You are the home care nurse coordinator meeting for the first time with Jeffery and Sarah Jones and their 23-year-old granddaughter, Marissa. Their family nurse practitioner has referred them for home care after consultation with a neurologist. Mrs. Jones, 78 years old, has noted that her husband, 82 years old, has become increasingly forgetful, “getting lost” if he walks even a block away from home. Mr. Jones has recently begun several inappropriate behaviors such as “using the flower pot as a toilet.” She suspects that he is “getting senile” just like his father before he died. She has asked Marissa to live with them for a while to help her handle Mr. Jones, especially during the nights when he is restless and wanders. Marissa sits quietly and does not look at her grandmother. When you ask if she has been able to stay full-time, the grandmother immediately replies that she has. “But,” she continues, “I don’t think she can do it much longer-it really interferes with her sleeping and makes it hard for her to keep her job. Besides she should get married before it’s too late!” You find out that Marissa’s mother, a 56-year-old social worker, is struggling to maintain her own career while car¬ing for Marissa’s younger brother, who has limited functioning due to a heart condition. Marissa does not know her father. The family members seem very concerned about each other but they don’t know how they can continue to cope if things get any worse.
1. Using the Neuman System Model identify any intra, inter or extrapersonal stressors & strength noted in this family