Janine: A Case Study

Janine, is a 19-year-old single mother of Andrew a 4-month-old baby. Andrew was born at 37 weeks gestation and was admitted into the neonatal intensive care unit for four days due to mild respiratory distress and poor feedings. Today the Janine came into the clinic for Andrews well child checkup and is concerned about his feedings. Andrew was diagnosed with gastroesophageal reflux and is currently taking omeprazole daily. Andrew is able to raise his head at 45 degrees when prone, his weight is at the 10th percentile for his age. Andrew is being taken care of by Janine’s two roommates while she is working full time as a waitress. The father is not in the picture but, Janine’s parents offer help which she does not want.
Preterm infant incorporates
I think that they can benefit from several community resources mainly online due to the fact that Janine works full time and also need to care for her child. Online resources can help Janine cope with her situation, being a young single parent, taking care of an infant who has feeding problems due to his gastroesophageal reflux. Janine needs to know how to properly end efficiently take care of her child without getting overwhelmed because premature infants can require extra care not just in the hospital setting but at home as well. These resources can help Janine cope, learn and educate herself on what is best for her son Andrew. My nursing diagnosis is Impaired parenting Related to: illness of the infant (gastroesophageal reflux), knowledge deficit, lack of support systems, poor parental guidance or role model, Social and economic factor, stressors. As evidenced by; Infants poor health, inadequate bonding behavior Janine works full time while others take care of her child, unsafe home environment, single parenting not accepting her parent help, and low education level. Goal; The patient will demonstrate appropriate parenting skills and will identify and utilize available support services
Graham’s Foundation delivers support, advocacy and research to improve outcomes for preemies and their families. They include many recources but the main once that can help Janine are; a books about preemies, information about parenting preemies, research & advocacy, support for common preemie challenges. The books they offer can give Janine a clear idea on how to correctly manage a prtem baby with evidence based data and can give her a sence of control because she would have the knowledge properly care for a child. The support they offer for common preemie challanges includes overcoming infant feeding challanges. This group is just for parents of preemies having difficulty with eating who want support from other moms and dads, as well as experts, from birth to 2 years. The advantages for this resource is its availability online and also its events all over the country. Which make it easy for Janine to join this group and educate herself about premature babies, get evidenced based data about her child’s gastroesophageal reflux and difficulty with eating, she can also get support and realize that many parents go through what she is going through and that she is not alone these parents can help her cope. The availability also helps with her schedule because she can gain access at any time and at any place. The