Assignment task:
Sarah is 21 years old and has just started a job as a personal carer in an aged facility. She is saving to get a rental property and is currently living in her caravan park with her daughter Zara who is almost two. Sarah is very upset as she has just discovered she is four months pregnant with her second child. She was living in Adelaide until two months ago when her partner, Jason, insisted that they move to Sydney because he said he didn't like Sarah's parents and that they were interfering all the time. Sarah left Jason two weeks ago when he threatened to leave with Zara and make sure that Sarah never saw her daughter again. Sarah has not told Jason that she is having another baby. Sarah arrived at the antenatal clinic for her booking in appointment. She found the first birth difficult as Jason would not let her go to antenatal classes and she did not really understand what was happening to her when she commenced labour. She is now very scared of giving birth to another baby. The midwife, Louise, asks: Is there someone with you? Sarah shakes her head without answering the question verbally. Louise asks her how she is and Sarah turns her head away before answering that she has no-one to help her. Sarah becomes very tearful and says she is so ashamed that she has messed up her life and that she doesn't know how she will cope with another baby. When Louise continues the interview, she finds out that Sarah is very afraid of Jason knowing where she lives and that she cannot afford the rent at the caravan park. Sarah says that she may end up living in her car. Sarah is also concerned because she had many difficulties during her last pregnancy because she felt very nauseated and tired all the time. Sarah would love to talk to her mother but is so embarrassed about what has happened to her that she
1. What is Sara's primary concern? How has this affected their life and relationships with their family, friends and community?
2. What is Sara's stage in the lifespan? According to Erikson's Psychosocial Theory, what challenge is the person facing? And discuss how the person is navigating this challenge.
3. Discuss the facilitators and barriers that Sara may face as they navigate ways to resolve their concern.
4. How will the nurse or midwife assist Sara to find person centered solutions for the person's dilemma?