Josie Case Study
The author of this report is asked to look at a case study relating to a young girl named Josie. The author is asked to answer to four particular high level questions and provide clear and concrete advice and solution to each of the four. Those four questions, in order, asked for risk factors, what should be done, what roadblocks will occur and the key legal/ethical considerations that will come up along the way.
As for the first question, that regarding the key advocacy issues and risk factors in play here, there are two in particular that scream out from this example of Josie. First, she is bi-racial and she is in a suburban school. It's not safe to assume, but it's fairly safe to say that a suburban school would be predominantly white and this would cause a massive amount of identity and bullying issues due to the way that children (and even adults) treat biracial children unfairly and otherwise differently. This is something that Josie is potentially very ill-equipped to deal with and handle and this should be addressed as a part of any remediation of her depression and the other factors that are affecting her (McWhirter, 2013).
The other major issue feeds the effects of and her inability to deal with the first, and that is the absence of her father in her life, at least directly. If her father plays little to no role in her life, that probably has a lot to do with why she is acting out and otherwise struggling. To have the best chance at thriving, the child needs two parents in her life even if they are not married or otherwise together. Just having both parents around, even if not married, is going to be better (most of the time) so long as the relationship is positive...
Josie's case represents the complexities of youth and family advocacy. Being biracial presents additional advocacy issues. Moreover, Josie has admitted to suicidal ideation. It is important to take into account the situational, environmental, and structural variables that are at the root of Josie's behavioral problems in school, focusing advocacy on not just the family but also the school and community. It is also important to recognize that Josie's behavioral problems
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QSEN Core Competencies: Application 1: The story of Josie King is sad and very compelling. It reminds us of the relevance of our role when it comes to the improvement of outcomes in a healthcare setting. Despite having healed well, and due to be released from the hospital in a few weeks’ time, Josie died of severe dehydration and central line infection. One of the QSEN competencies, patient-centered care, calls for the analysis
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