Child Case Study Case Studies

1. Presenting problems:

Mrs. Ling was the principal client. She has one daughter and one son. According to Mrs Ling, the marital relationship is good, but has a very bad relatertionship with her daughter, Wing Sum. Mrs Ling always quarrels with Wing Sum about the poor academic result. Wing Sum became rebel, and always plays hooky and runs away from home.

The presending problems: Mrs. Ling becomes anxiety and sleeplessness due to Wing Sum’s rebellious behaviours. Instead of conversation, Wing Sum always runs away from home when she has conflicts with family. Once, Mrs Ling quarreled with Wing Sum, and Wing Sum ran away from home for five days. In these five days, Mrs Ling appeared tense, fatigue and exhausted. And she complained of sleeplessness at night because she was worried about Wing Sum and waiting her come back home.

Another presending problems were Wing Sum’s suicidal behaviour at home. Mrs. Ling complained about Wing Sum being harmful to herself, always slash her wrists when she has depressive emotion or feel stressful. In form two, Wing Sum was strongly urged to drop out due to poor academic result. It was causing quarrel with parents again, and she attempted suicide by jumping from building.

2. Selection of appropriate facts of the case:

Genogram:

Family background:

According to Mrs Ling, the marital relationship is good. Both of them are very responsible in caring and supporting the family. The family seemed quite well of, they have well financial condition and living environment. Mrs Ling is a housewife and Mr Ling handed over enough to support them.

Mrs Ling have high self-expectation on herself, which is also on her daughter, Wing Sum. She has high level of tense and expectation on Wing Sum’s academic resul...

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...ving deep assessment of the Ling’s family case, I found that the underlying cause of family problems are very complicated, which include the individual and family needs. But it still can divide into two main problem, they are communication pattern and parenting style. Both of them are affect so much on family relationship and the development of children. Being a mental health nursing, I believe that it is not difficult to meet some cases like Ling’s family. This case help me understand family more and the root reasons of family conflict, which also help me to understand client, and preform comprehensive assessment and intervention. Also, communication skills are also important for nursing as we having to coordinate with health care team, patient and their family. Having a well understand of communication pattern could be useful for us to aviod nurse-patient conflict.