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It is therefore important for the nursing staff to be fully appraised of functional impairment and social support needs. In other words the work could more closely explain this connectivity of nursing staff to be aware of and potentially flag these individuals for further social support suggestions of both family and other support persons.
Hypothesis/Operational Definitions
The work is strong in the sense that the subheadings of the work give the reader an indication of the fact that there are factors of functional performance that need detailed that the hypothesis is evident and supported and give the reader a set of operational definitions for the study. The figure also describes the qualitative connectivity between functional performance and social support.
Design
The Design section begins with a brief explanation of the connectivity this research has to a larger research study and a description of the sample which included the final 172 number of post partum MS patients in the immediate post partum year as well as how the research participants were located and other minimal demographic information and disclaimers for human subjects.
Method
The methods of the work are well detailed in the methods section, with definitions of activities of daily living as well as the special considerations of MS and then the parameters of study, i.e. how the study measured the scale items on an ADL scale consisting of 12 MS symptoms and how they affect functioning, on a 0-5 scale where zero indicates never impeding function and 5 indicates always impeding function, based on symptomology items. Social support was then measured qualitatively on a Personal Resource Questionaire-85. The study also detailed that the individuals in the sample were not excluded from immunomodulating therapy, the primary treatment for MS but this treatment no matter the length of time or the length of diagnosis of MS did not make...
Supporting that even in the later part of the post partum year the individual still needs social support to assist in the mitigation of relapse and symptoms of MS.
The work then moves on to detail all of the findings in several tables and figures that provide the raw data and then figures that support the connectivity between the hypothesis and the outcome based on that data. The figures and tables are exceedingly helpful and create a picture map of the findings, that is lacking from many other research documents.
Discussion
The discussion of the work is also informative in that is ties the whole work together and provides a direct inference-based correlation between findings and hypothesis. The work found that women who have greater rates of MS symptom and relapse are among those who need the greatest level of social support at 9-12 months postpartum because these symptoms then domino as a result of the added stress they create, in addition to the added stress of new family responsibilities and structure. The discussion also briefly touches on an even better description of the findings of the work as it applies to nursing and other social support structures in the life of a disabled person dealing with postpartum stress on top of an already stressful set of symptoms.
Resources
Gulick, E.E. (August 2007) Postpartum Functioning in Mothers With Multiple Sclerosis. Western Journal of Nursing Research 29 (5) 589-602.
Resources
Gulick, E.E. (August 2007) Postpartum Functioning in Mothers With Multiple Sclerosis. Western Journal of Nursing Research 29 (5) 589-602.
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