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Post-Partum Issues -- Effects on Child Development
A peer-reviewed article in the journal Child Psychiatry and Human Development points out in the Abstract that there is a strong association between "maternal psychological distress and infant outcomes" (Kingston, et al., 2012, p. 683). In fact the article asserts that indeed, parental distress -- in particular postpartum depression and related health issues -- can have "…an adverse effect on cognitive, behavioral, and psychomotor development" in infants (children) (Kingston, 683). In order to more fully understand the dynamics of postpartum depression and its impact on infants as they grow, the authors conducted a "systematic review" of existing empirical studies that assessed how infant development is impacted by psychological distress in five aspects of infant development. Those five aspects include: global, cognitive, behavioral, socio-emotional and psychomotor (Kingston, 683). This paper critiques and reviews what the authors discovered in their research.
Global Index of Developmental…
Kingston, D., Tough, S., and Whitfield, H. (2012). Prenatal and Postpartum Maternal
Psychological Distress and Infant Development: A Systematic Review. Child Psychiatry
and Human Development, 43(5), 683-714.
ELECTOSHOCK vs. ADEPESSANTS
Electroshock vs. Antidepressants
Use of Electroshock Therapy vs. Antidepressants for Postpartum Psychosis
Literature on postpartum psychiatric diagnosis leans heavily toward trying to understand postpartum depression, but talks little of postpartum psychosis. The reason for this seems to be that the depression diagnosis is much more prevalent than psychosis. However, there have been enough reports of postpartum psychosis that it has become more of a known diagnosis. Most coverage of psychosis has been in media reports which show the extreme acts of a mother who is having a psychotic break after giving birth. One such case is that of Andrea Yates, a Texas mother who drowned her young children.
Yates, the mother of five children aged seven years to six months, drowned all five of the children in June of 2001. She had been previously diagnosed with postpartum depression and psychosis, and her husband was advised not to…
Breggin, P.R. (2007). ECT damages the brain: Disturbing news for patients and shock doctors alike. Ethical Human Psychology & Psychiatry, 9(2), 83-85.
Elin, J.P. (2011). Treating postpartum psychosis. Ethical Human Psychology & Psychiatry, 13(1), 16-20.
Engqvist, I., Ahlin, A., Ferszt, G., & Nilsson, K. (2011). Comprehensive treatment of women with postpartum psychosis across healthcare systems from Swedish psychiatrists' perspectives. The Qualitative Report, 16(1), 66-75.
Frank, L.R. (2006). The electroshock quotationary. Ethical Human Psychology & Psychiatry, 8(2), 157-176.
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.
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.
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…
Gulick, E.E. (August 2007) Postpartum Functioning in Mothers With Multiple Sclerosis. Western Journal of Nursing Research 29 (5) 589-602.
4. The patient will learn how to accept postpartum discomfort without resorting to drugs that might harm the baby through breast milk such as breathing techniques that help the mother relax, or the use of panty liners to address vaginal discharge and mild incontinence.
5. The patient will commit to a healthy diet that will encourage weight loss without disrupting her natural hunger cycle.
6. The patient will learn to recognize the symptoms of postpartum depression and will rely on a repertoire of healing activities like yoga, exercise, and meditation that will help her avoid the use of antidepressants.
1. Patient will breast feed, and will purchase clothing that makes breast feeding easy and discreet.
2. Patient will perform stretching exercises and breathing exercises to help her relax and relieve pain.
3. Patient will learn how to carry the baby properly to minimize discomfort.
Recovering from Delivery." Kidshealth. Retrieved July 1, 2008 at http://kidshealth.org/parent/pregnancy_newborn/home/recovering_delivery.html
The marketing plan strategies will use mass marketing for the marketing campaign. The mass marketing strategy is very advantageous because it will be tailored to reach the large number of potential buyers. Historically, most hospitals in the United States use mass marketing to reach potential buyers in their local areas. Despite the advantages of mass marketing, the strategy may make an organization to be susceptible to the competitors.
As part of the marketing strategy, Eastern Boston Health Center will use market niche strategy for marketing campaign. Market niche is a type of market positioning where an organization follows the market segments in a large market to promote the company specialized service. Market niche is a common approach for the marketing strategy in the healthcare delivery. Typically, the niche strategy is the best approach for the specialized healthcare delivery.
The four Ps will be used for the tactical plan.…
Fox News (2012). 30% of Latinas Suffer from Perinatal Depression. Fox News Network, LLC.
Jones & Bartlett (2010). Marketing Strategy. Jones & Bartlett Learning LLC
Market Watch (2012).Over 30% of Latinas in the U.S. And Mexico Suffer Perinatal Depression. Newswire Portland Oregon.
U.S Census Bureau (2012), Boston (city), Massachusetts. U.S. Census Bureau: State and County QuickFacts.
Pathologists are often called 'the doctor's doctor ' -- when other doctors are experiencing an impasse, they go to a pathologist for advice, to provide clarity. As someone who has always enjoyed working as a teacher and preparing teaching materials, I look forward to this role in relation to my fellow physicians.
pon arriving in the nited States to practice medicine, I gained experience in the field of pathology-related research, collecting data about survival rates of patients with colorectal cancer and inflammatory bowel disease. I came to learn how pathology touches all fields of medicine. Even in my work with patients suffering substance abuse and psychiatric problems, I saw how the progression of the addiction created a pathology in terms of the way that the body responded to the patient's negative behaviors. I hope that this residency program will expose me to the laboratory and clinical aspects of the field,…
Upon arriving in the United States to practice medicine, I gained experience in the field of pathology-related research, collecting data about survival rates of patients with colorectal cancer and inflammatory bowel disease. I came to learn how pathology touches all fields of medicine. Even in my work with patients suffering substance abuse and psychiatric problems, I saw how the progression of the addiction created a pathology in terms of the way that the body responded to the patient's negative behaviors. I hope that this residency program will expose me to the laboratory and clinical aspects of the field, and give me the ability to learn from -- and perhaps to teach -- others who are grappling with issues spanning from cancer to nephrology to infertility to lifestyle-related illnesses.
From birth to death, I have seen the many varied states the human body can take in health and illness. My desire to engage in a pathology rotation is based upon these past, formative experiences and my desire to place this diversity within the uniquely helpful paradigms particular the discipline. By the end of the residency I know I shall not have realized my goal of becoming a 'doctor's doctor' but I am eager to enter upon the path and begin this lifelong journey.
J. Carlos Manivel, "Choosing pathology as a specialty," the University of Minnesota, May 2, 2010, [August 21, 2010] http://residency.pathology.umn.edu/
Nutrition, Rituals, Spirituality, And Health Care Practices of the Samurai Culture, As Depicted ithin the Movie The Last Samurai
According to Tom Stovall and Dustin Granger, "The ancient Samurai, Miyamoto Musashi wrote in his "Book of Five Rings,": "It will be difficult for you to succeed unless you look at things on a large scale'" (PharmaCafe). Similarly, within the movie The Last Samurai (2003), director Edward Zwick shows various ways in which the Japanese Samurai of the late 19th century looked at and holistically practice nutrition; prayer, war, and death rituals; spirituality, and health care practices, all on a scale with nature. These holistic practices, in turn, promoted the Samurai's own inner harmony: mentally, physically, and spiritually. For example, The Last Samurai depicted various nutritional practices, prayer, pre-war, death and other rituals; attitudes about spirituality and the meaning of life, and medicinal philosophies and practices within the Samurai culture. All…
The Last Samurai. With Tom Cruise and Ken Watanabe. Dir. Edward Zwick.
Warner Brothers. 2003.
Stovall, Tom, and Dustin Grainger. PharmaCafe. Retrieved May 24, 2005,
The situation at the new company is far from optimal, with the company engaged in a business that is removed from the core competencies of the parent company, exacerbated by the lack of direction and focus at the company. Knowledge disadvantages exist as well, with the new company in a situation overrun with "unknown unknowns" -- risks, opportunities, and elements affecting the business/industry of which the company is not aware, meaning they are entirely unaware of the effects these unknown elements have. A key figure at the company is also suffering from post-partum depression, which is typically a temporary condition but one that can be incredibly distracting and can require some significant personal time to properly address. In light of these facts, combined with the already-present strategic use of wide vendor networks, it is advised that the company hire an outside management or consulting firm to run the…
Maternity Nursing, Labor & Delivery / Newborn
Labor and Delivery Terms
Para: Para refers to the number of live births a woman has had (it might be a stillbirth, or twins, or even triplets) past the 20-week gestation period (Zimmerman, p. 116).
Gravida: this refers to the number of times a woman has been pregnant, whether she actually gave birth, had an abortion or a stillbirth (Zimmerman, p. 116).
Amniotic Sac: this is a membrane around which the fetus is surrounded. It is a strong series of membranes that is visible after 7 weeks of gestation. (Jurkovic, et al., 2011).
Cervical Effacement: this phrase refers to the measurement of the expansion of the cervix as the baby gets closer to being born. hen the cervix is 50% effaced, it is halfway to being ready for the baby to be born (Jurkovic, et al., 2011).
Cervical dilation: Slowly but surely the…
Encyclopedia Britannica. (2010). Childbirth. Retrieved August 17, 2011, from http://www.britannica.com/bps/search?query=childbirth .
Heller, Michelle E., and Veach, Lynette M. (2008). Clinical Medical Assisting: A Professional,
Field Smart Approach to the Workplace. Florence, KY: Cengage Learning.
Jailkhani, R., Patil, VS., Laxman, HB, Shivashankara, AR, Kulkarni, SP, and Ravindra, MS.
Such a limited gathering of data suggests that perhaps a different outcome may have occurred had a truly careful and representative collection and analysis of data actually been performed.
Other significant limitations to this study exist. In fact, the sample of women and children was generally comprised of low risk and only primiparous mothers. Accordingly, the findings as generally stated may not accurate with regard to high risk and/or multiparous populations. Additionally, the sample itself was underpowered to actually detect the nuances between the different treatment groups. Admittedly, the research undertook to examine several different types of therapies and treatment amongst several different sets of women; and, a fastidious review of subtle differences between treatment groups was not completed. Furthermore, of the indicators that revealed a positive outcome, these indicators were based upon data from mothers which was subjective in nature as it was solely based upon the mothers' assessment…
The authors state, "underlying mechanism through which exposure to childhood abuse is associated with increased risk of panic cannot be determined based on these data alone" (p. 888). They offer several possible explanations. Exposure to abuse as a child may result in an extreme and realistic fear of threat to survival. This may be how panic disorder starts. Later, it may persist, or recur spontaneously, even without abusive conditions. In the face of a real life threat, panic is not pathological, but in childhood panic may make the child more vulnerable to panic later. Exposure to abuse may lead to biochemical changes that increase the risk of a disorder. Because the study was based on interviews with 18 to 21-year-olds, who were asked to recall past experiences, the findings could be contaminated by recall bias in which young people with mental instability might be more likely to report abuse in…
Bandelow, B., Sojka, F. et al. (2006). Panic disorder during pregnancy and postpartum period. European Psychiatry, 21, 495-500.
Biederman, J., Petty, C., Faraone, S.V. et al. (2006). Effects of parental anxiety disorders in children at high risk for panic disorder: A controlled study. Journal of Affective Disorders, 94, 191-197.
Goodwin, R.D., Fergusson, D.M. And Horwood, L.J. (2004). Childhood abuse and familial violence and the risk of panic attacks and panic disorder in young adulthood. Psychological Medicine, 35, 881-890.
Warren, S.L., Racu, C., Gregg, V. And Simmens, S.J. (2006). Maternal panic disorder: Infant prematurity and low birth weight. Anxiety Disorders, 20, 342-352.
The dexamethasone group showed meaningful improvements in several variables. After 48 hours, the women who received dexamethasone has a significantly reduced mean arterial pressure at 115 mm Hg v 94 m Hg, P < 0.05 and mean asparatate aminotransferase level at 100 IU/1 v 50 IU/1; P < 0.05. Their urine output also improved at 60 ml/h v 40 ml/h; P < 0.05 and a mean platelet count at 115-000 v 70 000; P < 0.05. The researchers concluded that their findings supported a high dose corticosteroid treatment of women with the HELLP syndrome. Although three control patients showed infectious complications, there were no statistically significant differences in morbidity.
As part of nursing and medical management, dexamethasone is often given to women with this condition and are between 24 and 34 weeks' gestation at risk of pre-term delivery to accelerate the maturation of fetal lungs (Matchaba and Moodley 2005). While…
Campbell, S. (2005). Preeclampsia Sufferers at Great Risk of HELLP Syndrome During Pregnancy. The North Scott Press. http://www.zwire.com/site/news.cfm?BRD=1839&deptAdviwarePtyLtd200/July_id_1104088newsid=13913304&PAG=461&rfi=9
Chen, P., reviewer (2004). HELLP Syndrome. University of Maryland Medical Center. http://www.umm.edu/pregnancy/specialcare/articles/hellp.html
2004). HELLP Syndrome. Medline Plus. U.S. National Library of Medicine, the U.S. National Institutes of Health and the Department of Health and Human Sciences. http://www.nlm.nih.gov/medlineplus/ency/article/00089.htm
Clenney, TL. And Vierra AJ. (2004). Costicosteroids for HELLP Syndrome, a clinical review, 329:270-272 (31 July), doi: 10.1136/bmj.329.7460.270. BMJ Publishing Group Ltd. http://bmjjournals.com/cgi/content/full/329/7468/270
Patients in hospitals often complain of pain regardless of the diagnosis. Several activities in a patient's life contribute to pain. Some of the activities include amount of sleep, daily chores and quality of life (Alaloul, Williams, Myers, Jones, & Logdson, 2015). While health care expenses have increased significantly over the years, there have been great improvements in increasing both family and patient involvement in medical care. Hourly care is one of the strategies that have worked well in various healthcare settings. Hourly care has been a success in various areas but using it in urgent pediatric settings hasn't been well documented (Emerson, Chumra, & Walker, 2013). Opportunities still exist to look into pediatric family preferences and perspectives as pertains to the use of whiteboards (Cholli, et al., 2016). Several studies have been done in different setups and this paper references many of them. The research projects include in-patient surveys, quasi-experimental…
Alaloul, F., Williams, K., Myers, J., Jones, K. D., & Logdson, C. (2015). Impact of a Script-based Communication Intervention on Patient Satisfaction with Pain Management. Pain Management Nursing, 321 - 327.
Brosey, L., & March, K. (2015). Effectiveness of structured hourly nurse rounding on patient satisfaction and clinical outcomes. Journal of Nursing Care Quality, 153.
Cholli, P., Meyer, E., David, M., Moonam, M., Mahoney, J., Hession-Laband, E., . . . Bell, S. (2016). Family Perspectives on Whiteboard Use and Recommendations for Improved Practices. Hospital Pediatrics, 426 - 430.
Emerson, B., Chumra, K., & Walker, D. (2013). Hourly rounding in the pediatric emergency department: patient and family safety and satisfaction rounds. J Emerg Med, 99 - 104.
In 2001, Andrea Kennedy Yates drowned her five children one at a time in her bathtub (Moisse, 2012). The first criminal trial lasted a total of only three weeks. Yates was convicted of capital murder, but was not given the death penalty. Instead, Yates was given life in prison with a chance for parole in 2041. However, in 2005, Yates' initial conviction was overturned in a Texas appellate court. A new trial was ordered, based primarily on the fact that a witness for the prosecution lied under oath. During the initial trial of Yates, the prosecution called Park Dietz to attempt to establish premeditation. Dietz "falsely told jurors that Yates had watched an episode of "Law and Order" in which a mother had drowned her children in their bathtub…but no episode had ever aired," ("How Andrea Yates Lives, and Lives With Herself, a Decade Later," n.d.). In 2006,…
"Andrea Yates, who killed her five children, will ask for pass to attend church," (2012). NBC News. Retrieved online: http://usnews.nbcnews.com/_news/2012/03/28/10910591-andrea-yates-who-killed-her-five-children-will-ask-for-pass-to-attend-church-lite
"How Andrea Yates Lives, and Lives With Herself, a Decade Later," (2012). The Atlantic. Retrieved online: How Andrea Yates Lives, and Lives With Herself, a Decade Laterhttp://www.theatlantic.com/national/archive/2012/03/how-andrea-yates-lives-and-lives-with-herself-a-decade-later/254302/
Moisee, K. (2012). Andrea Yates Could Be Released From Psychiatric Hospital to Attend Church. ABC News. March 28, 2012. Retrieved online: http://abcnews.go.com/Health/MindMoodNews/andrea-yates-released-psychiatric-hospital-attend-church/story?id=16021269#.UKgRkePreII
Montaldo, C. (n.d.). Profile of Andrea Yates. About.com. Retrieved online: http://crime.about.com/od/current/p/andreayates.htm
Silence and Withdrawal - where the man "punishes" the woman for her "behavior" by becoming silent and withdrawn.
Lack of Emotional Connection - where the woman reaches out for support and empathy, and the man withholds it (Chang 73-81).
It is easy to see how these conditions of verbal and mental abuse could lead to feelings of low self-esteem and depression in women. Author Chang quotes a woman stuck in a mentally abusive relationship as saying, "He complained I never communicated with him, but whenever I tried to communicate with him, he would always tell me why I was wrong to think that way. And so it finally reached a point of why bother. You know, I got tired of listening to him criticize me'" (37-year-old nurse) (Chang 73). Studies indicate that abuse in a relationship, no matter what type of abuse, can lead to long-term depression, especially when the…
Ainsworth, Patricia. Understanding Depression. Jackson, MS: University Press of Mississippi, 2000.
Chang, Valerie Nash. I Just Lost Myself. Westport, CT: Praeger Publishers, 1996.
D'Mello, Dale a. "1 Epidemiology of Late-Life Depression." Depression in Later Life: A Multidisciplinary Psychiatric Approach. Ed. James M. Ellison and Sumer Verma. New York: Marcel Dekker, 2003. 1-26.
Editors. "Depression: What Every Woman Should Know." National Institute for Mental Health. 2007. 30 Nov. 2007. http://www.nimh.nih.gov/health/publications/depression-what-every-woman-should-know/summary.shtml
This system results in stable blood concentrations of the hormones that are regulated by the pituitary gland (Reiser and Kemp, p.1).
This complex system of self-regulation means that there are multiple opportunities for the glands to stop working properly.
The hypothalamus, which is located in the brain, is, in many ways, the control center of the endocrine system. The hypothalamus secretes hormones that, in turn, either suppress or stimulate hormone release by the pituitary gland. The pituitary gland then uses the messages it receives from the hypothalamus to govern its secretion of stimulating hormones to other glands in the endocrine system. The pituitary gland sends messages to other glands in the endocrine system, as well as producing important hormones that regulate bodily functions without requiring the intervention of other glands. The hormones produced by the pituitary gland include: growth hormone, thyroid-stimulating hormone (TSH), adrenocorticotropin hormone (ACTH), luteinizing hormone (LH), follicle-stimulating…
Brown, Harriet. "For Some, Psychiatric Trouble May Start in the Thyroid." The New York
Times. N.p. 21 Nov. 2011. Web. 10 Dec. 2012.
Rieser, Marianne and Stephen Kemp. "Anatomy of the Endocrine System." Emedicine Health.
1-11. 7 Dec. 2011. Web. 9 Dec. 2012.
In light of the evidence in this literature review then it is of great import that monitoring of the health of pregnant women is vital in reference to LW infants not only in the sense of present terms but as well to lifelong health considerations for the LW infant which is probably why stated further is: "Given the relative neglect that mothers and newborns have suffered, their centrality to the Millennium Development Goals, and the cost-effectiveness of maternal and newborn health interventions, a greater emphasis on safe motherhood and newborn health is clearly needed within many health sectors." (JHPIEGO, 2003)
Stated in the publication "Shaping Policy for Maternal and Newborn Health: A Compendium of Case Studies (2003) is that: "The health of a newborn is inextricably linked to the health of the mother; the majority of newborn deaths are caused by the poor health of the mother during…
Krieger N. & Smith, G.(2004) Bodies County and body counts: Epidemiology and embodying inequality. Epidemiological Review Journal 200:26:92-103
Coker, AL et al. (2004) Partner Violence During Pregnancy and Risk of Adverse Pregnancy Outcomes. Pediatrics Perinatal Epidemiology 2004 Jul; 18 (4): 260-9. University of Texas School of Public Health.
Bohn, D.K. et al. (2004) Influences of Income, Education, Age, and Ethnicity on Physical Abuse before and During Pregnancy. Journal Obstetrics Gynecology Neonatal Nursing 2004 Sep-Oct; 33(5): 561-71.
Salihu, Boy a. (2004) Intimate Partner Violence and Birth Outcomes: A Systematic Review International Journal of Fertility Women's Medicine 2004 Jul-Aug; 49(4): 159-64. Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, Alabama.
Mary Breckinridge was instrumental in bringing a wide range of healthcare services to populations in need in rural America, with a special focus on women. In 1925, Breckinridge formed the Frontier Nursing Service (FNS), which provided health care to persons living in rural Appalachia: especially eastern Kentucky. At the time, her target population was "one of America's poorest and most isolated regions," (Castlenovo, 2003). The nursing and midwifery services Breckinridge delivered were offered at a low cost, and no patient would be turned away (Castlenovo, 2003; Goan, 2003). Her model was nevertheless cost-effective and financially feasible. Since she started the organization, the FNS has "served as a model of rural health care delivery for the United States and the rest of the world," (Castlenovo 2003; Goan, 2008). The FNS continues to serve the population of rural Kentucky and Appalachia. Because of Breckinridge, midwifery became an acceptable medical practice.
Castlenovo, G. (2003). Mary Breckinridge. The Truth About Nursing. Retrieved online: http://www.truthaboutnursing.org/press/pioneers/breckinridge.html#axzz1radHMvxO
Frontier Nursing Service (n.d.). Mrs. Mary Breckinridge. Retrieved online: http://www.frontiernursing.org/History/MaryBreckinridge.shtm
Goan, M.B. (2008). Mary Breckinridge. University of North Carolina Press.
setting, definition Sample/Setting
Level of Evidence
Implementing patient-focused healthcare within settings burdened by the combined challenges of scarce support systems, huge patient loads and constantly-growing patient care responsibilities, especially chronically ill patients
A healthcare organization with nursing staff on twelve-hour schedules
Characteristics: Number of patients individual nursing professionals have to cater to, which ranges between 3 and 5.
Catheter care, blood extractions, surgical schedules planned, antibiotic drugs' presence in the hospital inventory, patients' medicine/treatment plans
Necessity of bedside reporting, patient satisfaction and all-inclusive care framework
A case study technique implies researchers cannot undertake a broad-scale research using the sample. Outcomes might be case-specific and non-generalizable.
This article contributes to clarifying nursing role by employing numerous kinds of patient-focused care elements for improving care quality safely and manageably.
Level 4.d -- Descriptive Observational Studies -- Case Study
(Fawaz, Williams, Myers, Jones, & Logsdon, 2015)
Assessing the efficacy…
Ann Rodney, P. (2015). The Design and Implementation of a Relationship-Based Care Delivery Model on a Medical- Surgical Unit. WALDEN DISSERTATIONS AND DOCTORAL STUDIES.
Ciaramella, J., Longworth, N., Larraz, L., & Murphy, S. (2014). Improving Efficiency, Consistency and Satisfaction on a Mother-Baby Unit With the Discharge Nurse Position. Wiley Online Library.
Dempsey, C., Wojciechowski, S., McConville, E., & Drain, M. (2014). Reducing Patient Suffering Through Compassionate Connected Care. Journal of Nursing Administration, 517 - 524.
Elena, A. (2015). Understanding the Culture of the Single Room Maternity Care Unit: Ethnographic Study. University of Calgary - Electronic Thesis.
A newer and easy test is the OSOM Vlue, which mixes a swabbed specimen from the vagina with a reagent. The test yields sialidase activity or presence in the vaginal fluid in 10 minutes. Sialidase is produced by V pathogens (Mashburn).
The most reliable criterion for detecting V is a pH>4.5 (Mashburn, 2007). A normal pH should, therefore, rule out V. A pH >4.5 can also indicate trichomoniasis or muco-purulent cervicitis. Vaginal inflammation more strongly suggests trichomonas or muco-purulent cervicitis, in turn associated with gonorrhea or chlamydial trachomatis (Mashburn).
The patient's pH level is 6, indicating V.
These are an inexpensive and relatively easy screening procedure for the most common sexually transmitted diseases, such as V (Iglesias, Alderman & Fox, 2000). The practitioner should be appropriately trained and experienced in using this procedure. Hence, the proper protocol and quality control are needed to insure accurate diagnosis.…
Alfonsi, G.A.; Cshlay, J., and Parker, S. (2004). What is the best approach for managing
Recurrent bacterial vaginosis? Journal of Family Practice: Dowden Health Media,
Inc. Retrieved on July 7, 2009 from http://findarticles.com/p/articles/mi_m0689/is_8_53/ai_n6169486/?tag=content;col1
Brown, M (2007). Treating a case of bacterial vaginosis -- case study. Health and Republic News: Health Republic. Retrieved on July 12, 2009 from http://www.healthcarerepublic.com/res/clinical/article/572868/treating-case-bacterial-vaginosis
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…
Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html
Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512
Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
The heat is oppressive and because of that heat Holloway had to endure "an overpowering stench" in the birthing room. alking into that room on a day that was probably over 100 degrees Holloway (p. 6) said the building "was like an oven, baking all the secretions [from pregnant and post-partum women] into a rank casserole" (p. 6). Holloway said she felt like she was "drowning in the smell of flesh, body fluids, and leftover food" -- all made more aromatically spicy by the torrid head in the dry season.
The fierce storms that arrive in rainy season have a huge impact on the village and on the story that Holloway is telling. In many countries, the rainy season would be a blessing after a long, hot dry spell. But the rains that arrive in Mali as the rainy season started are terrifying. "I was startled out of my thoughts…
Holloway, Kris. (2007). Monique and the Mango Rains: Two Years with a midwife
In Mali. Long Grove, IL: Waveland Press.
All surgeries were successful and the prognosis based on follow up testing was good. (Yamashiro et al., 2007)
racheoplasty was also carried out for fourteen patients, seven of whom showed other symptoms of VAER association and the rest presented tracheal problems without other VAER symptoms. (Fiore, Brown, Weber, & urrentine, 2005)the same treatment modality was used for all patients with the loss of only two patients. Follow up indicated that this was a sound modality for treatment of tracheal defects in VAER associations. Similarly, urinary tract reconstruction was deemed successful and safe for end-stage renal disease in infants. he overall patient survival rate was 95%. (DeFoor et al., 2003) and, in another study, it was shown that neurosurgical treatment was successful 60% of the time for hydrocephalus from VAER, which prompts the researchers to indicate that the prognosis of certain death is not necessarily true and that the patients who…
Tercanli, S., Troeger, C., Fahnenstich, H., Hosli, I., & Holzgreve, W. (2001). [Prenatal diagnosis and management in VACTERL association]. Z Geburtshilfe Neonatol, 205(2), 65-70.
Weisz, B., Achiron, R., Schindler, a., Eisenberg, V.H., Lipitz, S., & Zalel, Y. (2004). Prenatal sonographic diagnosis of hemivertebra. J Ultrasound Med, 23(6), 853-857.
Yamashiro, M., Nakamura, Y., Nomura, K., Matsumura, Y., Iwanaka, T., & Kawashima, H. (2007). [Combined operation for congenital cardiovascular and other anomalies in children]. Kyobu Geka, 60(7), 526-528.
" It is something that the film, in showing Marie's response to gossip in the news about her, refutes. She also refutes having said, "Let them eat cake," saying, "I wouldn't have said that." However, that is the most likely response a young woman who did not realize the citizens being out of bread meant they were starving, and who, herself would have replaced a shortage of bread with a cake, would have logically said.
Coppola's film is a commitment to portraying the character and personality of the Queen, not the stories, rumors, or to engage in debate about conspiracies. Perhaps that is why Coppola does not go into the details or depict the beheading of the Queen.
Coppola, S., (dir.), 2006, Marie Antoinette, Motion Picture, Columbia Pictures
Grubin, D., (dir), 2006, PBS, Marie Antoinette, Documentary Film, David Grubin
The Birth of Marie Antoinette:…
Coppola, S., (dir.), 2006, Marie Antoinette, Motion Picture, Columbia Pictures
Grubin, D., (dir), 2006, PBS, Marie Antoinette, Documentary Film, David Grubin
Maternity Leave: Why it Matters, Why We Need More
The United States lags behind its counterparts in the wealthy, developed world on many measures, not least of which is how it treats new moms. In the United States, only twelve percent of women have access to paid maternity leave of any length (Froese 1). The six weeks of paid maternity leave I receive from my company might be better than most Americans get, but it is still not at all enough and can lead to serious health problems for both mom and baby, as well as to more generalized societal ills. Research also reveals that current maternity leave programs in the United States reflect gross inequalities along the intersections between race, class, and gender, exacerbating income disparities (May 1). The United States should therefore adopt a more sensible, rights-based maternity leave policy, modeled after the successful programs already in place…
This new reformulation of the insanity defense, a kind of a fusion of the earlier M'Naghten and Durham tests, was intended to be a less constrictive version of the right-wrong and irresistible impulse tests. Today, "most states in the union allow this 'right-wrong' test and some states also allow defendants to argue that that they understood their behavior was criminal but were unable to control it. This is sometimes called the irresistible impulse defense" (Martin 1998).
Insanity defenses are controversial amongst the public, just like M'Naghten's acquittal. Yet despite the perception the defense is misused, "less than one percent of defendants plead insanity and, of them, only a quarter win acquittals" (Martin 1998). The majority of defendants acquitted by reason of insanity suffer from schizophrenia or some other mental illness (Martin 1998). To be criminally committed to a state mental institution is not a 'gift.' In almost all cases, a…
Durham rule. (2009). Law Dictionary. Retrieved March 5, 2009 at http://www.answers.com/topic/durham-rule
Legal issues. (2009). University of Hawaii. Retrieved March 5, 2009 http://www2.hawaii.edu/~heiby/Legal_Issues_Revised.html
Martin, John P. (1998, February 27). The insanity defense: A closer look. Washingtonpost.com.
Retrieved March 5, 2009 http://www.washingtonpost.com/wp-srv/local/longterm/aron/qa227.htm
Meanwhile, Melmotte introduces Marie into the matrimonial arena at an extravagant ball for which, in hope of favors that will come, he gains the patronage of several duchesses and other regal individuals. Marie, believed to be the heiress of millions, has many highly placed but poor young noblemen asking for her hand in marriage. She falls in love with Sir Felix Carbury, who is the most shady of them all. Felix's interest in Marie has nothing to do with love, but only with her wealth. This behavior is expected, since he is just following through on all that he has been told while growing up. He has learned his lessons well. His mother commends him often for winning Marie's heart, even if it is for the wrong reasons.. As Trollope writes:
It was now his business to marry an heiress. He was well aware that it was so, and was…
Austin, J. Pride and Prejudice. Retrieved August 25, 2007. Retrieved August 25, 2007. http://www.bookwolf.com/Free_Booknotes/Pride____Prejudice/pride____prejudice.html
Chopin, K. "Story of an Hour." Retrieved August 25, 2007. http://www.vcu.edu/engweb/webtexts/hour/
Eliot, G. Middlemarch. Retrieved August 25, 2007. http://www.princeton.edu/~batke/eliot/middle/
Gilman, Charlotte Perkins. "Yellow Wallpaper" Retrieved August 25, 2007 http://www.library.csi.cuny.edu/dept/history/lavender/wallpaper.html
The Category Totals for the 2006-2007 Biennial State Operating Budget, found in Chapter 176, Laws of 2005, are as follows:
Chapter 176 - Laws of 2005 - NH Operating Budget
Fiscal Year 2006
Fiscal Year 2007
Total Appropriation for Category 01
AS INCLUDED in SECTION 1.01-403,003,676 416,233,183
ESTIMATED SOUCE of FUNDS for CATEGOY 01, GENEAL GOVENMENT
AS INCLUDED in SECTION 1.01
FEDEAL FUNDS 17,924,517 17,918,180
OTHE FUNDS 106,867,295 105,489,779
GENEAL FUND 278,211,864 292,825,224
TOTAL 403,003,676 416,233,183
Total Appropriation for Category 02
ADMIN of JUSTICE & PUBLIC PTN
AS INCLUDED in SECTION 1.02-420,003,205 424,638,566
ESTIMATED SOUCE of FUNDS for CATEGOY 02, ADMIN of JUSTICE & PUBLIC PTN, as INCLUDED in SECTION 1.02
FEDEAL FUNDS 52,837,182 50,445,675
OTHE FUNDS 152,998,319 155,855,692
GENEAL FUND 213,213,595 217,790,891
TOTAL 420,003,205 424,638,566
Total Appropriation for Category 03
ESOUCE POTECTION & DEVELOPMENT
AS INCLUDED in SECTION 1.03-222,979,010 217,030,487
ESTIMATED SOUCE of FUNDS for…
Hall, D.E.. (Sep 2002). Six Programs Fueled State Spending Increases, 1993-2003. New Hampshire Center for Public Policy Studies. Concord, NH. Retrieved on February 7, 2007 at http://www.nhpolicy.org/nhbudget/19932003v1.pdf
Norton, S.A. (Dec 2006). Fiscal Feast and Famine. New Hampshire Center for Public Policy Studies. Concord, NH. Retrieved on February 7, 2007 at http://www.nhpolicy.org/budget_trends2007.pdf .
Operating Budget for the State of New Hampshire (2004-2005). (2005). About the LBA-Budget Division. State of New Hampshire Office of Legislative Budget Assistant. Concord, NH. Retrieved February 7, 2007 at http://www.gencourt.state.nh.us/LBA/Indexbudget.html.
President George W. Bush (07 Feb 2005). President Bush's Budget and New Hampshire: FY Budget. The White House. Retrieved February 8, 2007, at http://www.whitehouse.gov/infocus/budget/2006/states/nh.html# .
So, in those regards the curriculum is slowly catching up with the times. Personally, I would like to see additions such as a playing of the movie, "The Business of Being Born" at one of the sessions or as homework.
The second way that the curriculum should change within the next three years is to begin allowing more nurses to become certified teachers. Currently, it is easier for a parent to become a coach than it is for a nurse. The reason, according to Bradley, is that the parents have direct experience, whereas nurses only have book-related experience. In fact, Bradley does offer the option for nurses to become a teacher, but additional reading and exam requirements must be met.
Personally, I find it to be in the best interest of Bradley to offer their curriculum with open arms to nurses for one simple reason: the more nurses who know…
Halfon, Saul (2010). Encountering Birth: Negotiating Expertise, Networks, and My STS Self. Science as Culture, 19(1), 61-77.
Hathaway, Marjie; et al. (2007). The Bradley Method Student Workbook. American Academy of Husband Coached Childbirth.
Lake, Rikki (2008). The Business of Being Born. Barranca Productions.
Lieberman, Adrienne (1992). Easing Labor Pain: The Complete Guide to a More Comfortable and Rewarding Birth. The Harvard Common Press, Boston.
Other techniques are those listed as:
Opening space for recovery and taking it slow
Compliments and statements of affection
Writing positive requests for the future
It is important that the couple become able to schedule pleasant times in spite of the depression cycle such as higher activity task of cycling, walking, etc. Furthermore challenging the belief systems in the depression are vital and then to fill that void with ": positive constructions and narratives" about the situation. The CTR or "Challenge Test Reward" is a technique utilized for transforming through challenge of a self-critical belief through generation of an alternative positive belief to replace the old negative belief with self-rewarding dialogue resulting from this technique when accomplished. (Author of Ibid p. 431)
Communication and Problem Solving:
It is imperative that the therapist provide the client with communication and problem solving skills for dealing with the depression. These skills may be…
Beach, S et al. (1990) Depression in Marriage a Model to Etiology and Treatment. New York: Guilford.
Family Therapy: Concepts, Process and Practice. Wiley Publishers
Dishion, Thomas and Patterson, Gerald (1999) Model Building in Developmental Psychopathology: A Pragmatic Approach to Understanding and Intervention. Journal of Clinical Child Psychology Vol. 28 No. 4, 502-512.
The data was gathered using a sub-analysis of a large randomized control group of 1047 pregnant young women. The data was collected from the assessments at the given time intervals.
The BMI was used as the dependent variable and STD occurrence was used as the independent variable.
Alpha coefficient was not used in the statistical models of this study.
The results of this study support the importance of the association between BMI and sexual risk, and suggest the need for sexual risk prevention and weight loss programs among young mothers.
Questions and Personal Design
-How important is BMI to overall health?
-Is there a difference in the severity of STD/STI's, if so how does that affect the importance of the study's outcome.
Designing a study for my topic would require assigning the independent variable STD occurrence and the dependent variable would be that…
Kershaw, T. et al. (2011). The Skinny on Sexual Risk: The Effects of BMI on STI Incidence. AIDS and Behavior, 15. 7 Oct 2011; 1527-38.
The MTV production Teen Mom follows the real lives of Amber, Catelynn, Farrah, and Maci as they deal with being teen moms. The show can be criticized for showing the worst side of American culture, but it sends a good message warning viewers about the potential pitfalls of unprotected sex. Each of the four main characters has had different life experiences, which led to their getting pregnant and their decision to carry a child to term. Because each of the characters is completely different from one another, it allows viewers to get multiple points-of-view and perspectives. Furthermore, the producers make sure to present the issue from a family and community perspective. The entire context, and the background information about the families of origin and their communities are important for understanding why each girl got pregnant, why she chose to carry the child, and why she made the post-partum…
Teen Mom. [Website]. Retrieved online: http://www.mtv.com/shows/teen_mom/season_4/series.jhtml
Teen Mom. [Television show}
Capital Punishment in Texas
Khalil, Samy. "Doing the impossible: Appellate reweighing of harm and mitigation in capital cases after Williams v. Taylor, with a special focus on Texas." Texas Law Review, 80(1): November 2001. Proquest Database.
In this article, Khalil examines how state and federal courts have overturned death sentences, from a period covering the reinstitution of the death penalty in 1976 to 2001. The author focuses on sentences that have been upset due to the failure of defense lawyers to both investigate and present mitigating evidence during trial. The author makes a strong argument by referring to Williams v. Taylor, which argues that appellate courts cannot be expected to reweigh harm and mitigation when attorneys present adequate defense representation. In the case of Texas, the author rightly observes that appellate courts would have difficulty reviewing all capital cases arising from Texas, since even fact-finders in Texas are not required…
Owens, Virginia Stem and Owens, David Clinton. Living Next Door to the Death House. New York: Wm. B. Eerdmans Publishing, 2003.
In this book, the authors present the effects of executions in the town of Huntsville, Texas, known as "the death penalty capital of the United States." While other accounts focus on the victims or the offenders, Owens and Owens conduct in-depth interviews with prison guards, wardens, chaplains and other people who are involved in executions, many of which are Huntsville residents. Particularly affecting are the interviews with the technicians who directly administer the lethal injections to the inmates who are executed.
These interviews show that many of the people whose lives are directly affected by the death penalty system have conflicted feelings regarding capital punishment. This honestly written book presents a balanced account regarding a community's views regarding the death penalty. The fact that the community in question is directly involved
InterestInterview Coding & Reaction
There is little doubt that the experience, events and quality of care that surround expecting and new mothers is extremely important (Berrien, Olledorff & Menard, 2015). The reduction or mitigation of things like excessive pain before and after birth, any sort of disconnect between patient and providers in terms of communication and an explanation of what is and shall be going on and so forth are all important (Taavoni, Abdolahian, Neisani & Hamid, 2016). This research deigns to cover a number of things. First, it is asked of the interviewee what went well, what did not, what perhaps could or should be compared and contrasted between this or prior birthing experiences (and one did exist in the case of this research), what could have been done better, what was done well, whether proper and full options were made available and so on.
The setting and meeting…
Research the McNaughton rule. What was McNaughton and how did the McNaughton Rule come into being?
The name McNaughton came from the son of A Glasgow wood turner who was deluded that there was conspiracy against him when the catholic priests sent spies to harass him. It is from these encounters that the McNaughton Principle came into being. The rule in based on understanding what is right and wrong. It is a test of the two concepts, i.e. "knowing right and wrong by oneself in the course of their actions" (Asokan, 2007). The idea of uncontrollable impulses was not considered an important item. This rule was the standard test that was used by the jury after listening to a medical report. Thus, there was a presumption of sanity unless the defence proved otherwise. The US and the UK adopted the McNaughton Rule and still use it to handle cases to…
Long before the term postpartum depression became part of the vernacular, Charlotte Perkins Gilman deftly and sensitively describes the complex condition in her short story “The Yellow Wallpaper.” The story describes the prevailing attitudes towards women and their narrowly defined roles in society. White, upper middle class women like the narrator of “The Yellow Wallpaper” could not easily express discontent with their position as wife and mother. The narrator’s husband—a physician—believes there is “nothing the matter” with his wife except “temporary nervous depression” and “a slight hysterical tendency,” (Gilman 648). Noting her brother is also a physician, the narrator exclaims, “But what is one to do,” when one is just a woman, and therefore a subordinate whose total financial and social dependency on their male counterparts precludes their self-determination (Gilman 649). To address her “hysteria,” the narrator’s husband and brother confine her to a pleasant enough country home, but restrict…
affordable Care Act (also known as the ACA or Obamacare) on the elderly
Obamacare: Its impact upon the elderly
The impact of the Affordable Care Act (ACA) (often called 'Obamacare') upon America is often discussed by politicians as if it had a uniform impact upon all citizens. However, the ACA's effects have been relatively disparate, depending upon the nature of the population. This paper will specifically focus upon the impact of the ACA on the elderly of a variety of socio-economic categories.
One of the criticisms of the American healthcare system before the passage of the ACA was the spiraling cost of entitlement programs such as Medicare, the federally-provided health insurance program for seniors. "One good result of all this [ACA] is that the burden of Medicare for taxpayers in future years has been drastically lowered. In fact, the day Barack Obama signed the ACA into law he cut the…
ACA. http://www.hhs.gov/healthcare/rights / Accessed November 6, 2014.
FAQ: What retirees and seniors need to know about the ACA? NPR. October 11, 2013.
http://www.npr.org/2013/10/11/231101137/faq-what-retirees-and-seniors-need-to-know-about-the-affordable-care-act Accessed November 6, 2014.
Goodman, John. What seniors have to fear from Obamacare? Forbes. October 28, 2014.
A dominant healthcare practice for many Mexican-Americans is the hot and cold theory of food selection, where illness or trauma may require adjustments in the hot and cold balance of foods to restore body equilibrium. In lower socioeconomic groups is a wide-scale deficiency of vitamin a and iron, as well as lactose intolerance.
Mexican-American birth rates are 3.45 per household compared to 2.6 per household among other minority groups (Chapa & Valencia, 1993 as cited in Purnell & Paulanka, 1998). Multiple births are common, particularly in the economically disadvantaged groups. Men see a larger number of children as evidence of their virility. If a woman does not conceive by the age of 24, it may be considered too late. Given their predominant Catholic beliefs, the tendency is only to use acceptable forms of birth control, although many will use other unacceptable forms. Abortion is morally wrong. Family planning is an…
Lopez, P. (2003) Mexican-American Health Issues for the 21st Century. Californian Journal of National Institute of Child Health and Human Development (2000) Health Disparities: Bridging the Gap. Washington: U.S. Department of Health and Human Services.
Purnell, L, & Paulanka, B. (1998). Transcultural Healthcare. Philadelphia: Davis Company.
Purnell, L. & Paulanka, B. (1998a) Purnell Model for Cultural Competence. in
Nava, G. (director) Quintanilla, a. (executive producer) (1997) Selena. Q Productions.
Facility isk Management
isk Management Facility Issue: Infant Abduction
isk is defined as "anything that threatens the ability of [a] business to accomplish its mission." (Pakeys, 2010) The risk management plan is held to be "much broader than the emergency preparedness plan" and involves the management of risk, which offers a method of protecting against unforeseen hazards, and the routine risks faced by workers each day. (Pakeys, 2010) The express reason for a risk management plan in Facility Management is lower the likelihood that an accident or failure event occurs and to minimize the results in terms of consequences of accidents or failure events.
Developing and Implementing a Facility isk Management Program
According to the Nurses Service Organization there are specific steps to taken in the facility risk management planning which includes: (1) stating the goals of the organization; (2) describing the program's scope, components and methods; (3) delegation of…
Busowsky, Garry (nd) Risk Management in Facility Management. Retrieved from: http://www.beims.com/fm_news/white_papers/Risk_Management_in_FM.pdf
Risk Management Plan Guide (2010) Pennsylvania Early Learning Organization. Retrieved from: http://www.pakeys.org/docs/LM-05%20Risk%20Management%20Guide%205.1.08.pdf
Basic Principles of Risk Management (2006) Risk Advisor -- Nurses Service Organization. Retrieved from: http://www.nso.com/pdfs/newsletters/2006-NSO-firms-brief.pdf
Schumann, Andrew. J. (1999) Infant Abductions: Preventing the Unthinkable. Contemporary Pediatrics. 1 Oct. 1999. Retrieved from: http://mediwire.sma.org/main/Default.aspx?P=Content&ArticleID=140246