...Childbirth is the most frequent reason for hospitalization in the United States. With more than four million babies born annually in U. S. hospitals (Kozhimannil), and more than 100,000 babies born to Tricare beneficiaries annually (Abramson), the cost of maternity and newborn care exceeds any other hospital expense – and those costs are rising (Truven Analytics). With budget cuts necessitating review of Tricare benefits and payments for medical services of all kinds for beneficiaries, it would seem counterintuitive to suggest that a way for Tricare to save money on maternity and newborn care would be to cover a new service. However, research shows that the cost savings associated with doula support during labor and delivery are significant...
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...“Evidence Based Maternity Care: Can New Dogs Learn Old Tricks?” It was written by Merilyn Curl. Curl is a Certified Nurse Midwife, Lamaze Certified Childbirth Educator, and a Fellow of the American College of Childbirth Educators. The article illustrates the efforts of reform applied to the founding cultures and purpose given to a modern day Certified Nurse Midwife. Assessing the Situation She begins unfolding her story at the time of hire with a concise perspective of the culture and practices of the community hospital she worked for. Curl describes the time old “Nursing Process” as assessing the situation, making a plan, then finally evaluating the outcome. She follows this same progression in her attempt to restructure nursing practices at this community hospital. She very clearly presents her personal experience as what practices (whether or not they were best practices) she was seeing in the nursing community verses research based best nursing practice. One piece of evidence she presents for this is how “This meant that labor nurses were assigned only one patient allowing the time to provide continuous labor support. Despite strong encouragement to remain at the bedside, most nurses remained tethered to the central monitoring station” (p.235). This observation strengthens the argument that research based best practices were not synonymous with current practices. She presents the proposed research based practices as time old patient centered care and the new accepted...
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...Complementary and Alternative Medicine in Today’s Nursing Practice Complementary and Alternative Medicine in Today’s Nursing Practice Complementary and Alternative Medicine is becoming more and more prevalent in the healthcare world as an acceptable treatment modality. Due to increase in patient demand for these treatments, it is important for the nurses to be able to implement various CAM into their nursing practice to provide holistic care for their patients. It is also important for nurses to be knowledgeable about the various forms of therapy and its benefits. CAM is meeting the needs of many consumers due to various reasons. The increase in healthcare cost has encouraged many consumers to research alternative methods to help cope with various medical conditions as opposed to turning to the pharmacological methods that were typically accepted years ago. Consumers also have more access to new trials and studies in regards to CAM because of increased access to the internet and media. Because of this, patients are more involved in their own healthcare and treatment decisions than in the previous years. According to the National Center of Complementary and Alternative Medicine, 1 in 4 adults from various backgrounds are currently using CAM therapies. (“The use of, 2011) Some of the most common medical reasons patients decide to try CAM therapies are problems with anxiety and depression, reoccurring nausea and pain related to cancer, and symptom management related to...
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..."Birth Assessment" Throughout history there have been many ways medical and non-medical people have modified and enhanced the effectiveness of child birth. Some have made the experience more positive while others have caused physical and emotional harm to women. There are different ways that women can give birth: natural, cesarean, and hypno-birthing. Of these ways women can deliver I feel some of the most important aspects are in the advancement of men in the delivery room. It is wonderful to see the great accomplishments and improvements our culture has made through the years. In many years before men were not allowed to witness the birth of their child because it was considered inappropriate. Now men are allowed to be there in the room and most men chose to be there in the room to support their partner and witness the birth of their child. When a woman gives birth without the help of surgical or medical helped it is called natural childbirth. Many women chose to give birth this way and they do this to feel more in tune or at ease with the natural way. Just because a woman may give birth naturally it does not necessarily mean that they are not in a hospital or under the supervision of a medical professional. Any woman that chooses to go the natural childbirth route can choose where they give birth and what doctor they choose to be there for the event. Another positive is that a natural childbirth can allow the mother to be in control of every aspect of the labor and...
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...Running head: CULTURALLY SENSITIVE NURSING CARE Culturally Sensitive Nursing care In Maternity For Japanese Patients March 28, 2012 Abstract Nurses need to be culturally congruent in order to offer culturally, competent care to their clients. To be able to care for Japanese women, during the prepartum, intrapartum, postpartum phases and for her newborn infant, it is necessary to have knowledge and continued education of the patient and her family’s culture and customs. The US Census Bureau accounts that approximately 1.3 million individuals of Japanese descent reside in the United State (US census bureau 2009). In the Japanese culture, the main focus for men is to support their family financially; therefore it is the woman’s job to care for their household. During the pregnancy and postpartum period, Japanese women will benefit from the care, support and education given by their nurse. Culturally Sensitive Nursing care in Maternity for Japanese Patients The nurse’s cultural knowledge and understanding of the patient’s religion, customs, beliefs, and nutritional preference, are crucial tools for successful communication. Teaching and implication of nursing intervention are also very important during: prenatal, postnatal and motherhood stages during her hospital stay and in the community setting. Japanese are taught the English language from the age of six; therefore...
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...Obstetric Anecdotal Assignment G.D. Leilani Fuller N250: Obstetric and Pediatric Nursing Professor Gahan El Camino College May 14, 2013 Obstetric History G.D. In the midst of an empty Labor and Delivery floor on May 9, 2013, there was a lone laboring mother-to-be with the name of G.D. This individual was of Hispanic descent, Costa Rican to be exact, and was a twenty-five year old female with a religious background in Catholicism. G.D. was in room 10 and eagerly anticipated the vaginal birth of her first child, as were her husband’s parents’ for their first grandchild. She had been laboring since her admission at midnight on May 8, 2013. While G.D. is technically a gravida 2, she is only para 1 as she had an elective abortion in 2009. When the room was empty, all that G.D. had to say about this abortion was that the timing was not right in her life for a child then and now she is prepared to be a mother with her new husband at her side. While G.D. originally planned to labor in the most natural manner possible despite being induced, she quickly changed her mind and accepted the epidural. According to Talbot (2012), the labor pain G.D. was experiencing was based on several factors such as cultural, psychological and physiological. She tried to maintain a natural labor with no rush in delivery as is common with Central American countries like Costa Rica, however this fetus called for a more immediate delivery. She had plans to breastfeed once this baby...
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...Daisy Solis Feb 21 2015 Thought paper 1 HD 239-700 Giving Birth has Many Options Birth is the emergence of a baby or any other young from the body of its mother. Have you ever thought about birth in general? Do you think it is easier to have a C-section and that way one can overcome the pain of natural birth? It might just be easier said than done. There are many different types of births. There are long labor hours, some are just a matter of minutes, also the options women have now a days are way more than what they used to have. A woman has options of home births, birthing centers using a doula and of course the most common hospital births. Every birth has a better benefit than the other option though each woman is different than the others, so maybe 10% like a home birth but 90% prefer a hospital birth. Being there are so many options for example home births are not for everyone and you can know if you talk to your health provider. Having a previous C-section is a way to no be able to have a home birth due to the cut you already have in your uterus. Also some pregnancies develop complications such as preeclampsia and that needs medical assistance not only a midwife. Though for the ones that do take the choice of a home birth it is because it may be a lower cost, also some woman have a history of fast delivery or also they just want to be in a familiar, relaxing environment. Hospital births in the other hand also have a preference. A hospital birth may be a safer...
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...Accomplishing Goals Introduction SMART goals express behaviors that are observable and measurable in a way that is easy to determine if the goal has been met or not (Koutoukidis, Stainton & Hughson, 2013). Leadership and organizational skills are essential skills for all qualified healthcare professionals and have a pivotal role in ensuring a delivery of high standards of care. My leadership development goal is to improve my leadership skills to become a better leader while working in the labor and delivery (L&D) department. Being a new nurse I lack the experience compared to my fellow co-workers as outstanding leaders. I desire the qualities of a leader that has the ability to be a strong positive influence for others that can motivate, empower and challenge other staff members. So my leadership goal in L&D is very important to personally achieve. My organizational goal is to facilitate prenatal education to pregnant women of all ages of the importance and benefits for skin to skin after delivery to enhance breastfeeding. Choosing this goal I can help new mothers and babies bond while helping to enhance the baby’s natural reflexes to breastfeed being skin to skin. Goal 1: Leadership Development My goal is to improve my leadership skills as a leader and by doing so I will work on modeling the qualities of a leader and keep an upbeat, optimistic attitude that serves as a source of inspiration for my coworkers. I must be responsible, learn to be flexible, and work on communication...
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...Health Campaign: Breastfeeding Kona Necklen HCS 535 September 16, 2013 Instructor: Qiana Amos Health Campaign: Breastfeeding Breastfeeding, a topic not so popular twenty years ago, is becoming the subject of today’s healthy lifestyle. According to the Centers for Disease Control and Prevention (2013), 69.2% of adults over the age of 20 are overweight including obesity from 2009 to 2010. Eighteen percent of children ages six to 19 years are obese as well and has become a major health concern (Centers for Disease Control and Prevention, 2013). Chronic diseases are also an issue with one in two adults having at least one chronic health condition (Centers for Disease Control and Prevention, 2013). To reduce the obesity rates and chronic diseases for the future generation, promoting a healthy lifestyle from childhood years is highly recommended. This report reviews the importance of breastfeeding, Minnesota’s health themes for 2020, the different agencies and surveillance systems involved in addressing these issues, and the type of data used. Health Issue: Breastfeeding Healthy Minnesota 2020 The health assessment for Minnesota recognizes a healthy start early in life. The themes for Healthy Minnesota 2020 to promote health are: * “Capitalize on the opportunity to influence health in early childhood” (MDH, 2012, p.11) * “Assure that the opportunity to be healthy is available everywhere and for everyone” (MDH, 2012, p. 11) * “Strengthen communities...
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...Medically Elective Caesarean Deliveries; Risks vs. Benefits Jason LeBeaú College of Du Page County Complex Medical Surgical/Leadership Nursing NUR206 17 October 2012 Medically Elective Caesarean Deliveries; Risks vs. Benefits Introduction Women have been giving birth for millions of years. Before the advent of technology, women just instinctively knew when it was time to give birth and their bodies did the rest. They trusted that their bodies were meant for this purpose. Midwives and village elders would come to be with the laboring mother and to help her through the process. Vaginal birth was not only considered the normal way of birth, it was also the only way of birth. Vaginal birth is no longer the only choice when it comes to delivering a baby. Cesarean deliveries (CDs) are now a lifesaving strategy. CD is a surgical procedure in which a doctor in an operating room makes an incision through the mother’s abdomen and down to the uterus. The baby is removed from the uterus and the uterus and abdomen are then closed with sutures. This takes place while the mother is awake and made numb from the waist down by either a spinal or epidural anesthetic. In emergency situations, a general anesthetic is used and the mother is put to sleep and is unconscious for the procedure. CDs were originally used to save the life of the mother, save the life of the baby or when a vaginal delivery wasn’t possible. Since the birth of CDs, they are now performed for...
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...CLINICAL PRACTICE GUIDELINES ON INTRAPARTUM AND IMMEDIATE POSTPARTUM CARE 2012 A collaboration of the Department of Health and the Philippine Obstetrical and Gynecological Society 1 The mention of specific product brands is not meant to suggest that they are endorsed or recommended by the Department of Health (DOH) and the Philippine Obstetrical and Gynecological Society (POGS) in preference to other products of a similar nature that are not mentioned. All reasonable precautions have been taken by DOH and POGS to ensure that the information contained in this publication is accurate. However, this guideline is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the guideline lies with the end user. In no event shall DOH and POGS be liable for damages arising from its use. 2 ii MESSAGE The primary aim of MDG 5 is to reduce by three quarters by between 1990 an 2015, the maternal mortality ratio,especially among less developed countries. The Philippines is among those with high maternal mortality rate (MMR). In 2006, our MMR was 162 deaths/100,000 live births, however, the Family Health Survey in 2011 showed that the MMR has increased to 221 deaths/100,000 live births. It is therefore important that we mobilize our efforts together to avert further deaths of our pregnant mothers. The Philippine Obstetrical and Gynecological Society (Foundation), Inc. (POGS) stood up to the challenge of World...
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...Business Plan Melanie Thornton Undergraduate Student Table of Contents Title Page………………………………………………………………………………………….1 Table of Contents………………………………………………………………………………….2 Executive Summary……………………………………………………………………………..3-4 Service and/or Equipment Description……………………………………………………….....5-6 Organizational Chart………………………………………………………………………………7 Organization Plan………………………………………………………………………………….7 Marketing Segment……………………………………………………………………………...8-9 Financial Analysis……………………………………………………………………………......10 Typical Income…………………………………………………………………………………..11 Reference Page………………………………………………………………………………….12 Executive Summary Babies are born every day and as states focus more vividly on making sure that the mother’s health is monitored while pregnant, Northwestern Hospital of Evanston is funding the start-up along with the first and second year of operations for a birthing center called, The House of Births. The business will be owned and supervised by Dr. Melanie Thornton, MD as a sole proprietorship. (Edmonds, Olds, McNair, Tsay, 2010, p 288). She will be responsible for maintaining good health for all of her patients and establishing a welcoming and beneficial birthing center. To get a better feel for the atmosphere, during the first year, Dr. Thornton will work side-by-side with supervising doctors and financial officers to help get the business started off on the right track. Dr. Melanie Thornton, M.D., is a specialist in obstetrics, gynecology, infertility, adolescent...
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...in about another week -- first in your blood (via a test at your doctor's office) and then in your urine (which an at-home screening would spot). Week 3 Get yourself a good doctor -- pronto! Having a healthcare provider you like and trust is key. After all, this is the person who will guide you through your entire pregnancy, labor, and delivery, along with the millions of questions, tests, and emotional ups and downs along the way. If you don't currently have an ob-gyn you love, ask friends, family, and coworkers for recommendations or research practices until you find someone you feel comfortable with. And, hey, your choices are not limited to regular obstetricians. You might also want to investigate alternative or additional types of care -- including midwives or family physicians Week 4 Don't be surprised if your doctor doesn't schedule an appointment to see you until your 8- to 12-week mark. Many healthcare practices have potential mommies-to-be come in for a blood test with a nurse first to confirm pregnancy and then wait until you're far enough along to better estimate yourdue date through an ultrasound test. * Week 1 Speak with your doctor about adding a...
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...POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Donna E. Stewart, MD, FRCPC E. Robertson, M.Phil, PhD Cindy-Lee Dennis, RN, PhD Sherry L. Grace, MA, PhD Tamara Wallington, MA, MD, FRCPC ©University Health Network Women’s Health Program 2003 Prepared for: Toronto Public Health October 2003 Women’s Health Program Financial assistance by Health Canada Toronto Public Health Advisory Committee: Jan Fordham, Manager, Planning & Policy – Family Health Juanita Hogg-Devine, Family Health Manager Tobie Mathew, Health Promotion Consultant – Early Child Development Project Karen Wade, Clinical Nurse Specialist, Planning & Policy – Family Health Mary Lou Walker, Family Health Manager Karen Whitworth, Mental Health Manager Copyright: Copyright of this document is owned by University Health Network Women’s Health Program. The document has been reproduced for purposes of disseminating information to health and social service providers, as well as for teaching purposes. Citation: The following citation should be used when referring to the entire document. Specific chapter citations are noted at the beginning of each chapter. Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions. POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Table of Contents EXECUTIVE SUMMARY 2 OVERALL METHODOLOGICAL FRAMEWORK 5 CHAPTER 1: RISK FACTORS FOR...
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...The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies...
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