NHW 2012 Assignment Case Study 1 Unit: Nursing for Health and Wellbeing 400745 School of Nursing and Midwifery NHW 2012 Assignment case study Name: Jake Anderson DOB: 5th May 2008 Address: 66 Longbow St Blacktown You are working in a community centre and received a referral letter from one of the local General Practitioners about a young child he has seen. According to the letter, Jake who is nearly 4, has had extensive consultations with Paediatric specialists as his mother is concerned about his development. No reasons have been found to explain his situation. The doctor asks that you make a plan of care to provide the mother with strategies to help his development. Jake’s mother, Sally has come to the centre to speak with you about Jake. Sally states that Jake is her only child and she has no siblings or friends with children. Sally has just moved into a house, from a small unit. She is worried about Jake getting hurt so she has him sitting with her most of the day. She admits that she doesn’t know what she should be doing but when Jake recently started preschool, it was obvious that he wasn’t doing things other children of his age were doing. On examination you find: Jake is 95 cm tall and Weighs 13 Kg. Jake is shy and does not make eye contact. He sits very close to his mother. His mother informs you that the preschool teachers have voiced concerns to her that Jake rarely interacts with other children preferring to play on his own or parallel to them. They are also concerned about his diet as he often refuses to eat his lunch. When you ask Jake about what he likes to eat, he says “McDonald’s”. On further questioning, you find he generally has cereal for breakfast and Sally states they eat a lot of take away food as she gets frustrated when she cooks a meal and he will not eat it. She knows he’ll eat the take away food. Even then he doesn’t eat much. His speech is limited to short phrases to get what he wants. For example when he wanted to play with a particular…