Student Number 20050339 REFLECTION 5 Choosing a model that suits the practitioner best reflective practice can make sense of your reflection and support a positive plan of action for next time (Bulman & Shulz 2008). Using Johns (1994) model of reflection, this reflective account will look at my thoughts and feelings following a new birth visit. DESCRIPTION This visit highlighted to me the issues and the delicacy of maternal mental health and how life events can affect the wellbeing of an individual. A close relative of the family I visited had very recently lost their baby shortly after being born. This had obviously been very difficult time and I was aware that the birth of a new baby within the family may have come with mixed emotions.
The vaccination programme is only temporary to deal with the heightened risk of whooping cough infection during this outbreak. A similar programme is already under way for pregnant women in the US, although the evidence for its effectiveness is still unclear. Dr Mary Ramsay, the head of immunisation at the Health Protection Agency (HPA), welcomed the measure. "We have been very concerned about the continuing increase in whooping cough cases and related deaths. "It's also important we continue to remind all parents to ensure their children are vaccinated against whooping cough to continue their protection through
Children who are diagnosed with FAS, are also put at risk for maltreatment by their mothers (Grant, Ernst, Streissguth, Stark; 2005). FAS is 100% preventable. Three strategies to reduce FAS include The Parent- Child
Fetal alcohol syndrome is a preventable problem. The public needs to be educated on the effects alcohol can have on an unborn child and that no amount of alcohol is safe during pregnancy. The effects from alcohol ingestion during pregnancy can range in severity and last a lifetime. Healthcare worker
Her first point of contact with the emergency department is triage (Farrell, 2005, p.2158). The emergency nurse then needs to determine the clinical urgency of the patient. The emergency nurse would do a primary survey maintaining vital signs and then continue to a secondary survey of the patient, to uncover any other serious threats. The nurse shall then prepare the patient for any diagnostic tests, contact family, make sure pain is under control, monitor and document their findings (Laskowski – Jones, 2006, p.54). A patient presenting with a head injury can pose a lot of complications and the nurse needs to assess and monitor the patient thoroughly.
Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577). Mr. P needs a treatment plan that he will be able to adhere, considering his cognitive decline. His wife should be included in his treatment plan and will have to become a leader from now on. When Mr. P admitted to the emergency department, nurses provide basic care in order to sustain life. Nurses should be recording vital signs, order appropriate laboratory work ups, put Mr. P on oxygen via cannula, put him on I&O, administer prescribed medications, and strict daily weights.
The FNP expressed her frustration in Ms. R non-compliance with her treatment, and lack of support with future care. The Licensed Vocational Nurse (LVN) on staff is trained in conduct client education on labor and delivery, routine prenatal care, parenting, and infant care. She would be able to give the time needed to explain all of the details about the medication given. For example: What the medication is for, how it works, how long it will need to be taken, potential side effects, alternative medications if patient has adverse reaction and what are the consequences if the medication is stop prematurely. The risk factors associated with illnesses in the third trimester.
People in families with high percentages of Huntington don’t have a promising future even the children are at risk. The most positive point is that this disease can be screened for so people can have early relief to whether they have the disease or not. A mother has the option to having the test on a newborn but if the diagnostic is performed the mother will be faced with the choice with having an abortion or keeping
I have strong opinions on medicating children. I am a mother of three boys; Isaiah 16, Tate 11, and Thomas 8 all have received the clinical diagnosis of Attention Deficit Hyperactivity Disorder or ADHD. As their mother, I felt it was their right for me to educate myself of common treatments weather it being medication or finding an alternative way for them to deal with day- to- day life. After discussions with various doctors and my un-liking
I feel that withholding information on a lucid patient fully in control of her mental faculties is tantamount to lying. I believe the patient has the right to know the conditions surrounding her health care treatment plan. Step 4 I verbalize the problem by saying, “Should I inform the patient of her terminal health care condition or should I follow the wishes of the patients’ daughter and withhold information on the seriousness of her condition?” Step 5 There are many courses of action possible, but I believe the best outcomes would like along these three possible scenarios. The first option would be to disclose all medically pertinent information to the patient so that she is fully informed. The second option would be to as for assistance from a social worker or a preacher or priest from the members church to talk with the daughter and mother.