Health Care Assignment: Case Study Analysis of Indigenous Australian

Task: Case Study Emily is a teenage girl who identifies as being Aboriginal. She presented to the Fiona Stanley hospital with nausea and has been unwell on and off for a number weeks. She is accompanied by her nana, aunty, and older sister. The triage-nurses on duty examine Emily and after an overnight stay and extensive investigation the doctors conclude that Emily is 6 months pregnant, furthermore, she has gestational diabetes, which is likely the reason she has been feeling unwell. Emily is originally from the Pilbara town of ‘Dampier’ and came to live in Perth with her nana and aunty for schooling 6 months ago. She has not enjoyed the isolation of the city and having to catch public transport to get to school. On finding out that she is pregnant Emily wants to return to Dampier to be close to her mum. The hospital wants to keep Emily in for a week for observation, particular because she has not had any antenatal care. Emily is transferred to the King Edward adolescent clinic. Furthermore, as gestational diabetes can have serious consequences, Emily’s nana is concerned that if Emily returns home she might not get the care she needs from the Dampier hospital. During Emily’s stay in hospital she feels lonely and is scared to sleep at night because she has never been away from her family. Most of the nurses on the ward are friendly and some spend time talking to Emily when they come through her ward and offer her magazines to keep her entertained. Emily’s nana, aunty, and sister visit regularly and try to stay for as long as they can, when visiting hours finish one or two of Emily’s family members normally stay on, the nurses do not mind as Emily and her visitor(s) sit talking quietly or watch television. Emily’s mum and one of Emily’s uncles is in ‘town’ (an Aboriginal Australian English word for visiting the location you reside in) and accompanies nana, aunty, and sister to the hospital. A new nurse is on duty this day and instructs the family they are being too noisy, visitor’s hour is over, and they have to leave. The family instantly quieten down and ask if they can stay if they are quiet. The nurse refuses and says ‘no visitors hour is over and other patients need to rest’, no alternative is offered. Emily gets very upset by this and wants to leave with her mum. You are required to write a health care assignment identifying a number of concerns and ways to supporting the client and their family in this case study. You are required to concentrate on TWO of the Social Determinants of Health (SDH) One MUST be specific to Aboriginal and Torres Strait Islander peoples (see workshop 4) the other one can either be: another SDH specific to Aboriginal and Torres Strait Islander people OR one of the WHO 10 SDH

Subject Name: Health Care

Level: Undergraduate

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