Brigance III Case Studies in Maternal and Child Health Nursing
Explore five case studies involving children with various developmental concerns, such as speech delay, regression in language skills, behavior issues, and more. Each case presents unique challenges for maternal and child health nurses to address and support the children and their families effectively.
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BRIGANCE III CASE STUDIES MATERNAL AND CHILD HEALTH NURSES
Brigance III case study 1 Charlie, 8 months PEDS path B r/t expressive speech 6 year old sister has autism 3 year old brother has speech delay Mother has hx anxiety and depression Mother feeling anxious about not missing early signs of developmental delay/autism 3 URTIs in recent months and treated with A/Bs for ear infection on one occasion
Brigance III case study 2 Zainab, 2 years 2 months At 2year KAS visit, PEDS path B She understands everything but doesn t always respond Used to have 10 words but has regressed to 2 or 3. This appeared to happen after baby sister was born Eats and sleeps well Is toilet trained in day Parents say she is happy and a good girl 2 languages at home, Mother Arabic, Father speaks English to Zainab Referred for hearing test and rebooked for Brigance Minimal engagement with MCH nurse on both occasions
Brigance III case study 3 Isaac, 2 year 3 months PEDS path B- expressive language Mother concerned, Father not concerned Lots of babble ~ 20 words in English and Farsi combined, single words only Mother says he loves music and dancing At home, Isaac loves to watch TV Mother socially isolated, Father takes older children to school. Mother and Isaac mostly stay at home
Brigance III case study 4 JB, 3 years 11 months PEDS path B Mother says she understands most of what he says but is worried about his pronunciation of words like yellow and rabbit No other concerns Chatty and confident child MCH nurse feels that he is a typically developing 3 year old but does Brigance with expectation of reassuring mother
Brigance III case study 5 Yusuf, 3 year 10 months PEDS path B ( doesn t talk much- single words mostly) and path C ( behave and sleep) Youngest of 4 boys. Mother says he is spoilt and lazy Mostly English mostly spoken at home Missed follow up appointment arranged after 2 year KAS for speech concerns Behaviour concerns +++ (fighting with brothers) Good eater, difficult to get to sleep, usually falls asleep on couch watching TV Mother says he will be OK once he gets to kindergarten
