Nursing Care Plan

This is a two-person family, with a single mother and a son, age ten. The mother ran away from home at age 15, met and married an alcoholic, and had two sons. She eventually divorced that husband because of his alcoholism and abusiveness, but quickly became involved with a married man. She became pregnant with her son, but the man abandoned her and she has not been able to locate him since. Although she returned to her family in Michigan to have her third son, she ultimately returned to Oklahoma with him.

Ms. J. has no close relationships with family or friends. Although she has siblings, she has no contact with them. In addition, she has no contact with her older sons (ages 16 and 18), because her husband will not let her see them. She does not belong to any church or other community, although she favors the Baptists because they are good people and bring food baskets around at Christmas time. In other words, Ms. J. is extremely socially isolated which probably contributed to the long-term abuse in her first relationship and certainly contributes to her low self-esteem.

Ms. J. is one of the working poor and likely to remain that way for the near future unless she gets significant help in changing her status. She has only an eighth-grade education and no plans to pursue her GED. She makes the minimum wage cleaning other people's houses and receives some help from the social service system. S

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n terms of height and weight. He had had the usual childhood illnesses and had received all his vaccinations. He did not get into fights or have any tendency to sprains, breaks, injuries, or accidents. This seemed to indicate that he himself was not subject to abuse from Ms. J., since that would reveal a very different pattern. Ms. J. herself, however, had several physical problems, as could be anticipated from her lifestyle and from her work. She smoked cigarettes and had developed a cough from that in the morning. She said that she had tried to quit smoking, but not been successful. Much of her recreation is tied to the local cafe and local bar scene, which involves drinking, coffee, overeating of empty calories, insufficient nutrition, and alcohol consumption, although not at a high level according to Ms. J. She indicated that she was not an alcoholic, but that she was not self-righteous and felt that there was nothing wrong with drinking if the individual could hold their liquor and not become belligerent. In terms of her work, Ms. J. had the expected problems. In particular, she had tendonitis in her wrists and elbows, along with aching knees. She was worried about pain in one of her shoulders. She was also over

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