Prenatal Care for the Homeless
Families and children in the context of social change
The Homeless Prenatal Program
The goal of the Homeless Prenatal Program (HPP) in San Francisco is to break the cycle of childhood poverty by providing a variety of services to homeless families (Homeless Prenatal Program, 2010). The original and still primary service offered is prenatal and parenting support, in addition to housing assistance, training in personal finance and computer skills, mental health services and referrals, financial emergency assistance, and substance abuse counseling. The historical goal has been to reach out to homeless women who have become pregnant or are the head of a family and provide the relevant services and referrals to stabilize and improve their situations and thus ensure continuity of perinatal care. The prenatal care consists of on-site care and classes in prenatal self-care. Perinatal care services include home visits to help mothers provide…… [Read More]
Although not all pregnancies can be planned, all pregnancies can proceed with optimal outcomes when proper prenatal care is available and used. Those who can should see a doctor prior to considering parenthood. Tests for various congenital diseases or diseases that might impact the gestational period can help properly plan for a healthy pregnancy. Moreover, prenatal care can ensure that the right nutrients and lifestyle factors are in place for a trouble-free pregnancy. The Centers for Disease Control and Prevention (2018) suggest supplementation with folic acid and cessation of drugs and alcohol during pregnancy to reduce the possibilities of complications or damage to the fetus. The most important aspects of prenatal care include lifestyle and prenatal coaching. However, prenatal care should be divided into pre-planning (preconception care) and actual prenatal care (care offered to mother and fetus subsequent to pregnancy).
Checkups are the cornerstone of prenatal and preconception care. A…… [Read More]
In the twenty-first century, women should have easy access to available resources to assist them in their pregnancy. In addition, available technology to detect difficulties during pregnancies is widespread in the medical field; however, disadvantaged women in Atlanta, Georgia do not benefit from these resources. Each year, maternal care expands in resources and knowledge. Equipped physicians can diagnose birth defects long before a mother gives birth. Absurdly, poor twenty-first century mothers in Atlanta lack access to this prenatal care, which would play a vital role in the reduction of infant mortality. Without prenatal care, mothers endanger not only their lives but also the lives of their unborn infants." (2005) proposed solution provision of adequate access to prenatal care for women in Atlanta by the Children's Healthcare of Atlanta and local hospitals has been stated for free monthly screening however this provision will depend on the ability of groups in Atlanta…… [Read More]
Prenatal care is an important aspect of pregnancy and can result in positive outcomes for both mother and infant. Low-risk pregnancies have different recommendations for prenatal care than high-risk pregnancies. Low risk pregnancies begin with medical checkups that include screening tests. This will help the mother know if the baby is healthy and if she is healthy while pregnant. Prenatal care also involves some aspect of counseling as well as education on how to handle various facets of pregnancy. Patient education could involve topics like healthy eating, any additional screening tests needed, and level of physical activity. They may also include as part of prenatal care, what to expect during labor plus after delivery.
The first trimester for a low-risk pregnancy as previously stated, involves tests, labs, and screenings. The first thing they do is determine the expectant mother's blood type and h factor and to look for signs of…… [Read More]
Inadequate Prenatal Care for an Undocumented Immigrant
Desired Outcome and Evidence-Based Solution
PENATAL CAE FO UNDOCUMENTED IMMIGANT
Inadequate Prenatal Care for an Undocumented Immigrant
Adequate access to prenatal care remains a major problem amongst undocumented immigrant women in the U.S. This difficulty arises from factors such as lack of health insurance, inability to meet costs relating to prenatal care, inaccessibility to sources of prenatal care, linguistic barriers, distrust in the healthcare system, and unusually rigid work schedules (Fabi, 2014; Lee, 2015). Other challenges include misinformation about the consequences of immigration as well as perceived and actual fear of encountering law enforcement or immigration authorities while seeking health care (Fabi, 2014). Inadequate access to prenatal care often increases the likelihood of poor reproductive, maternal, and neonatal health outcomes amongst undocumented immigrant women and their babies. With reference to an identified undocumented immigrant woman, this paper describes the problem of accessing prenatal…… [Read More]
These programs include the service of a registered dietician. (Monti, 2006) These and other programs and research adds to the insight and knowledge about prenatal nutrition that offer a valuable resource and knowledge base for the professional nurse.
Brody, N. (1995). Beyond Family Influences. Psychological Inquiry, 6(2), 142-145. etrieved February 20, 2008, from Questia database: http://www.questia.com/PM.qst?a=o&d=77033875
Dolby V. (1998) Practice good prenatal nutrition, for baby's sake. Better Nutrition,
Eriksson J.G., Forsen T., Tuomilehto J, Winter P.D., Osmond C. And Barker D.
J.P. (1999) Catch-up growth in childhood and death from coronary heart disease: longitudinal study. BMJ, 318, 427-431.
McCollister, B. (2001) the Social Necessity of Nurturance. Humanist, 61 (1).
Mead, M.N. (2007). You Are What Your Mother Ate. Environmental Health Perspectives, 115(10), 492+. etrieved February 20, 2008, from Questia database: http://www.questia.com/PM.qst?a=o&d=5023613182
Monti, Davorka (2003) Not so Common Nutrition Exercises for Your Childhood
Education Classes. International Journal…… [Read More]
For many people, prenatal testing has opened many opportunities to treat potential illnesses and to save lives. Administering tests that involve visualization, ultrasounds and amniocentesis allow physicians and parents to identify illnesses and disabilities in children even before birth. More advanced surgical techniques have been used to treat babies even before they are born.
Many others, however, have expressed concern over the ethical implications of prenatal testing. hile the treatment of diseases is a noble cause, many ethicists worry that prenatal testing will lead to a de facto form of eugenics. In these cases, prenatal testing could be used to screen out mild disabilities and other non-life threatening conditions.
This paper looks at the social implications of prenatal testing, with a particular emphasis on the definitions of disability and preferred genetic makeup. The first part is a look at the reasons why parents avail of prenatal testing techniques.…… [Read More]
Prenatal Maternal Stress and Prematurity: A Prospective Study
of Socioeconomically Disadvantaged Women
Medical risks only predict one half to two thirds of adverse pregnancy outcomes. Even though elevated levels of epinephrine and norepinephrine reduces bloodflow and oxygen to the fetus, which may inhibit fetal growth and precipitate labor, studies that have explored stress factors related to low birthweight and premature delivery have found mixed. Researchers Lobel, Dunkel-Schetter, and Scrimshaw (1992) pursued the relationship between stress and adverse pregnancy outcomes in greater detail in their study of disadvantaged women. They looked at stress more holistically than previous studies and found stronger relationships.
The first major difference between this and previous studies was that Lobel et al. integrated biomedical data and psychosocial data, as opposed to just one or the other. They also looked at the relationship between weeks of gestation and birthweight, which many researchers overlooked. These researchers' operationalization of the…… [Read More]
Moreover, some genetic testing is inaccurate, creating the possibility of false positives and false negatives.
The second problem with genetic testing is that it can provide information about diseases where there is no treatment or intervention. This is the case for Tay-Sachs. There is no way to prevent the disease, which is fatal in children. However, unlike some other genetic disorders, the baby is born healthy and begins to deteriorate sometime after birth. Does knowing that the child will develop the disorder help the family, when prenatal screening does nothing to help treat the child?
The third problem with genetic testing is that it may lead people to make undesired choices. Abortion rates for children with genetic diseases are higher than those rates for children without those diseases. Abortion is a major moral issue in the United States. Does a process that might increase the likelihood that a mother will…… [Read More]
sufficient health care for runaway teenagers is a topic of grave concern to most in the medical and social professions, both nationally and in the state of California. With limited treatment options, higher risks of STD's, HIV, and other diseases, improper prenatal care, and a lack of community care options, runaway teens receive grossly inadequate health care. This paper will address those concerns, specifically in the state of California, as well as offering possible solutions to the problem, and will examine the role of the registered nurse in the solutions presented.
It is important to note that the life of a runaway teenager is filled with health risks and danger. Marie and Cheri are just one example. They were 13 when they ran away from home in an attempt to escape a drug addicted father who sexually abused them. With only $200 between them, their food supply and housing was…… [Read More]
Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).
The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill…… [Read More]
nurses deliver evidence-Based care?
Define main ideas within the title supported from the literature
Nurse instructors confront many hurdles in the present healthcare environment. Educational methods, philosophies, and the content of curricula is required to reviewed to cater to the requirements of the professional nurses who would practice in the coming millennium. (Kessenich; Guyatt; DiCenso, 25) Evidence-based practice or EBP has currently emerged to be a remarkable attribute in nursing literature along with a key impetus in restructuring nursing practice. (Elizabeth; Pyle, 64) Evidence-Based Nursing or EBN is the strategy by which the nurses formulate clinical conclusions applying the best available research evidence, their clinical skill and patient prioritization. (Evidence-Based Nursing: University of Minnesota) It could be narrated as the meticulous, unequivocal and judicious application of the current best evidences in formulating decisions about the care of individual patients. When clinicians formulate health care conclusions for a population or group…… [Read More]
The problems facing Medicare recipients and the federal government almost seem to be overwhelming. There are proponents of a plan to privatize Social Security and health insurance, placing the onus on the individual to pay for his own health care through savings specifically for this. Some others would have the program go through the private HMOs who have, in the past, contained the costs of care by having primary care physicians manage a patient's care and purposely keeps the costs of care down.
As with Medicaid, the recipients of Medicare would have difficulty obtaining health care without this program. The recipients would most likely have no other health insurance. The trend being what it is, a lot of individuals retiring today are fortunate to have pensions from their companies, much less health benefits. ithout a national health insurance plan, like Medicare, those individuals would have to pay for health care…… [Read More]
Days earlier, Democratic Senator Pat Moynihan said pretty much the same on Meet the Press.
Yet the public continued to demand changes. The changes they eventually got are still to be seen, as to their level of effectiveness. Changes that many see as temporary and not far reaching enough, such as when any sort of national health care plan was squashed by the stakeholders, fearing loss of revenue and convincing the public of the potential loss of availability for lifesaving care and difficult decisions that would bar many from demanding it the system instead created such things as a highly complicated and entirely privatized Medicare D. drug benefit, more than ten years after the debate had begun. The collective agenda of the stakeholders, was first to defend the system as it stood, which was not allowed by the public or the media, and then to make small changes that kept…… [Read More]
Health insurance has gone up over the past two years as a result of a nationwide increase .insurance companies have the tendency of settling only a percentage of a patient's bill. The truth of the matter is patients are not the only people who suffer due to this crisis the doctors too fall victims as mots of them opt to close down since they are underpaid by the insurance companies as well as being forced to pay the yearly premiums for malpractice .physicians are taken as the ones who are at fault for the ongoing healthcare crisis. This is true to some extent but they are not the bones to blame entirely as there are many parties involved in this issue. First of all when we look at the money involved we can say that this crisis is the fault of insurance companies since they are out there…… [Read More]
Culturally Sensitive Care: Caring for a Pregnant Woman who is a Lesbian
I may have helped care for a number of pregnant lesbians, because I have certainly cared for unmarried mothers, but may not have been aware of that they were bisexual or lesbians. What the literature has revealed is that many lesbians remain concerned about divulging sexual orientation to their healthcare professionals, including their gynecologists, so that sexual orientation may not been known for many patients. However, I know that I have been involved in the care of at least one pregnant lesbian. The patient, who I will call Leslie, was a 37-year-old woman who was pregnant for the second time. Her first pregnancy was when she was 15 and she placed that child for adoption. Leslie was in a committed relationship with her "wife" (our state did not recognize homosexual marriage, so they were not legally married)…… [Read More]
One of the most underserved populations in America with respect to health care is Native Americans. This community has a higher burden of illness, injury and premature death, and the health care needs of this population are seldom part of policy discussions because of its relatively small population (Katz, 2004). More are uninsured than most other groups as well, which creates problems with respect to access to care. Katz (2004) notes that almost half of low-income Native Americans are uninsured (prior to the ACA), and that over half of this group has incomes more than 200% below the poverty line, the impact of lack of access is widespread.
From a structure level, the US government has responsibility for providing health care to members of federally recognized tribes, and this is carried out by the Indian Health Service (IHS). The IHS is known to be chronically underfunded – in…… [Read More]
Access and Availability
The biggest problem in terms of access to healthcare is in rural areas. Our investigation found that there are very few if any rural clinics or healthcare facilities.
Access to healthcare is also limited to those that can afford insurance or qualify for Medicare or Medicaid. The unemployed and the poor are at a major disadvantage when it comes to gaining access to healthcare. The location of healthcare facilities is limited to the larger municipalities.
The entity that is responsible for the healthcare system is the United States Government. In addition, Puerto ico has a governor and a cabinet in place to ensure that the appropriate laws are carried out. The entity that makes laws concerning healthcare is outside of the country but the entity that enforces these laws is inside the country. Services are evaluated by state run entities and agencies of the United States…… [Read More]
reputed "health crisis" currently facing Americans. The author explores several aspects of the health care crisis and analyzes the validity of those claims. The author presents an argument that there really is not a health care crisis and it is a fallacy. There were six sources used to complete this paper.
Why do People Believe the Crisis is eal?
What Evidence is There That it is Not eal?
What are some of the things giving the appearance it is...shortage of students etc.
What are some of the ideas that can help the problem?
For several years now Americans have been inundated with information about the health care crisis. News channels cover the crisis and pipe it into living rooms. Magazines publish articles about the causes and history of the health care crisis and politicians use the health care crisis to sell their platform and garner votes. It seems that everywhere…… [Read More]
The proposed health care program for the Amish would include, providing doctors that would travel to the Amish community for home visits.
Another aspect of the program would be to offer an advanced medical education to some of the Amish young people in order to establish local medical treatment centers managed and maintained by these same Amish individuals.
One of the health issues that might be more appropriately addressed by these local centers is the issue of non-appropriate advise being circulated among pregnant Amish women who, according to Miller, "often seek prenatal care from lay practitioners and female relatives" (pg. 163). One of the reasons behind such action is likely that they have no professional medical workers to seek such advice from. The closeness of their community provides them some sense of security but it is always nice to have professionals close at hand in case of any trouble. Miller's…… [Read More]
educe Medicaid Program Costs and Enhance Utilization and the Quality of Care Through Medicaid Managed Care
Medicaid is a type of health insurance provided and funded by the federal government and states to provide coverage to all Americans who are eligible low-income adults, children, elderly adults, pregnant women, and individuals with disabilities. Managed Care is a health care delivery system that was organized to manage cost and quality. The use of managed care in Medicaid is to deliver Medicaid health benefits and additional services through contracted arrangements that are between state Medicaid agencies and managed care organizations. By contracting with different types of managed care organizations, states can reduce Medicaid program costs and better manage the use of health services as well as enhance health care quality (Medicaid.gov).
Medicaid Managed Care is a federal government sponsored medical care system designed to deliver quality care and to reduce cost of health…… [Read More]
A largely insular community since their initial settlement in the United States, the Amish community presents unique challenges for healthcare workers. The Amish eschew modern technology, including many of the tools and techniques used in modern medicine. In fact, the Amish community also forbids higher education (Adams & Leverland, 1986). Misconceptions and misunderstandings about the Amish further complicate healthcare decisions and relationships between healthcare providers and Amish patients. For example, it is commonly assumed that the Amish “lack the preventive practices of immunizations and prenatal care,” (Adams & Leverland, 1986, p. 58). While the rates of immunizations are relatively low among the Amish, the Amish church does not forbid immunization (Adams & Leverland, 1986). The Amish also have a keen interest in disease prevention, health education, and lifestyle choices that prevent health problems (Talpos, 2016). Although Amish attitudes towards health, wellness, and the healthcare system may be at odds with…… [Read More]
Gypsies, otherwise known as Roma, came to the Americas with the very earliest settlers. Throughout the course of the past 500 years, the Roma, their preferred name, have held on to their traditions and practices. Historical written record says that the Portugese exported Gypsies to South America. According to legend, the Portugese did the same thing in what is now South Carolina, long before the English came to settle the area.
The long tradition of Gypsies in the United States is almost as interesting as the origination of Gypsises as a people. Gypsies originated in India over 1000 years ago, migrating to Europe in the Middle Ages. No one knows for sure how or why they began to wander the globe as they have. Today, there are more than twelve million Roma located in many countries around the world. ecause the Romani are almost never included on official census counts,…… [Read More]
Often, many at-risk parents have fewer social networks, and this can help contribute to child abuse after the child is born. Creating social networks, as well as a safe environment for parents to ask questions and gain knowledge should be the goal of any good prenatal support group.
In addition, many prenatal support programs include or consist of home visitation by either a qualified nurse or social worker (or both), that discuss parenting techniques and challenges, while monitoring the health of the new infant and the mother. These home visitation programs have been proven to help reduce child abuse. One study notes, "For mothers, long-term effects of home visitation include fewer subsequent pregnancies, decreased use of welfare, and fewer verified incidents of child abuse and neglect" (Hammond-atzlaff, and Fulton 435). Thus, the home visitation programs, whether a family is at-risk or not, can help reduce and prevent child abuse, and…… [Read More]
Ethical Analysis of Healthcare Rationing
The topic of health care rationing has been the subject of debate in the U.S. The last few years as government expenditures on health care have far exceeded budgeted levels. Central to the concern is the ethical issue over whether it is better if fewer Americans profit with a greater amount of health resource allocation or if the majority benefit to a lesser degree for an equity in health care benefits. In the essay, "We've Got To Ration Health Care," (author unknown) the position is taken that America would fare better to follow the course of health care action seen in other western countries, where it is considered better to ration medical procedures to the extent that a system provides "the highest possible level of basic health care that can be delivered to all the people." With the growing concern over health care rationing, and…… [Read More]
Effects on Current Position
With "The Patient Protection and Affordable Care Act," many healthcare professionals are affected (Democratic Policy Committee, n.d.). Nationwide, hospitals are scrambling to buy hospitals in an effort to control costs. Doctors are leaving small private practices. Large insurance companies are becoming more dominant as smaller ones disappear because they cannot stay competitive (New York Times, 2011). Furthermore, epublicans denounced the law as an intrusion by the government that would prompt employers to eliminate jobs, create an unsustainable entitlement program, saddle states and the federal government with unmanageable costs, and interfere with the doctor-patient relationship. As a result, the law would exacerbate the steep rise in the cost of medical services, thus affecting the elimination of many healthcare positions. Ironically, less healthcare professionals will ensue, but an increase in patient care will be needed, as a result in more people becoming insured.
Challenges & Opportunities
Moreover, many…… [Read More]
It means they have an equal opportunity to receive contraception, prenatal counseling and services, post-natal services for mother and child, preventative healthcare services, vaccinations, and dentistry services, from earliest childhood and through their lives into their elderly years when they require more medical services to remain healthy and active. To the extent everyone in a given community or society has the same relative access to healthcare services and to the extent those services received are of comparable quality, healthcare access could be described as being equitable. On the other hand, to the extent everyone in a given community or society does not have the same relative access to healthcare services and to the extent those services received are not of comparable quality, healthcare access could be describes as being inequitable (Kennedy, 2006; eid, 2009).
Healthcare Equity in the Contemporary United States
Unfortunately healthcare access in the U.S. is not equitable…… [Read More]
Healthcare in Sweden
The healthcare system in Sweden is used as one of the model systems in the world. hen Johan Hjertoqvist from the Timbro Policy Group spoke before the Montreal Economic Institute in 2002, he said, "...you refuse to accept the consumer as an equal partner, you still look upon the client, the patient, as an inferior partner in the relation" and "you deny the need for good working condition when it comes to the staff, etc." (http://www.iedm.org/conference5_en.html).Moreover, he stressed the need to move interests and priorities away from the processes and production organization to "the quality of the outcome for the consumer" (http://www.iedm.org/conference5_en.html).Quality seems to be synonymous with healthcare in Sweden.
Two important characteristics of the Swedish healthcare system are that it is "decentralized and it is run on democratic principles" (http://www.si.se/docs/infosweden/engelska/fs76.pdf).All residents of Sweden are covered by the national health insurance system which covers medical care, pharmaceuticals,…… [Read More]
Kangaroo Care and Premature Babies
Kangaroo care entails holding a full term infant or premature so that there is a skin-to-skin contact between the newborn and the individual holding it. Individuals practice kangaroo care for premature infants for approximately two to three hours every day over a certain period. This takes place during early infancy, and the parent holds the baby against her bare chest. Medically stable babies can receive kangaroo care for up to any period since there is no maximum duration for them (Feldman et al., 2002).
Most parents may keep their babies in their arms for hours each day. According to research carried out, kangaroo care is essential as close bodily contact between the infant and the mother helps to stabilize the heartbeat, breathing and temperature of the premature infant. This is crucial as premature babies always have problems in harmonizing their heart and breathing rate. Mothers…… [Read More]
Expenditures on health care has been mounting faster than the economy for many years, representing a challenge not only for the government's health insurance programs, but also for the private sector. As health care expenditures consume a larger share of the nation's economic output, Virginians along with all Americans will be faced with progressively harder choices to make (the Long-Term Outlook for Health Care Spending, n.d.).
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Martin, Keith L. 2010, "Virginia passes budget cutting Medicaid, other health services," viewed
14 February 2011, from < http://ifawebnews.com/2010/03/15/virginia-passes-budget-cutting-medicaid-other-health-services/>
"Monthly Premiums for Non-Medicare Eligible Retiree Group." 2010, viewed 14 February 2011,
Martin,…… [Read More]
physicians agree that managed care is not doing the job it was originally created to do. Although reform efforts have not worked in the past, many doctors believe now is the time to revisit reform to combat the lack of health care access to a growing number of Americans, escalating costs, and deteriorating quality. This paper explores the evolution of managed care, and its problems and possible solutions from the viewpoint of two organizations representing the interests of physicians.
In 1993, President Clinton introduced a plan for regulated health care reform in response to escalating costs and the growing ranks of the uninsured. From 1970 until the time of the reform proposal, health care spending had increased from $74.4 billion to $752 billion annually. The Clinton proposal was met with huge opposition from the "medical industrial complex" comprised of insurance firms, pharmaceutical companies, hospital suppliers and medical device companies and…… [Read More]
Abortion After Prenatal Testing
Methods of Prenatal Diagnosis
There are four methods of prenatal diagnosis that is available to women. The first and most commonly known is ultrasonography, colloquially referred to as "ultrasound." A picture of the fetus is developed through the implementation of sound waves. Ultrasound is used to identify abnormalities that are physically apparent such as deformed limbs, defective chest, and heart. During the fourteenth to sixteenth week of the pregnancy, neural tube defects can also be detected (Cassidy & Gentles, 2002). There are other uses such as detecting multiple fetuses and measuring fetal growth.
The second method is Maternal Serum Alpha Fetoprotein Screening (MSAFP). Its primary purpose is to detect neural tube defects by measuring the alpha fetoprotein levels in the women's blood. High levels of alpha fetoprotein can indicate neural tube defects in the fetus. This exam is typically administered during the fifteenth to seventeenth week…… [Read More]
As a woman enters her geriatric years, many unique problems are also faced. Her post-menopausal period leaves a woman with increased risk of osteoporosis, and hormone-replacement therapy may need to be considered or dismissed depending upon the needs and wellness of the individual women. Additionally, increased risk for obesity begins nearly at the adolescent period, when women's hormone loads change and often activity of childhood decreases. The incidence of obesity and overweight among women perpetually increases with every year of life. ("Overweight, Obesity Threaten U.S.," 2002, p. 8)Obesity and overweight, as one of the most significant conditions associated with several chronic diseases, such as type 2 diabetes, heart disease, increased risk of stroke and hypertension should be developed as a lifespan issue, as the needs of intervention and prevention change as women age and go through various stages of life.
While women have functional characteristics that require specialized health care,…… [Read More]
Passing judgment on the reasons that women choose to have CVS is unwise under all circumstances. According to the belief systems of some individuals, all abortion is morally wrong and the use of CVS merely encourages sex-selective abortion or aborting fetuses because the resulting child is more likely to have genetic diseases associated with one gender (such as hemophilia in males). But once the principle is established that women have a right to choose to have an abortion, it is not the medical profession's right to decide what is a 'good' reason or a 'bad' reason to have an abortion, so long as the center is in compliance with the law regarding fetal viability.
The same is true regarding the availability of CVS, given that the center's view of abortion rights seems to be clearly tied to its policy. The center presumably does not take a position on…… [Read More]
Obesity has become a global epidemic, “a complex condition, one with serious social and psychological dimensions, that affects virtually all age and socioeconomic groups and threatens to overwhelm both developed and developing countries,” (WHO, 2018). Because many, if not most, cases of obesity can be prevented and the resulting health problems mitigated, it is important to raise awareness and have a comprehensive public health intervention plan. This research contributes to the growing body of evidence on the importance of public health interventions and especially for preventative care.
Health literacy and other preventative methods can be applied in culturally appropriate ways to tackle the problem of obesity. To be culturally appropriate, public health interventions also need to take into account variables like gender, ethnicity, age, and socioeconomic class: all of which have an influence on how health information is communicated but also on diet and lifestyle norms.
An integrated model…… [Read More]
History Of State Involvement in the Delivery of Health Care
Eugenics is the belief and practice that involves the improvement of genetic quality of the human population.it is a science that deals with influences that are able to bring an improvement in inborn qualities of race also with those that develop them to their utmost advantage. There is a considerable difference between goodness in various qualities and in the entire character as a whole. The character largely depends on the proportion that exists between these quantities whose balance can be greatly influenced by education. This is a social philosophy that advocates for the improvement of the human genetic traits by promoting higher reproduction of people that posses' desired traits also termed as positive eugenics and reducing the reproduction of people that posse's undesired ort less desired traits which is negative eugenics. Therefore Eugenics is a social movement that is…… [Read More]
MOAL DEVELOPMENT & GENDE CAE |
Moral Development and Gender Care Theories
Moral development in humans occurs naturally together with physical, social and mental development. Individually as well as in social settings, mankind evolves a developed moral character and conscience in spite of numerous social and psychological barriers, which temporarily retard or disturb the process. In axiology, concepts of moral development give rise to feelings of being an active and developing entity. Through potential self-realization or perfection, a grand innate legacy is inherited, to be fulfilled in one's individual character and via the community, revealing one's unseen but tremendous intrinsic value (Fieser & Dowden, 2016).
Kohlberg's Six Stages of Moral Development
Crain (2015) holds that the child development scholar and moral philosopher, Lawrence Kohlberg, noted that kids progress across distinct moral development stages similar to the way they progress across cognitive development stages (defined by Piaget). Kohlberg observed…… [Read More]
Winston Churchill once remarked that, "There is no finer investment for any community than putting milk into babies." In a similar vein, Karen Howard, the Director of Policy and Government Affairs, is a strong supporter of Nurse-Family Partnership and its programs. The Nurse-Family Partnership is a preventive effort to target first time at risk young mothers and to provide them with home visits by qualified nurses. This effort begins at early pregnancy and helps guides them rough this difficult period until their infant is two years old. Karen Howard is a strong believer that this program not only benefits mother and child but society as a whole as it reduces cost to the healthcare system and allows nurses to take direct efforts to help patients.
The concept of the Nurse-Family Partnership (NFP) emerged from the work of Professor David Olds and in particular three large randomized trials he conducted starting…… [Read More]
Another service the clinic should provide involves remote access. For example, the clinic should assess the feasibility of home visits by doctors and nurses. egular phone calls to clients or potential clients would also help encourage pregnant women to avail themselves of the clinic's services. The clinic should also establish a solid Web site that allows women to access information from home and possibly, interact in a live chat with staff.
2. What incentives would you provide to keep them coming to the clinic before and after they give birth? Why did you choose to use this as an incentive?
Incentives will help clients trust the clinic and seek care as a matter of course. Free or discounted services would be a good incentive in any community regardless of demographic. Financial incentives would also entail working with insurance providers to make sure that preventative care is a priority.
However, the…… [Read More]
Brockton, Massachusetts: Use of the Adaptation Model, Nursing Process and Guidelines for a Comprehensive Community Assessment
This work in writing will utilize the Adaptation Model, nursing process and guidelines to complete a community assessment, analyze gathered data for implications for health care, formulate a nursing diagnosis for the community, and incorporate findings into the nursing process and formulate a care plan for a specific community problem.
According to the Public Health Nursing: Leadership Guide and esource Manual" published by the Massachusetts Association of Public Health Nurses (2005) nurses employed in public health nursing are constantly conducting assessments of the community's needs and resources both those available to the individual and groups. Public health nurses are focused on organization and working with a diverse network in promoting ensuring and strengthening the well-being and health in the community with goals for high standards of health care for the population. Public health is…… [Read More]
Performance of the Company
Statements of corporate goals
SWOT analysis of United Health Group
9A PESTEL Analysis
In this paper, we present a systematic analysis of the United Health Group through a SWOT and PESTEL analysis. The analysis is aimed at the identification of an internal problem within the company's environment and then prescribing a suitable solution to it. The identified problem is poor Ergonomics. This is then explored and then recommendations provided.
The creation of a better health care system has been one of the key drivers of change in the American social, economic and political reform agenda. Quality health care to al citizens has been a piped dream for many. In this paper we presents an analysis of the effectiveness of United Healthcare in the provision of quality health care. Our focus is on its environmental analysis with the aim of isolating the genesis of the…… [Read More]
Children with AIDS
The Centers for Disease Control estimate there were 217 children with HIV below the age of 13, in 2010 in the 46 states. The report indicates that seventy-five percent of these were infected prenatal. By the end of 2009, approximately 10,834 people diagnosed with HIV at the age of 13 and below, were living with confidential, long-term name-based HIV reporting. Of the prenatal infections, 63% were from the African/Black community, 22% were Latino/Hispanics, and 13% were whites. The CDC estimates that the number of new children infected will increase by 30%. This is because the number of women giving birth in the U.S., with HIV increase at a rate of 30% in 2006. New York has the highest number of children with AIDS in any area of the U.S., as half of the children diagnosed with HIV / AIDS in the country reside in the…… [Read More]
Pain can be managed without the use of pharmaceutical interventions. Breathing techniques, massage, meditation, yoga, and other exercises can help with pain management and so can hypnosis. I learned that mothers also experience heartburn periodically, so they need to eat smaller, more frequent meals or ask their doctors for appropriate medical interventions.
Even those who are on their second or third births benefitted from the refresher course in labor and delivery, learning techniques of breathing and massage. Both the Lamaze and Bradley methods are helpful, although the latter provides a framework within which mothers concerned about their baby's exposure to chemicals and toxins can enjoy a natural childbirth. Another salient point that I learned from the participation was related to the signs of labor, which manifest differently for different patients. The key is to be aware of which signs are normal, and which may indicate a problem that requires immediate…… [Read More]
The study indicated that children born to teenagers aged below 15 are twice as likely to be an indicated case of child neglect or child abuse in the first five years of their lives as compared to the children who are born to mothers between the ages of 20 and 21 Fergusson & Woodward, 2000()
Another separate study found that the living standards and the situation at home for the teenage mothers was the most predictive variable for maltreatment of the children. Teenage mothers who are living with an adult are less likely to neglect or abuse their children as compared to those who are bringing up their children on their own.
Children of teenage mothers are at a higher risk of getting problems that affect regulation which includes both aggressive behavior and flattened affect. The children who are born to teenage mothers also suffer from poor cognitive development. This…… [Read More]
Some sources also offer a different insight for the emergent increase in need of this technology. Bernike Pasveer follows the idea that it was because there was a need for efficient diagnosis methods (Pasveer, 1993, p89). It was only after the introduction of X-rays that there was a determination of the nature of tuberculosis. The need for an efficient method that disputed the myths was necessary, and that was achieved on the introduction of X-ray technology. This is supported by Andrew Warwick who claims that the reason why this technology is still significant was due to its diagnostic properties. However, Andrew differs from Bernike by instead using fractures as his example. Andrew explains the role of X-ray technology especially in Germany where the surgeons undertook this process to determine fractures and diagnose bone discrepancies (Warwick, 2005, p4). Incidentally, this is a role of the technology that is still in practice.…… [Read More]
" (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…… [Read More]
CUBAN CASE STUDY Mrs. Demetilla Hernandez a 63-year- Cuban woman seeks consultation Liberty health-maintenance organization (HMO) clinic weakness, lethargy, fatigue experienced 2 months. A week ago, cooking dinner daughter, Mariana's house, momentarily lost balance slipped kitchen floor.
CUBAN CASE STUDY
As a health-care provider, what are the typical Cuban communication patterns you need to be aware of in dealing with Mrs. Hernandez?
Latino families are often multigenerational in their composition. As the grandmother, Mrs. Hernandez assumes control over the family meals. This is a very important part of her identity. ather than communicating directly, food is love and emotions and feelings are communicated through food.
Q2. Describe the traditional Cuban food patterns. How would you assist Mrs. Hernandez
in developing a plan for a 1500-calorie diet and regular exercise?
People who have grown up in poor, food-insecure settings often develop patterns of eating high-calorie, high-carbohydrate comfort foods and many Latino…… [Read More]
Community Health Statistics for Caddo Parish, Louisiana
Description of Caddo Parish, Louisiana
With about a quarter of a million residents, Caddo Parish, Louisiana is a fairly older community with almost two-thirds of its population aged 25 years or older. Most of the residents of Caddo Parish (82.3%) are high school graduate or higher and 22.3% have a bachelor's degree or higher compared to the national averages of 84.6% and 27.5%, respectively. There are slightly more females than males in Caddo Parish, and median family incomes are slightly lower than the national average at $48,522; per capita income is also slightly less than the national average at $22,323. There are also slightly more whites than blacks (50.3% compared to 46.4%, respectively) in Caddo Parish. ecent relevant statistical data for these and other areas of interest are presented below.
Biophysical Considerations: Caddo Parish
12,140…… [Read More]
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…… [Read More]
Methods of Killing
The methods of committing neonaticide, infanticide, and filicide are as diverse as the women who commit the tragic crime. According to ouge-Maillart, Jousset, Gaudin, Bouju, and Penneau (2005), strangulation, head trauma, drowning, and suffocation were the four most frequent methods of filicide. However, in these researchers' study, some mothers used what they deem to be 'more active' methods. Five children died after being struck by their mothers' fists. Two women in the study used a firearm to shoot their children. Two died after being hit with a heavy object, by their mother -- one a monkey wrench the other a stone. One woman slit her 13-year-old's throat. In one case, a 3-year-old boy died by defenestration -- being thrown out of the window. Lastly, a 10-month-old died of starvation and dehydration, after being deprived of food and water for 10 days.
Krischer, Stone, Sevecke, and Steinmeyer's (2007)…… [Read More]
" ("Let My Baby Live..." NP) Other messages of the campaign were to stress the need to avoid high risk pregnancy, prior to age 18 or after age 35 and to stagger pregnancies by two years to help the maternal body recover and be strong enough to care for the developing infant and go through labor successfully. The campaign, promoting these ideas states that it has been successful in reaching its goals, and has currently reached 66% of the population in the regions where the campaign was launched. ("Let My Baby Live..." NP) There is not mention as to whether the campaign will end, or be expanded to a broader audience in Turkey.
Turkey's example program could serve as a template for other health issues that need to be expressed to the public in Turkey and in other nations with challenged health care delivery infrastructures and limited public knowledge of…… [Read More]
As oversight staffing budgets are reduced and redundancy is addressed, many states will follow Pennsylvania's lead.
In our current setting, healthcare organizations are legislatively driven to follow strict disclosure polices in order to shield patient related and other protected data yet still these facilities and staff will be required to provide superior customer service. Thus, the information age has strained governmental legislation bolstering individual patient's privacy. "In the past decade, we have undergone a dramatic transformation in the way we shop, bank, and go about our daily business -- changes that have resulted in an unprecedented proliferation of records and data." (Soloye)
This vast amount of information that has been created or has suddenly become available now requires all new regulations regarding disclosure of medical information. The nursing profession has obviously been affected.
For example, nursing staffs often must get written permission to disclose, discuss or review a…… [Read More]
Currently children and families who are in this country illegally are entitled to the following programs.
Women, Infants, and Children (WIC) nutrition program: Agency workers do not ask for a client's immigration status"(Benefits, 2006).
Outpatient medical care: Only at clinics designated as federally qualified health centers - those helping needy communities - where clients receive medical care if they demonstrate financial need "(Benefits, 2006).
Prenatal care: Only at federally qualified health centers"(Benefits, 2006).
Emergency medical care: Paid by Medicaid if patient shows financial need"(Benefits, 2006).
Labor and delivery care in hospitals: Paid by Medicaid if patient shows financial need (Benefits, 2006)."
Immunizations: Health departments and clinics generally do not ask for immigration status. They prefer to vaccinate as many people as possible to prevent disease outbreaks (Benefits, 2006)."
Business license: The state does not ask for proof of immigration status.
Public defender: equired by the U.S. Constitution for those charged…… [Read More]
Abbott Laboratories is also a major supplier of hand-held point-of-care diagnostics and blood glucose monitoring devices that enable health care professionals and patients manage a wide range of disorders (Abbot.com, 2011).
Current Challenges and Problems
On May 26, 2011, the U.S. National Heart, Lung, and Blood Institute terminated a clinical trial of Abbot Laboratories' cholesterol drug Niaspan a full year and a half earlier than scheduled (Loftus, 2011). That decision was based on specific concerns over data indicating that Niaspan failed to reduce the risk of heart attacks and strokes in connection with its combination with statin drugs. That study also suggested that Niaspan could be a potential factor in the unexplained increase in ischemic-stroke rates among study participants. Last year, Abbott generated Niaspan sales totaling $927 million and had projected sales in excess of $1 billion this year. According to industry analysts, the early cessation of the government study…… [Read More]
educing obesity is seen as the primary goal of these efforts, but part of combating obesity is engaging in more active lifestyles and thus the educational efforts Oklahoma is planning will address both identified risk factors for diabetes. Strategies outlined that will assist in achieving the objective of reduced obesity other than through an increase in the availability and effectiveness of education include working for better policy development and implementation that directly encourages more healthy choices and behaviors, a better integration of various local programs and resources available throughout the state, and ensuring that evidence-based practices are used in medicine.
The State of the State report notes that infant mortality is higher in Oklahoma than in the rest of the country, with a lack of adequate prenatal care being a contributing factor in this issue. Healthy People 2020 addresses this issue in calling for a greater awareness of infant…… [Read More]
"Accurate descriptions of sex chromosome differences are critical, the decisions potentially regrettable, and the long-term outcomes devastating if a termination is based on the misinformation," that the patient later discovers to be misinformation for instance, "that any of these conditions is comparable to Down's Syndrome" (Biesecker r 2001:2) Conversely, it is also important not to minimize the odds of a potentially fatal genetic condition like Tay Sachs disease.
Providers are obliged to obtain useful up-to-date information and to ensure parents have adequate opportunity to consider their decision with the help of an experienced healthcare provider, preferably in medical genetics, and if necessary, a counselor who is attuned to the cultural assumptions and needs of the couple's population group, and religious beliefs. Certain populations might have a different view and understanding of the real difficulty of raising a child suffering from a heritable disorder, or even the concept of heritability of…… [Read More]
Foster Children/Foster Care
Issues of a Foster Child
Families and Children Served through Foster Care
The Policy Framework
This thesis reviews foster care in the United States: the reasons why children fall into the category of children who need to be taken out of their families and placed in care, the numerous emotional and psychological responses of children in foster care, and the psychological and emotional care that is given to children that are placed in foster care. The numerous laws covering foster care institutions and the policies they implement regarding the treatment of children in their care are also discussed. An extensive list of references is also given at the end of the thesis.
Everyday more children are born into this world. Yet everyday there is a mother or a father who child is placed in a foster care facility, for many different reasons. Children are…… [Read More]
From the study of treatment for mothers on crack, 50 experts in drug dependency as well as 150 addicted women identify components which they believe are important in the treatment of women effectively. Some of the features that they had identified that are always not present within the current programs are: comprehensive health care such as family planning, prenatal as well as prevention of HIV; service for children such as play therapy, day care, parental training and developmental monitoring of a child; an advocacy role such as contact with protective services of a child as well as welfare; and appropriate staffing such as non-confrontational, female staffing as well as cultural and racial sensitive.
As evident in the finding of the study, there is preference within experts and women for a program that combines medical, drug treatment and therapeutic services for the child and the mother, job training and education, long-term…… [Read More]
The bill includes no provisions for other types of expanded access to prenatal and post-natal care for impoverished women, or expanded funding for drug treatment of pregnant women outside of prisons. It seems like a convenient way to test the constitutionality of Roe v. Wade, as if the bill is contested, the issue of legal abortion will certainly arise in the appellate courts, perhaps even in the Supreme Court. But even if abortion does not become the primary focus of the bills proponents and opponents, the bill also raises the troubling civil rights issue of special litigation that penalizes substance-abusing women who can become pregnant more than women who cannot, or men.
I understand that some members of the hospital staff are hopeful that the bill will enable some women to enter drug treatment more easily. However, as no additional funding for such treatment is provided in the bill, it…… [Read More]
Finally, WIC is the Special Supplemental Nutrition Program for Women, Infants, and Children (ohio.gov, 2011). WIC offers programs to ensure adequate nutrition for low-income women and infants, during and after pregnancy (ohio.gov, 2011). WIC also offers referrals for "prenatal and pediatric" health care through Medicaid (ohio.gov, 2011
Identify the philosophical attitudes and perspectives that have led to either the support or lack of understanding for and marginalizing of this group.
Women have faced many challenges that do not generally apply to men, including violence and abuse, low relative wages, unequal opportunities in the workplace, insufficient prenatal and general health care, and a lack of emotional and financial support for single-parenting. Progress along these lines has sometimes been slow due to discriminatory attitudes against: women in general (sexism, or objectification leads to abuse), women in the workplace, women who have children when unmarried, birth control and abortion, and low-income women.
In…… [Read More]