...health coverage for everyone. We are now left with the question, is Obamacare a law that will benefit the people of this country, and how can we benefit from this law. I think Obamacare has given rise to many benefits which includes Protecting Consumer Rights, Better Access to Care with Affordable Coverage, the Strengthening and Expansion of Medicare and Medicaid. Obamacare protects the rights of people by preventing the discrimination of people with preexisting conditions. In the past, insurance companies have turned down people with preexisting conditions: They deny coverage to children who had asthma and were born with heart defects, or deny coverage to some seniors with chronic diseases like cancer and heart problems. Besides, they also put a life time cap on the amount of care they would pay for or cancel your coverage when you are sick. But the affordable care act creates a new patient bill of rights that protect people from this and other abusive practices. With the idea of bringing an end to preexisting condition discrimination. With this law, insurance companies can no longer deny coverage or charge more for...
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...Case study – Gestational Diabetes and the effects it has on mothers and neonates As midwifery becomes more complicated and the numbers of women becoming pregnant, who present with or develop medical conditions which can impact on the health of themselves and their babies increases; it is important midwives are knowledgeable in order to recognise and help manage the risks and complications that may arise as a result of these conditions. Furthermore able to discuss these risks with expectant mothers and their families, to ensure women are able to make informed decisions about care which they receive, even if choices available to them are restricted as a result of the condition which they are suffering from. For this case study I have decided to explore diabetes and the affects it has on care mothers and their babies require antenatally, during the intrapartum period and postnatally. As 87.5% of pregnancies affected by diabetes are due to the development of gestational diabetes (NICE,2008) and therefore the most common type, I have decided to focus on gestational diabetes, although many of the guidelines put in place are similar when caring for women who have diabetes prior to becoming pregnant. With no previous medical experience prior to embarking on my midwifery degree, I had limited knowledge of gestational diabetes and the impact it can have on women physically and emotionally; especially if left undiagnosed or the care they receive is lacking. I wanted to gain a better...
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...Gestational Diabetes When a woman first receives the news of being pregnant from a home pregnancy test many things run through her mind. One of the most important thoughts should be who the obstetrician will be. Finding one a she likes and trust is also very important. Early and regular prenatal care is crucial to a healthy pregnancy. Between 24 and 28 weeks you will receive a glucose test which will be used to test for gestational diabetes. Women who have had gestational diabetes in previous pregnancies should be tested between 16 and 18 weeks. This test will consist of an initial 1 hour test and depending on the results you may have to do a longer 3 hour test. If the results come out positive, you will be diagnosed with Gestational Diabetes....
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...collaboration 2010). Some antenatal care providers will continue to perform dipstick urinalysis at each and every appointment, whereas other providers will only perform one at every appointment if the patient presents with Gestational diabetes with oral glucose screening, Pre-eclampsia with blood pressure and Asymptomatic bacteriuria [urine infection with no symptoms] with a culture at the first visit (IHS.gov 2005). According to an article in the Journal of Family practice by William A. Alto, Screening for gestational diabetes using urine dipsticks for glycosuria is ineffective with low sensitivities. False-positive tests outnumber true positives 11:1. A 50-g oral glucose challenge is a better test. Tests for glycosuria after this blood test are not useful. Proteinuria determined by dipstick in pregnancy is common and a poor predictor for preeclampsia with a positive predictive value between 2% and 11%. If the blood pressure is elevated, a more sensitive test should be used. After urinalysis at the first prenatal visit, routine urine dipstick screening should be stopped in low-risk women. Urinalysis can be a quick and reliable indicator for some conditions such as UTI, dehydration and malnourishment (ketonuria). However in the case of gestational diabetes and pre eclampsia,...
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...Diabetes Mellitus Machelle Van N140 Instructor’s Name November 5, 2012 Diabetes Mellitus According to the Australian Institute of Health and Wellness, “Diabetes Mellitus is a chronic condition in which the body makes too little of the hormone insulin or cannot use it properly” (pg. 1, para 1). The pancreas produces insulin which helps glucose to enter cells through the bloodstream; the sugar is then converted into energy. Diabetes is uncontrollable when there is a build-up of glucose in the bloodstream, and there is not enough glucose entering the cells. If left untreated, diabetes can cause damage to the brain, kidney disease, heart disease, stroke, and complications to other parts of the body. Diabetes often appears in childhood or adolescence. Etiology The disease affects more than 20 million Americans and more than 40 million Americans have pre-diabetes that can lead to type 2 diabetes. In type 2 diabetes, the cells become resistant to the action of insulin, and the pancreas is unable to produce enough insulin to overcome the resistance. Three Major Types of Diabetes Type I Diabetes | Type 2 Diabetes | Gestational Diabetes | Diagnosed in childhood or adolescence; the disease can occur in adults. | Common than type 1 diabetes; makes up many of the disease. | Develops at any time during pregnancy. | The body cannot produce insulin. | Occurs frequently in young people, and adulthood. | Women are at a higher risk of developing type...
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...According to Dr. Duley, who conducted research on “The Global Impact of Pre-eclampsia and Eclampsia” discovered that, “ten percent of women have high blood pressure during pregnancy, and preeclampsia complicates 2%-8% of pregnancies” (2009). Preeclampsia is a very serious condition which can lead to serve problems in the kidney, liver, birth complication, etc. if it is gone undetected throughout the pregnancy. My mom had preeclampsia when she gave birth to my youngest sibling. Although there isn’t a definite cause for preeclampsia, Doctors believe is has to do with genetics, poor nutrition, obesity, or blood vessel disorders (Dr. Gaither, 2016). The risk of preeclampsia affects those who have a history of hypertension, family history of preeclampsia, history of diabetes, carrying multiple babies. Another factor that increases your chances of getting preeclampsia is if you are older than the age of 35 or if you are in your early teen years. The cause of my mother’s preeclampsia had to be due to genetics and not bad behavior. My mom was 40 when she gave birth to my youngest sibling. Another reason my mom was at risk was because during the pregnancy she had high blood pressure and gestational diabetes. My mom gave birth to my sister a month earlier than her due date. My mom had a healthy diet during her pregnancy and wasn’t overweight so bad behavior wasn’t an issue. The...
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...Abstract Pregnancy induced hypertension or Gestational hypertension, is a condition of high blood pressure unique to human pregnancy. Hypertension during pregnancy affects about 5-10% of all pregnant women worldwide (Baker, 2004, P. 16). Hypertension can prevent the placenta from getting enough blood. If the placenta does not receive enough blood, the baby gets insufficient amounts of oxygen and nutrients. This can result in low birth weight and other severe complications (Simkin, Walley, Keppler, 2008, P. 75). Pregnancy induced hypertension (PIH) can lead to a serious condition called preeclampsia or also known as toxemia (Baker, 2004, P.11). Women at most risk can be characterized by extremes of maternal age which are under the age of eighteen and over the age of thirty five, first-time mother’s, obesity, have a family history of this condition, or are carrying multiples (“Risk Factors”, 1995, P. 645). Preeclampsia happens between 20 weeks of gestation and 6 weeks postpartum (Baker, 2004, p.60). In the worst circumstances preeclampsia if left untreated can lead to eclampsia, a fatal condition (Simkin et al, 2008, P. 77). Most women still can deliver a healthy baby if preeclampsia is detected early and treated with regular prenatal care. If pregnancy induced hypertension and preeclampsia is severe, much more serious affects can occur. Such as a seizure or death. There is no cure but there are ways to treat and prevent this condition. Key words: Pregnancy induced hypertension...
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...the global population suffers from different health conditions that affect their health and wellbeing. Diabetes is among the conditions that affect a greater percentage of the global population. Statistics shows that approximately 382 million people are affected by diabetes in the world. Early diagnosis of diabetes is critical for easy management and prevention of symptoms associated with the condition. Considering the increasing prevalence of diabetes and its associated effects translate into the need for the adoption of responsive measures that aim at creating awareness and prevention of diabetes across the world. Therefore, the following paper focuses on the analysis of prevalence, diagnosis, and prevention of diabetes. Diabetes refers to a combination of metabolic conditions or diseases that are characterized by high glucose levels in the blood. The high level of glucose is attributed to inadequate production of insulin or improper response of cells to insulin or occurrence of both. “It is estimated that more than 382 million people across the world had diabetes by the year 2013” (In DeFronzo et al., 2015). Diabetes is classified into three broad classes, type 1, type 2, and gestational diabetes. The body lacking the mechanisms needed for the production of insulin characterizes type 1 diabetes. In type 2 diabetes, there is inadequate production of insulin needed for proper functioning of the body. Gestational diabetes affects women during pregnancy. Diagnosing...
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...and slow healing sores or cuts. Another aspect that sets apart the two diseases is the fact that doctors are often able to detect the likelihood of Type 2 diabetes before the condition actually occurs. Although rare, there are also some individuals that fall in the category of borderline or pre-diabetic, which means that their blood sugar levels are higher than normal, but not high enough for a diagnosis of Type 2 diabetes. For those that do have Type 2 diabetes, they’re instructed on how to maintain a healthier lifestyle which involves exercising regularly, stabilizing their weight and following a strict diet. There are others that, in addition to the aforementioned, are required to take a pill...
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...Postpartum Hemorrhage Learning Objectives: * Performs a basic physical assessment of the postpartum patient (APPLYING) * Identifies the signs and symptoms of postpartum hemorrhage (REMEMBERING) * Determines the most likely cause of hemorrhage (ANALYZING) * Performs appropriate nursing management interventions for the patient experiencing postpartum hemorrhage (APPLYING) * Evaluates effectiveness of interventions and revises plan of care as indicated according to patient’s condition and assessment (EVALUATING) * Prioritizes the implementation and approach to the nursing care of a patient with post partum hemorrhage when working with other health care team members (ANALYZING) Prep Questions 1. What is the normal location of the fundus two hours post-vaginal delivery? * Immediately after delivery, the uterus is about the size of a large grapefruit and can be palpated midway between the symphysis pubis and umbilicus and in the midline of the abdomen. Within 12 hours the fundus rises to about the level of the umbilicus 2. What assessments are vital for the nurse to perform on the postpartum patient? * Vital signs, skin color, location and firmness of fundus, amount and color of lochia, perineum (edema, episiotomy, lacerations, hematoma), presence degree and location of pain, IV infusion assessments, urinary output, status of abdominal incision and dressing, level of feeling and ability to move if regional anesthesia was used 3. What...
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...individuals, both young and old, are currently suffering from Diabetes. Diabetes is described as a condition in which the body does not properly process food for energy (Center for Disease Control). It is explained that, “The pancreas makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn't make enough insulin or can't use its own insulin as well as it should. This causes sugars to build up in your blood” (Center for Disease Control). This is a serious issue, given that glucose is vital to our health because it is used for energy. People suffering from diabetes have too much glucose in their blood, which leads to serious, detrimental health issues. There are three...
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...has a hard time entering the cells of the body that needs it. Then again, if there is too much glucose that builds up in the blood then a diabetic patient begins to have headache or blurry vision. They may become very thirsty or have dry itchy skin. If a diabetic patient blood gets too low, he or she may feel tired, hungry, or shaky. They are 3 types of diabetes, both of which are Type 1 diabetes and Type 2 diabetes. The other is gestational diabetes that happens in pregnant woman. Type I diabetes is also known as “Juvenile Diabetes” because it occurs in children and young adults. Type I diabetes that is also known as juvenile diabetes can occur at any age but it is most likely common diagnosed during childhood. In type I diabetes the body does not produce insulin. Insulin a hormone that is needed to convert sugar, starches, and other food into energy needed for daily life (ADA, 2012). This type of diabetes can be treated with either insulin shots or by using an insulin pump. Also young children and young adults can learn to manage their condition and live healthy lives with the help of insulin therapy (ADA, 2012). People living with type I diabetes have to take daily injections of insulin at least two to three times a day to survive. Also you need to do a urine test and blood tests. The symptoms of type 1 diabetes develop only a short period of time, that...
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...fled to Egypt, where an angel told her that her son Ishmael would become a leader amongst the Hebrews; she subsequently returned to Sarah and Abraham. Surrogacy requires a lot of time, money and patience to succeed, whether it's carried out privately or through an agency. But it can bring happiness to all concerned if the medical, legal, financial and emotional aspects are properly considered. Why choose surrogacy Someone may choose surrogacy if one can't carry a pregnancy, perhaps because: * Have had recurrent miscarriages. * Have a health condition which makes pregnancy and birth dangerous. * Uterus (womb) is abnormal or absent, whether since birth or after a hysterectomy. * Fertility treatments such as in vitro fertilization (IVF) have failed. * For couples who engage in a same-sex partnership. Two kinds of surrogate mothers There are two types of surrogacy — traditional surrogacy and gestational surrogacy. In traditional surrogacy, a traditional surrogate is a woman who is artificially inseminated, either by the intended father or an anonymous donor,...
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...Summer Internship Report My first summer internship, it was really interesting. While doing this internship I learned a lot, met a lot of lovely people and for a fact I enjoyed my summer vacations. I did my internship at an NGO named CONSUMERS INDIA. My internship was a 6 weeks internship in which we had to go for 4 weeks and the next 2 weeks i had to do online research work. I’ll just give brief information about the NGO- Consumers India is a non-profit organization set up by former officers of Department of Consumer Affairs and other senior officers of Government of India, with a view to use their knowledge and experience for the benefit of consumers. The organization was registered on 18.05.2007 under Societies Registration Act, 1860. It is also registered under Sections 12A read with section 12AA and 80 G (5) (vi) of Income Tax Act, 1961. The Department of Consumers Affairs in Govt. of India has permitted it to use the name ‘Consumers India’ under “Emblems and Names Act, 1950”. Consumers India has taken up several important campaigns with a view to safeguard interests of large number of consumers. Some of them relate to ‘Unethical Medical Practices’, ‘Misleading Advertising’, ‘Ageing with Dignity’, ‘Access to Affordable Medicines’, ‘End criminalization of Politics', ‘Justice for all…Just Now’, ‘I am a city changer’, ’Right to Information, ‘Junk the junk food’ etc. Catalyzing the energy of youth through Internship Programme and All-India Painting/Slogan/On-line...
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...(glucose). But in a person with diabetes little or no insulin is produce or their cells do not respond as it should to insulin. The sugar then builds up in the blood, overflows into the urine and passes from the person’s body unused. ( (n.d) from Healthcentral Web Site: ) There are three types of diabetes, type 1, type 2 and gestational. There is also pre-diabetes which is not diabetes but if diagnosed with this it is time to think about making some lifestyle changes before you find yourself diagnosed with type 2 diabetes. Less people have type 1 diabetes. In type 1 people are dependent on insulin and have to take insulin injections or infusions daily, because the pancreas does not produces any on its own. This form of diabetes used to be called juvenile diabetes because it most often appears during childhood or adolescence; however, it can begin at any age. 90 to 95 percent of diabetics are type 2 diabetics. They do not depend on insulin and do not have to take injections or infusions. In type 2 the pancreas produces little insulin or the body does not resourcefully use the insulin that is available. The third and less common form of diabetes would be gestational diabetes which is a state of high blood glucose that is first recognized in a woman during pregnancy. This is thought to be a response to changing hormonal level that cause metabolic stress. It was first thought that after pregnancy this type of diabetes disappear but it is starting to be realized that these women have an...
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