...An analysis of The Yellow Wallpaper reveals that the main character was suffering from more than just post-partum depression, quite possibly a severe case of schizophrenia. While the reader may believe that the confinement was what had driven her into madness, a closer reading shows the narrator is already completely out of her mind and therefore unreliable from the very onset of the story. Right away the narrator tells us that her husband John doesn’t believe she’s sick. He says she has a “temporary nervous depression” and a “slight hysterical tendency.” The first could possible be a symptom of postpartum depression, which according to the American Congress of Obstetricians and Gynecologists is defined by intense feelings of sadness, fear, anger, and anxiety that interfere with a new mother’s ability to function normally. If left untreated the condition worsens, but nowhere is there any mention of “hysterics.” If we examine the narrator’s journal entries we can easily see that her behavior is a bit more psychotic, even from the very beginning, than a diagnose of postpartum depression would permit. After the reader is filled in on John’s sentiments about the narrator’s current emotional state, she changes the subject as it appears the discourse of her condition upsets her. She then goes on to describe the strange old house where her and John have taken up residency. She describes the “delicious” gardens with “grape covered arbors,” and the dilapidated greenhouse...
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...relationships, while recognising areas that require work in order to fulfil my role. All names have been changed to protect confidentiality, as is the responsibility of any registered nurse (NMC 2008). Mental and emotional wellbeing in all family members is intrinsic to the wellbeing of children. The “Healthy Child Programme” (DH 2009) identifies the assessment and promotion of this area as a core part of the health visitor’s role. A common mental health problem that impacts on children is post-natal depression, affecting 10-15% of women (Royal College of Psychiatrists n.d.). Infants whose mothers have post-natal depression often have less positive life outcomes, as discussed in Every Child Matters (HM Treasury 2003). It can impact negatively on emotional, social and mental development, often demonstrated through behavioural problems (Wrate et al., 1985), and neurological problems (Dale, 1995). This can influence outcomes into adulthood. Moehler et al. (2006) discuss how post-natal depression can affect development and quality of maternal infant attachment, stating this may be what leads to negative impact on child development (Moehler et al., 2007), a view supported by Mason (2010). Murray et al. (1996a) discuss how the change in maternal child interaction as a consequence...
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...Predictors of Postpartum Depression Postpartum depression is a disorder that causes significant functional impairment and develops risks of poor mother-infant bonding and can delay infant development. PPD is “a physical and emotional condition that may be life-threatening, involving the symptoms of depression occurring from a month to one year following childbirth and thought to be caused in part to dramatic hormonal shifts occurring in conjunction with childbirth.” (Piotrowski & Benson, 2017) Postpartum depression symptoms often involve feelings of sadness, restlessness, guilt, insomnia, decreased energy and motivation, unexplained weight changes, frequent crying, irritability, and lessened feelings of self-worth. Research question Recognition...
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...Postpartum Blues vs. Postpartum Depression Having a baby brings lots of emotions including lots of highs and lows, many life changes and physical changes in your body. The changing hormones combined with the stress of caring for a new born affect different people in different ways. ½ to 2/3rds of women experience “Baby Blues” and 10 -15% of women experience postpartum Depression. The chart below will help you understand each and know what to look for and what to do if you think you are experiences either of these. When in doubt always contact your health care provider. | Baby Blues or Postpartum Blues | Postpartum Depression | When Does It Start | The first few days after birth (generally 3rd or 4th day post-delivery) | Anytime up to one year after delivery | How Long Does It Last | From 10 days to several weeks | Lasts longer and is more severe than “baby blues” and needs help from health care provider to resolve | Symptoms | * Mood Changes * Weepiness or sadness * Anxiety * Lack of concentration * Feelings of dependency or inadequacy | * Excessive worrying and anxiety * Irritability * Persistent weepiness or sad mood * Inability to sleep, even when you are exhausted * Difficulty concentrating * Loss of Interest in activities you used to enjoy * Changes in appetite * Thoughts about harming yourself or your baby | Treatment | Talk about it. Take care of yourself by getting rest, support.Usually will resolve with support from friends...
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...Depression has been described, as 'the common cold of all psychological disorders' as 7 to 12 per cent of men and 20 to 25 per cent of women will suffer from depression in their lifetime. Postpartum Depression or PPD is a serious disease that affects as many as 60 percent of new mothers. The new mother’s may not feel love for their newborn and may have no energy to take care of the child. They may also suffer from insomnia, excessive eating, anorexia, or even hyperventilation. They often feel guilty and worthless because they know that they should not feel this way. There is no set pattern for those who are most likely to be affected by Postpartum Depression. The purpose of researching Postpartum Depression and the treatments is to learn how to better care for the women and their children. Postpartum Depression is a serious illness and without proper treatment and attention the children born to women who develop Postpartum Disease may grow up without proper care and in the most serious of cases, some children die of neglect or abuse. The articles used for this paper investigate the mother’s relationship with their partner during pregnancy, the perception of prenatal partner support, the association of maternal and paternal PPD, and the associations of relationship adjustment and symptoms of depressions and anxiety. The knowledge gain from researching this topic and from the articles is that spousal support has become a very big factor in postpartum depression. Spousal support...
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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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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.    Nursing Diagnoses: Based on this health history and health screening, identify three nursing diagnoses that would be applicable for this client as well as your rationale for your selection of each nursing diagnosis. Include: One “actual” nursing diagnosis with rationale for choice of this diagnosis. One wellness nursing diagnosis with rationale for choice of this diagnosis. One “risk for” nursing diagnosis based on the health screening with rationale for choice of this diagnosis. © 2011. Grand Canyon University. All Rights Reserved. Student Name: Beth Chiappara Date: October 16, 2014 Biographical Data Patient/Client Initials: AR Phone No: 951 244-6197 Address: 23055 Canyon Lake CA 92587 Birth Date: 02/14/89 Age: 25 Sex: Female Birthplace: Anaheim CA Marital Status: Married Race/Ethnic Origin: Caucasian Occupation: Financial Analyst Employer: University of California Riverside Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance...
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...The narrator even states as such: “If a physician of high standing, and one's own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression - a slight hysterical tendency- what is one to do?” this indicates that the narrator believes that she has no choice but to agree, despite the fact she suspects that it’s her husband’s profession is the “One reason I do not get well faster.” Throughout the story her husband constantly overrides her judgements and makes condescending comments such as referring to her as his “Little girl” which Gilman does to realistically replicate the inequality, in terms of gender, in Victorian...
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...Current and past prejudices is shaped by skin color where the lighter the skin tone is associated with the higher class and the darker skin tone is of the lower class. Haitians view illness and sickness as a natural phenomenon. God blesses good people with wellness, whereas the devil interferes with people’s balances creating illnesses (Giger & Davidhizar, 2013). Pregnant females in the Haitian culture are highly respected. Postpartum rituals are practiced such as herbal baths, warm food and special care during the first month of delivery to prevent illness later in the women’s life. Death is seen as part of the lifecycle and the dead is present in spirit for...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...Chapter Overview 12.1 The Beginnings of Development What Is Development? Prenatal Development The Newborn CONCEPT LEARNING CHECK 12.1 Before and Preoperational Stage Concrete Operational Stage Formal Operational Stage Challenges to Piaget’s Stage Theory Social Development The Power of Touch Attachment Theory Disruption of Attachment Family Relationships Peers After Birth 12.2 Infancy and Childhood Physical Development Cognitive Development Piaget’s Stage Theory Sensorimotor Stage CONCEPT LEARNING CHECK 12.2 Stages of Cognitive Development 12 Learning Objectives Development Throughout the Life Span 12.1 12.2 12.3 12.4 12.5 Describe the development of the field and explain the prenatal and newborn stages of human development. Discuss physical development in infants and newborns. Examine Piaget’s stage theory in relation to early cognitive development. Illustrate the importance of attachment in psychosocial development. Discuss the impact of sexual development in adolescence and changes in moral reasoning in adolescents and young adults. Examine the life stages within Erikson’s theory of psychosocial development. Illustrate the physical, cognitive, and social aspects of aging. Describe the multiple influences of nature and nurture in human development. 12.3 Adolescence and Young Adulthood Physical Development Cognitive Development Social Development Cognitive Development Social Development Continuity or Change Relationships Ages and...
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...-[ \ UNIVERSITY OF CAPE COAST SCHOOL OF NURSING MSC. ADVANCED NURSING PRACTICE COURSE: ADVANCED CLINICAL PRACTICUM I AND II IN SPECIALTY AREA COURSE CODE: NUR 822S and NUR 829S PATIENT / FAMILY CASE STUDY (A NURSING PROCESS APPROACH) ON A CLIENT WITH GESTATIONAL TROPHOBLASTIC NEOPLASM BY: CHARLOTTE LAMPTEY SN/ADN/15/0030 AUGUST, 2016 CONTENTS * PREFACE * ACKNOWLEDGEMENT * INTRODUCTION CHAPTER ONE: OVERVIEW OF CLIENT SITUATION I. Literature review of gestational trophoblastic neoplasm CHAPTER TWO: COMPREHENSIVE HOLISTIC ASSESSMENT OF PATIENT/FAMILY I. Patient’s medical and personal history including review of the systems II.Physical examination III.Diagnostic evaluation IV.Nutritional assessment V. Psychosocial history VI. Patient developmental assessment VII.Spiritual assessment VIII.Quality of life assessment IX.Admission of patient CHAPTER THREE: ANALYSIS OF DATA CHAPTER FOUR: COLLABORATIVE PLAN OF CARE I. Presumptive medical diagnosis II.Nursing diagnosis III.Evidence-based interventions IV.Additional diagnostic procedures warranted but not done Medication to be ordered CHAPTER FIVE: DISCHARGE PLAN I. Community service and resource needed II.Client education plan III.Plans for follow-up of care CHAPTER SIX: EVALUATION PLAN Termination of care * SUMMARY * CONCLUSION * REFERENCE PREFACE ...
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...VELEZ COLLEGE F. Ramos St., Cebu City College of Nursing A CASE ANALYSIS REPORT ON PATIENT N.M.C., 47 YEARS OLD, FEMALE, DIAGNOSED WITH UTERINE LEIOMYOMA (s/p TOTAL ABDOMINAL HYSTERECTOMY and BILATERAL SALPINGO OOPHORECTOMY), BILATERAL OVARIAN NEWGROWTHS, METABOLIC SYNDROME, AND HYPERTENSION Submitted By: Villavelez, Carmina Anne Z. BSN III-C Submitted to: Mrs. Miraluna Echavez, RN, MN March 2013 UTERINE LEIOMYOMA/ UTERINE FIBROIDS Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer. As many as 3 out of 4 women have uterine fibroids sometime during their lives, but most are unaware of them because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound. In general, uterine fibroids seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding. Symptoms In women who have symptoms, the most common symptoms of uterine fibroids include: * Heavy menstrual bleeding * Prolonged menstrual periods — seven days or more of menstrual bleeding * Pelvic pressure or pain *...
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...Praise for The Spirit Catches You and You Fall Down “Fadiman describes with extraordinary skill the colliding worlds of Western medicine and Hmong culture.” —The New Yorker “This fine book recounts a poignant tragedy…It has no heroes or villains, but it has an abundance of innocent suffering, and it most certainly does have a moral…[A] sad, excellent book.” —Melvin Konner, The New York Times Book Review “An intriguing, spirit-lifting, extraordinary exploration of two cultures in uneasy coexistence…A wonderful aspect of Fadiman’s book is her even-handed, detailed presentation of these disparate cultures and divergent views—not with cool, dispassionate fairness but rather with a warm, involved interest that sees and embraces both sides of each issue…Superb, informal cultural anthropology—eye-opening, readable, utterly engaging.” —Carole Horn, The Washington Post Book World “This is a book that should be deeply disturbing to anyone who has given so much as a moment’s thought to the state of American medicine. But it is much more…People are presented as [Fadiman] saw them, in their humility and their frailty—and their nobility.” —Sherwin B. Nuland, The New Republic 3/462 “Anne Fadiman’s phenomenal first book, The Spirit Catches You and You Fall Down, brings to life the enduring power of parental love in an impoverished refugee family struggling to protect their seriously ill infant daughter and ancient spiritual traditions from the tyranny of welfare bureaucrats and intolerant...
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...Acknowledgments ix Acknowledgments This book owes a great deal to the mental energy of several generations of scholars. As an undergraduate at the University of Cape Town, Francis Wilson made me aware of the importance of migrant labour and Robin Hallett inspired me, and a generation of students, to study the African past. At the School of Oriental and African Studies in London I was fortunate enough to have David Birmingham as a thesis supervisor. I hope that some of his knowledge and understanding of Lusophone Africa has found its way into this book. I owe an equal debt to Shula Marks who, over the years, has provided me with criticism and inspiration. In the United States I learnt a great deal from ]eanne Penvenne, Marcia Wright and, especially, Leroy Vail. In Switzerland I benefitted from the friendship and assistance of Laurent Monier of the IUED in Geneva, Francois Iecquier of the University of Lausanne and Mariette Ouwerhand of the dépurtement évangélrlyue (the former Swiss Mission). In South Africa, Patricia Davison of the South African Museum introduced me to material culture and made me aware of the richness of difference; the late Monica Wilson taught me the fundamentals of anthropology and Andrew Spiegel and Robert Thornton struggled to keep me abreast of changes in the discipline; Sue Newton-King and Nigel Penn brought shafts of light from the eighteenthcentury to bear on early industrialism. Charles van Onselen laid a major part of the intellectual foundations on...
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