Sonia is a 37-year-old female of Indian descent, and a new mother… Sonia is a 37-year-old

Sonia is a 37-year-old female of Indian descent, and a new mother… Sonia is a 37-year-old female of Indian descent, and a new mother to Anaya a 8 week old baby. Sonia who has been referred to the perinatal wellbeing team for a mental health after a review from her GP due to concerns for her sleep and mood. When you meet Sonia, you notice she is slightly unkempt in her appearance, observing creased clothes with stains and hair is greasy and pulled back in a ponytail. She is slight in build, appears slight older than her stated age and is observed to be fidgeting with her nails throughout the interview. Sonia appears tired and has dark rings under her eyes, she has intermittent eye contact throughout the interview. She reports that her mood is ‘great’ however on observation Sonia has limited facial reactivity or expression. Sonia is brief in her responses during conversation and is soft in speech. During your assessment, you notice that she is not responding to her baby when she cries out, and only stares at her. Despite this, Anaya looks well cared for. Sonia reports trying for several years for a baby and using IVF to conceive Anaya. Sonia reported a challenging pregnancy experiencing hyperemesis for a significant portion and some trauma in the birth as it did not go according to the birth plan – Anaya required medical intervention after she was delivered, and Sonia found it difficult to bond with her. Anaya had difficulty breast feeding and therefore bottle feeds and Sonia feels Anaya is awake all night. Sonia reports poor sleep herself, averaging 2 hours a night. Sonia mentions that she feels overwhelmed by the responsibility of caring for an infant and does not have a lot of energy. Sonia’s husband works long hours and often comes home late into the night due to the demands of his job. He expects that because Sonia is home all day the house to be clean and tidy, and when it is not conflict arises between the two. Sonia was expecting her parents to help with the newborn however due to the Covid19 pandemic her parents have not been able to travel from their home in India to help support Sonia. As a result, Sonia rarely leaves the house. Sonia feels guilty about not working and leaving the financial responsibilities to her husband. She enjoyed her job as research assistant and misses her colleagues and the work. Sonia becomes teary when she discloses to you how she feels she failed at giving birth and breastfeeding her baby, that she is a terrible mother and wife. She loves her daughter and worries about her all the time, but at the same time resents her for causing so much change. She feels guilty that she has not bonded with Sarah the way a ‘normal’ person would with their child Please follow the steps outlined below to answer this assignment question. PART 1: Holistic assessment and planning: () Part 1 does not always require full paragraphs. Use appropriate templates/tables to set out the Mental Status Examination (MSE) and Clinical formulation-5Ps. No introduction or conclusion required. The opening sentence must clearly state your chosen case study Plan for Nursing Care • Identify two (2) priority nursing interventions(non-pharmacological) for the person and briefly justify why each is a priority, drawing from peer reviewed evidence. • Identify one long-term intervention that may be indicated for this person’s long term goals. Justify selection by drawing on peer reviewed evidence. • Convert your two nursing interventions into a SMART goal framework. ** NOTE: In part two you will be explaining how you would develop and use a therapeutic relationship with this person, and how cultural safety and the Australian recovery model influenced your nursing care and choice of interventions. Health Science Science Nursing NSB 204 Share QuestionEmailCopy link Comments (0)

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