sciences, Chapter 7:) 2) How could you apply holistic health models to Bridget’s better understand care requirements, including social and emotional wellbeing, and her health beliefs and practices?
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