Nursing Case Report Examples

Goal 1: Lizzie will improve her emotional and behavioral regulation.

• Lizzie’s mother was not in a good mood; however, Lizzie appeared to be in a good mood.
• Lizzie’s mother showed the QP the back window in her car shattering and she doesn’t know why; therefore, she must pay $315 to get it fix.
• Lizzie and her mother listened as the QP shared the purpose and benefits to receive negative consequences.
• Lizzie commented, “mama fusses at me for yelling, not cleaning up my stuff, fighting with my brother, and breaking things.”
• Lizzie’s mother stated, “I make Lizzie go to her room, do time-out, and take her tablet away.”
• Lizzie’s mother shared, “I try to stay calm, but I do not always remain calm.”
• Lizzie’s mother reflected on skills
• Lizzie’s mother became very upset and made Lizzie apologize; however, Lizzie’s mother did not provide any consequences.
• Lizzie’s mother reflected on how confront Lizzie’s negative behaviors by describing the behavior she observes, asked for her version of what happened, asked what Lizzie child could have done differently, correct the behavior and ask Lizzie to make amends then ask Lizzie to practice the correct behavior and lastly expressed love.
• Lizzie’s mother reflected on how to use positive practice by naming the skill and how it will benefit your child, explain the steps of the skill, asking Lizzie to repeat the steps then praciting the skill during role-play and provide feedback and praise.
• Lizzie’s mother acknowledged, “I try to ignore Lizzie rages and when she screams I send her to room because her screaming lastly 1-2 hours.”
• Lizzie’s mother focused on how she should handle Lizzie rages by staying calm, sharing she understands Lizzie’s feeling, try not to reason with her while she is upset and agree to discuss the situation when she calms down and a give a consequence