Scenario B-Marie Malouf
Marie Malouf is a 45 year old woman and lives with her husband David and their four children
(three boys aged 15 12 & 9 and one 4 year old daughter). Maries elderly parents live three doors
down the road from her. Marie and her family migrated to Australia from Lebanon 10 years ago.
Maries primary role has been caring for her family and her parents over the past 10 years. She has
supported her husband in his business activities for many years. Marie enjoys cooking and spending
time with her friends from the soccer club which she has not done for some time as she has felt that
she has not had time since her husband became unwell. David Malouf her husband has recently
undergone treatment for bowel cancer and he is recovering at home following bowel surgery. Marie
has found the past few months very stressful.
Marie has today made an appointment to see her local GP to talk about her problems sleeping. Marie
reports that over the past 4-6 weeks her sleeping problem is getting worse. I cant get to sleep and
when I do I wake up at 4 am I cannot get back to sleep She reports she has lost weight in the past
few weeks but states I have not felt like eating no enjoyment any more I cook for the family. Marie
states I feels tired all the time and have no energy and I feel down. Maries mother Miriam suffered
from depression many years ago when Marie was a teenager in Lebanon. Marie reports her mother
would often stay in bed all day for a few days at a time. Her GP asks her if she has had any thoughts
of suicide and Marie states no I would not do that never. I have the children. Her GP informs her he
believes she is suffering from depression and makes an appointment for her to see a psychologist
and gives her a script for antidepressant medications to start right away.
Answer the following questions:
1. Investigate and outline the prevalence/incidence of Depression or Postnatal Depression in Australia Your answer needs to cover:
hospitalisations gender age groups and specific risk groups.
2.UsingCURRENT literature (2009-2014) discuss TWO (2) factors that may have contributed to the development of Maries mental illnesses.
3. Using CURRENT literature (2009-2014) discuss TWO (2) ethico-legal issues related to your scenario.
4. Identify TWO (2) nursing/midwifery problems with evidence from the chosen scenario- Your risk identification should be focused on the next 1-5 days of
nursing/midwifery care for Marie.
5. For each nursing/midwifery problem you have identified in Question 4 outline and describe TWO (2) evidenced based nursing/midwifery interventions and rationales
should be focused on nursing/midwifery care for Marie over the next 1-5 days. Each intervention and rationale must be supported by CURRENT literature (2009-2014)
Important details about your assessment
This guided essay does not require a standard essay introduction or conclusion. The use of tables or column layouts to answer questions 4 and 5 is encouraged. You are
required to organise your answers in order of questions; by referring to the question
number in your answer.