Chapter 10: Delivering effective care

Case study: Bruno and Anna

Bruno and Anna moved from Italy to the United Kingdom (UK) five years ago. Bruno works as a senior manager in a large international finance corporation. Anna gave up her job as a teacher when she moved to the UK. Bruno and Anna speak English fluently. They have a six year old son, Luca, who attends the local primary school. Luca is bilingual and is a very happy boy who has made friends with several of his classmates. He enjoys sports and attends after school activities several times a week. Luca has recently been diagnosed with asthma. Anna has discovered that she is pregnant but is anxious as she has just celebrated her 41st birthday and is concerned that she has a higher risk of giving birth to a child with Down’s syndrome. Bruno’s mother, who is 70 years old, also lives with the family and she is becoming increasingly forgetful and argumentative. Bruno has made an appointment with the general practitioner in order to discuss his concerns in relation to his mother’s health. Bruno and Anna have no other family members living in the UK but have established a network of close friends.

Reflective practice

  • Reflect on the above scenario and identify what you think are the main issues from your field of practice. You may choose to utilise a model of care in order to focus your reflection.
  • Discuss these issues with your mentor/peers and decide how you would ensure the delivery of effective care.

No specific response has been provided as a variety of field specific responses is anticipated.