As a Third year student nurse you are placed at Community B for Primary Health Care Re-engineering services.

As a Third year student nurse you are placed at Community B for Primary Health Care Re-engineering services.      During assessment, you came across Miss X a 16-year-old Grade 8 learner who reported that her peers are constantly mocking her for wearing old uniform including shoes. On physical examination, you noticed bruises all over her body due to negligence and abuse of her parents. She was expelled from school two weeks back due to bullying a fellow learner after being suspended numerous times for the same misconduct. Immediately after been suspended, her parents imposed stricter rules that restrict her for getting out of the yard without their permission.   Suddenly, she become ill and go to the clinic for consultation. The investigations revealed that she is pregnant and experiences difficulty in coping, the boyfriend left her immediately after expulsion, she does not have anyone to share her problems with and thinks of committing suicide.

 2.1  Apply the phases of crisis by utilizing Miss X's case scenario. (1x11=11)

  Discuss how you could have prevented bullying in Miss X's case scenario"

2. 1 Miss X’s case scenario analysed with reference to the Phases of Crisis

 1. Pre-Crisis Phase:

 Background Information:

 The lit to be schooled had been ridiculed by fellow students over old clothing, a uniform, and shoes.

 She was sent packing from school for involving herself in several cases of bullying her fellow students.

 To following her suspension her parents set up even stricter rules in the house.

 2. Crisis Phase:

 Trigger Event:

 A woman by the name Miss X finds out she is pregnant and she has severe emotional and psychological issues.

 Pregnancy and expulsion rendered her stranded out of support from her boyfriend hence leading to despair.

 Immediate Impact:

 She is struggling to manage the situation and she has even developed suicidal thoughts.

 She has no one to share her problems with and she is in a rather delicate condition.

 3. Crisis Resolution Phase:

 Intervention Strategies:

 Immediate Safety: Confirm self-harm risk of Miss X and offer initial psychological care to save her life.

 Counseling and Support: Refer Miss X to a mental health counselor in adolescents and crisis.

 Social Support: Coordinate the intake of social worker or case manager to help with her social and family circumstance along with source of support for teenage parents.

 Medical Care: Ensure she goes for proper antenatal care and any other illnesses or even emotional problems that may be experienced by her.

 4. Post-Crisis Phase:

 Long-Term Support:

 Continued Counseling: Treat Miss X with regard to persistent therapy to cover up trauma, mental health, and ways to adapt.

 Educational and Social Reintegration: Research for the possibilities of her returning back to school and attempt to find a school that will take her back for her education or other related learning institutions.

 Family and Community Support: Influence her family, to solve problems on abuse and neglect of children and help to take her to common community facilities for parenting and family counseling.

 How to Stop Bullying in Miss X Case Discipline

 1. Early Intervention and Awareness:

 Education Programs: Equip all the schools with the effective anti-bullying programs to help students, staff, and parents identify the effects of bullying practices, and how to curb the vice.

 Promoting Inclusivity: Realise a positive and safe years that requires tolerance and acceptance of all students and tackle issues concerning social class and how this affects students.

 2. Support Systems:

 Counseling Services: Help students that end up being bullied or abused by availing options for counseling support such that they can freely talk over their concerns.

 Peer Support Groups: Organise alumni groups so that children feel that they have others they can turn to when they are bullied or are experiencing emotional problems.

 3. Clear Policies and Reporting Mechanisms:Clear Policies and Reporting Mechanisms:

 Anti-Bullying Policies: Policies against bullying should be comprehensible and unambiguous, and students should be particularly instructed on how to report cases of bullying and the repercussions that the offenders are bound to face.

 Regular Monitoring: Have periodic checkups as regards the school surroundings so that action would be taken on any perceived problems that are associated with bullying.

 4. Family and Community Engagement:

 Parent Education: Parents should be educated on some of the signs that a child is involved in bullying or being abused and parents, schools, should work together on such issues.

 Community Partnerships: Ensuring there is co-operation with community based agencies in order to offer any other support that is needed by the youth at risk.

 References:

 National Bullying Prevention Center. (n. d. ). Preventing Bullying: Key Strategies. Retrieved from https://www. pacerkidsagainstbullying. org/

 American Academy of Pediatrics. (2017). School-based Mental Health Services for Elementary-aged Children: Methodological approach: A Systematic Review. Pediatrics, 139(2), e20163483. https://pediatrics. aappublications. org/content/139/2/e20163483