Name:Date:Course Subject:Problem Based LearningCASE NO.1Overview:This case requires knowledge of burns, child abuse, as well as an understanding of the client’sbackground, personal situation, and mother-child attachment relationship.Client Profile Kyla is an 8-month-old infant who lives with her mother, grandmother, and greatgrandmother in Cincinnati, Ohio. Her mother, Sierra, is a 16-year-old who stopped going toschool after she became pregnant by her on-again, off-again 18-year-old boyfriend, Kyle, whovisits Sierra but shows no interest in Kyla. He frequently becomes annoyed and leaves when Kylaneeds to be fed or have her diapers changed. Sierra’s father was very abusive to both Sierra andher mother as Sierra was growing up. He died 6 months ago because of a knife wound thatoccurred during a fight at a local tavern. He and Sierra’s mother lived together with their fivechildren and when he worked, he worked for a minimum wage that barely fed his family. Kyla’saunts and uncles (Sierra’s three sisters and one brother) keep in contact with their mother andsister but are busy with their own lives and families. Although Sierra participates in Kyla’s care,her mother is the stable caregiver when she is not working. The relationship between Sierra andher mother has been strained since Sierra became pregnant and frequently the two engage inheated arguments over the increased financial stress related to Kyla’s needs and Sierra’s refusalto seek employment. Sierra’s grandmother is in poor health and requires frequent visits to theemergency room because of unstable angina.Case StudyAt 2135 hours, Kyla is brought wrapped in a bath towel by her grandmother to the emergencydepartment at the local hospital. The admitting nurse observes that Kyla is crying vigorously andis unable to be consoled. She is in no apparent respiratory distress. According to thegrandmother, Kyle came over to see Sierra while Kyla’s grandmother was out at the grocery
