Health promotion and disease prevention of a Pregnant Woman

CASE STUDY

Genogram

Living condition: Three family members live together in a HDB 3-room flat.

Freya, aged 40, is at the polyclinic for prenatal check-up today.

She is currently 16 weeks pregnant, has a history of 1 spontaneous abortion at 12 weeks of gestation in 2014, and 1 normal vaginal delivery of a boy at 39 weeks of gestation in 2016.

You are the staff nurse attending to Freya.

Gravida: 3, Para: 1 (G3P1)

Expected Date of Delivery (EDD): 10th January 2022

Height: 163 cm

Weight before current pregnancy: 70kg

Current weight: 78kg

Blood Pressure: 120 /78 mmHg

Pain score: 2 / 10 for lower backache

Urine dipstick test results: to collect

Medical/surgical history: Inguinal herniorrhaphy in 2018

Family history: Freya’s father has Type 2 Diabetes Mellitus

Freya shares with you that she worries about:

• the growing fetus and pregnancy complications.
• antenatal screening and cost.
• the arrival of her newborn as her parents and parents-in-law are residing overseas and unable to support her due to the COVID-19 pandemic travel restrictions.

Your assessment/conversation with Freya shows:

• she is inactive and stays in her bed most of the time.
• she has craving for sugary treats and desserts.
• she drinks 2 cans of Coke, 2 cups of bubble milk tea and 2 cups of coffee a day to beat tiredness.
• she dislikes and often skips her multi-vitamin pills prescribed by doctor as she wants to avoid the side effects.

Your assessment/conversation about her husband, Fabian reveals:

• he has been working the graveyard shift for 10 to 12 hours a day for 6 months.
• he works long hours, lacks exercise, and eats unhealthy late-night meals.
• he is stressed and fatigued from the prolonged working hours and finds it hard to make ends meet.
• he smokes at home often and smokes about 25 cigarettes per day to stay alert and relieve stress.

Your assessment/conversation about her 5 years old son, Felix shows:

• he dislikes fruits and vegetables and consumes fast-food three times a week or more.
• grows up watching television regularly.
• the family resorts to online videos and games to keep him occupied at home.
• sleeps about 7-8 hours a night.
• he misses school often due to asthma symptoms.
• has difficulty paying attention in school.

Freya is keen to adopt a healthier lifestyle for herself and her family but requires more information and guidance.

ICA Individual Assignment Framework

1. INTRODUCTION

1.1 [Health Issue]

• Clearly identify and state ONE actual / potential health issue from the case study to discuss.

1.2 [Clinical Significance]

• Discuss the background information about the identified health issue – state the clinical significance and the importance of health promotion for the identified health issue