...NursingBangalore. | 3. | COURSE OF THE STUDY AND SUBJECT | I year M.Sc nursingObstetrics and Gynecology of Nursing | 4. | DATE OF ADMISSION | 20th April – 2007 | 5. | TITLE OF THE STUDY | A study to assess the Effectiveness Of Self Instructional Module on knowledge of primigravida mothers regarding postnatal care during the early postpartum period in selected maternity hospitals, Bangalore. | 6. BRIEF RESUME OF THE INTENDED WORK 6.1 INTRODUCTION The wealth of the nation is its healthy population. The mother contribution in creating a healthy population is beyond explanation, so mother should be kept physically, emotionally and socially healthy. The processes of pregnancy and birth challenge the woman’s psychological and physiologic coping mechanisms. It is during the puerperium period that the woman must return to the non pregnant state. The pueperium is a period of 6 weeks which begins as soon as the placenta is expelled. The pueperium can be divided into three categories: the immediate postpartum period, which covers the first 24 hours; the early postpartum period or 1st week; and late postpartum period, which refer to 2 to 6 week. 1 The care which mothers and babies require during the puerperium should be based upon three main principles:...
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...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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...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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...The Affordable Care Act and Women Benefits The Affordable Care Act, also known as the Patient Protection and Affordable Care Act (PPACA), and informally as Obamacare, was signed into law by President Barack Obama on March 23rd, 2010. The aim of the Act is a health care law aimed at improving the health care system of the United States by widening health coverage to more Americans, as well as protecting existing health insurance policy holders. Those who already have health insurance will benefit from the legislation in various ways. Insurance companies will not be able to cancel coverage if someone gets sick, out-of-pocket cost will be covered for preventive and screening services. Preventive care and early detection of diseases can lead to effective treatment and improved health outcomes while cost-sharing (copayment, coinsurance, or deductible) can be a barrier to women’s access to care. The aim here is to diagnose diseases and conditions early on, when the treatments are most effective. Not only does Obamacare make healthcare available to more than 30 million people who were formerly unable to get insurance, but for women in particular it eliminates unfair obstacles to getting care. The ACA and Expanded Insurance Coverage Today, most nonelderly women are covered by health insurance offered by employers. However, women are more likely than men to be covered as family members through their spouse’s employer. That means that women’s coverage is often dependent on their...
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... | | |Problems may arise during or after birth that can threaten the life of both mother and child. The worst| | |result of this is maternal mortality. Mortality statistics paint a bleak picture about maternal and | | |child health globally. Each year, more than 500,000 women worldwide die from complications related to | | |pregnancy. Yet, most of these deaths that tend to occur among low and middle-income countries are | | |preventable. Unfortunately, cost-effective health care that could save the lives of millions of mothers| | |is not always available to those who need it most (Yin, 2006). | | |Even developed countries are not spared from this situation. The maternal mortality rate in...
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...their companies because it gives them the chance to bond with the baby while giving mothers some time to heal and rest from having the baby. Fathers being on paternity leave also helps when the mothers is recovering or suffering from postpartum depression. It gives the mother a chance to return to work and not worry about finding or paying for child care at the moment. Fathers should have the experience the joy of feeding, bathing, clothing, crying and soothing their children. It can give the mother time to herself and the ability to take care of her personal needs, while giving fathers the chance to give a helping hand around the house. It helps when mothers are recovering or suffering from post-partum depression. Sometimes taking care of a new born can be very overwhelming and it would be nice to have help with that. Being able to take a break or even go out with friends so you can be able to enjoy some time to yourself. This can make a huge difference to a mother with a newborn. It shows that fathers are very aware of the hardship that comes along with raising a new born or children and maintaining a healthy life. Childcare can be very expensive for a new born or, so while the mothers return to work the father can take their leave and take care of the children. It also can be hard trying to find the right childcare provider. Like me some people just don’t believe in putting their children in childcare centers until they are at least six months to one year of age. So I do...
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...Depression in Pregnancy and the Effects of SSRI’s Depression is a condition that is very common and is talked about more openly today than it once was. It is especially common in child bearing age and women are more likely to be affected. Depression is also very prevalent in pregnancy and the postpartum period. It has been reported that as many as 10% of women experience more than just the “blues” during pregnancy and in the postpartum period (Fleschler and Peskin, 2008). According to Mosby’s Dictionary (2009), depression is defined as: “an abnormal emotional state characterized by exaggerated feelings of sadness, melancholy, dejections, worthlessness, emptiness, and hopelessness that are inappropriate and out of proportion to reality”. Although depression can be precipitated by a traumatic event, a person with depression will often not be able to explain their feelings and might seem to have a lack of motivation, inability to concentrate, suffer from insomnia, and have a loss of interest or joy in activities they once enjoyed. Treatment for depression is especially important in pregnancy. Woman who do not receive treatment may not get regular prenatal care, are at a higher risk for an increase in substance abuse, preterm delivery and low birth weight infant’s (Fleschler and Peskin, 2008). Non-pharmacological treatment of depression includes: exercise, yoga, relaxation techniques, and participation in support groups or cognitive behavioral therapy. When these options...
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...Enroll in Benefits? * Now * During Open Enrollment * Anytime there is a change in family status a.k.a. Qualifying Event -Marriage -Divorce -Birth -Death ****TAKE NOTE THAT WHEN THERE IS ANY CHANGE TO YOUR BENEFIT COVERAGE DUE TO A QUALIFYING EVENT, THEY MUST INFORM US WITH 30 DAYS OF THE EVENT HAPPENING**** * When there is a change in work status; like from part-time to full-time or full-time to part-time * Special Enrollment -If you are covered under another plan and lost that coverage you have the right to come onto our place as long as you so within 30 days of losing coverage Pre-Existing Conditions * Definition: A pre-existing condition is one for which medical advice, treatment, and/or diagnosis was given within the last three months prior to coming onto our health care plan * The plan does not pay for benefits for a pre-existing condition during the exclusionary period, which last up to 12 months. * If you had coverage before coming onto our plan you may acquire a “certificate of credible coverage” from your previous insurance that can be used to offset the pre-existing condition exclusionary period. Cigna Summary Preface this section with talking about how NSM is self-insured and how being good stewards of your benefits would not only behoove the staff member but also NSM because using benefits efficiently and effectively...
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...Because a woman is weak, she is susceptible to all sorts of all illnesses and diseases. Therefore, there are a number of cultural practices which must be observed in order to gain strength and to avoid illness.[i] The puerperium is a time of great change which spans a period of transition from the pinnacle of experience of birth to the assumption of the joys and responsibilities of family life. Well-integrated post-natal care has an important role to play in assisting this transition and launching the family in their new life together. The puerperium is a period of 6 weeks which begins as soon as the placenta has been expelled. During this time a number of physiological and psychological changes take place: ➢ The reproductive organs returns to the non-pregnant stage ➢ Other physiological changes which occur during pregnancy are reversed ➢ Lactation is established ➢ The mother recovers from the stress of pregnancy and delivery, and assumes responsibility for the care and nature of the infant. This care is based upon 3 principles: 1. Promoting the...
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...Promotion Plan Marie St. Fort NSG4075 Holistic Professional Nursing Kathryn Sagess, PhD, PNP-ARNP Nova Southeastern University Thesis Statement and Introduction Despite the many services Delray Beach offers to residents, there are still major health concerns. This major concerns call for an effective health promotion plan to address the lack of adequate assistance to low-income pregnant women and their families. This plan will allow one to make a great impact in healthcare, attests to the art of nursing even as a student, the whole multidisciplinary team and the most important of aspect of healthcare; the patients that are being served. This paper will offer insight into the community, including a thorough assessment of low income pregnant women and their families’ lack of access to adequate care in Delray Beach Florida. In addition, this paper will highlight a health promotion plan for improving quality of life and health of low income, underinsured Delray Beach residents by discussing state and local programs. Also, discussing the community stakeholders as well as the financial and political implications of the health promotion project is a pivotal point. By addressing the barriers in creating the health promotion in the community, the community health nurse can serve as a patient advocate and present a plan an alternate plan and any possible interventions in case of unforeseen, confounding issues that may arise. The Aggregate Being poor and having to take care of other...
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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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...“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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...What is a cystocele? A cystocele occurs when the wall between a woman's bladder and her vagina weakens and allows the bladder to droop into the vagina. This condition may cause discomfort and problems with emptying the bladder. * Occurs when the wall between the wall between a women’s bladder and vagina weakens and the bladder falls into the vagina * Grade 2 and 3 cystocele can be seen by the doctor * Grade 1 may require an xray called a cystourethrogram * A cystourethrogram views the bladder while urination occurs allowing the doctor to observe any blockages A bladder that has dropped from its normal position may cause two kinds of problems -- unwanted urine leakage and incomplete emptying of the bladder. In some women, a fallen bladder stretches the opening into the urethra, causing urine leakage when the woman coughs, sneezes, laughs, or moves in any way that puts pressure on the bladder. A cystocele is mild -- grade 1 -- when the bladder droops only a short way into the vagina. With a more severe -- grade 2 -- cystocele, the bladder sinks far enough to reach the opening of the vagina. The mostadvanced -- grade 3 -- cystocele occurs when the bladder bulges out through the opening of the vagina. A cystocele is a fallen bladder, which occurs when the wall between a woman’s bladder and her vagina is torn by childbirth, resulting in the bladder bulging or dropping towards the vagina. Cases range from mild to severe and treatment usually depends on the severity...
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...Assignment 2: Project Paper Maria Kemp Professor Broadway Lithonia Campus Bus 309-Business Ethics 12/18/2014 Strayer University My first child was born on March 18th 1990, I knew then that my family and raising my child was my number one priority. You see, I grew up in a home where my mother worked over sixty hours a week and we (her children) were known as “latch key kids”. We were expected to come home from school every day and lock the doors and stay inside out of the neighbor’s sight until my mother came home, which was later that evening sometime after 7 pm. Growing up in this environment taught me the being without parental supervision can and did get me and by three brothers into a lot of trouble. I decided if I ever had children I would devote my time and attention to helping them develop their minds, spending quality time with them, exposing them to different cultures and museums and being an active part of their upbringing. Please do not misunderstand me; my mother was a good mother, who loved her children and would do anything for them, but some of the things we did as young children I know it was because we were home alone and wanted to just experiment. So in July of 1990, four months after my first son was born, I took a job as an Administrative Assistant for a Nursing Home Facility. My starting salary was $32,000 a year. I was excited about my new position. Shortly after my ninety days was up, I was asked to work every other Saturday and then it became...
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...Access to Care Project Lane Community College William Bennett Scott Dawson Shana Perkins Assigned scenario: Summer is a 15 year old sophomore at South Eugene High School. She is 5 months pregnant. She lives at home with her parents in a home near the corner of Potter Street and 21st Avenue. Summer and her boyfriend would like to keep the baby. Summer’s boyfriend Jake is talking about moving into Summer’s parents’ house but Summer’s parents are not so sure that they want Jake living with them. a. What prenatal resources are available to Summer? b. How much will prenatal care cost? c. Is it likely that Summer’s prenatal care and the baby’s medical care be covered by her parents’ standard medical insurance policy? What criteria, if any need to be met? d. What post-partum resources are available to facilitate Jake’ & Summer’s parenting skills? e. Summer would like to transfer to Churchill High School to participate in their child care program. What bus route will Summer need to take to get from her parents’ home to Churchill High School? NOTE* Our group identified local medical coverage networks including Peacehealth, Oregon Medical Group (OMG) and Private Payer. We chose to gather data from OMG and assumed the insurance coverage of the parents covers services on an approved provider list limiting her to the OMG network. Questions: Community resources available to teen parents are numerous and qualification is based on availability...
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