Midwives need to advise women, explain the options and help them make informed choices about their care. You'll need to be able to provide reassurance and counselling and must also be a good listener and respond to what women are saying. Women who have babies come from all sorts of backgrounds and life stages, so you'll be supporting a diverse range of women during one of the most emotionally charged times in their lives. You'll need to be able to stay calm and alert in times of stress, and enable women to feel confident and in control. It is also important to gain as much knowledge as needed about anatomy and physiology in the job.
Ethical issues surrounding limitation and withdrawal of support in the pediatric intensive care unit. Journal of Intensive Care Medicine 14(5), 220-230. doi: 10.1046/j.1525-1489.1999.00220.x. Withholding and withdrawing of life support in children (2005). Clinical Practice Guidelines. Retrieved from http://www.acadmed.org.my
List nursing diagnoses in priority order (in correct NANDA format) List all any additional information you would need (data gaps) 1 Knowledge deficit: SIDS r\t being first time parents aeb having questions and concerns regarding SIDS –OR- Knowledge deficit: SIDS r\t unfamiliarity with information aeb verbalization of lack of understanding. 1 What is SIDS-What does the family know about SIDS How it affects infants Risk Factors of SIDS 2 Knowledge deficit: SIDS Prevention r\t being first time parents aeb having questions and concerns regarding SIDS Prevention. 2 SIDS Prevention 3 Knowledge deficit: Crib Safety r\t being first time parents aeb having questions and concerns regarding Crib Safety. 3 Ways to identify what and how a Crib is considered safe to use with infants Priority nursing diagnosis: 1 Knowledge deficit: SIDS r\t being first time parents aeb having questions and concerns regarding SIDS. -OR- Knowledge deficit: SIDS r\t unfamiliarity with information aeb verbalization of lack of understanding.
Relationship between her family- Kathy may need support and want to reconnect with her family. These problems would need to be discussed with Kathy and we would need to prioritise them firstly starting with the safety of her baby and receiving antenatal care then dealing with receiving treatment for withdrawals that she may be experiencing. Kathy would need referrals to other service that may best serve her. All of Kathy’s problems need to be addressed in order of importance and how she feels most comfortable with. I would discuss with her that she needs assistance and suggest ideas on which services she has available to her if she wishes, however she will need to draw her own motivation and create goals that are achievable for her.
Family Centered Care Interview and Assessment Kari Anderson University of Saskatchewan Family Centered Care Interview and Assessment Nursing is continually evolving to create holistic care that addresses physical, mental, emotional and spiritual needs. As nursing research advances, there has been an emergence of literature addressing the significance of incorporating the practice of family centered care. Through theory, practice and research, evidence has shown that families have a significant impact on the health and well being of individual family members (Wright & Leahey, 2009). Dalziell (2011) suggested that improvement in the provision of family centered care must be understood as a process, as it involves the changing of culture, rather than just the implementation of structures. Dalziell also suggested that individual nurses need to be proactive by interviewing patients about their families and then implementing changes in their practice to include their family in care.
In this debate, there are two main camps: those who say co-sleeping increases the risk of SIDS, and those who say it promotes breast feeding, which decreases the risk of SIDS. Both sides have numerous studies and papers out, supporting their stance on the issue. The American Academy of Pediatrics and the Consumer Product Safety Commission both say never to sleep with your infant, while UNICEF refuses to support blanket recommendations against bed sharing (Spangler, 2001; Mace, 2006). Some of the questions asked include; does co-sleeping increase the risk for SIDS; does co-sleeping encourage breastfeeding; does breastfeeding decrease the risk of SIDS; and who is actually sleeping with their infants. In this paper I am going to analyze some studies on co-sleeping, breastfeeding and SIDS.
The policies regarding education about HIV prevention absolutely need to be refined in order to meet the needs of the risk population and reduce infection rates. One of the most important factors when considering a policy change like this is training. In both programs there is no doubt that there will need to be finances available to pay for the services as well as educational courses for physicians and other healthcare workers in order for them to provide information about these preventative services. The factors that are holding back preventative services from being offered are clearly explained for both Medicaid and the Ryan White Care Act. Each case seems to vary with which services are available for utilization and which services either program covers.
When analyzing one child who may, or may not, see side effects which include tics, anxiety, chest pain, psychiatric disorders, or blood pressure changes, there is something to keep in mind about the widespread use of such tactics on the children and their developing mentality. The old saying goes, “the children are our future,” with that being said, what future are we establishing with this plethora of medication? Long term physiological and psychiatric effects are in much debate with very little data on either, however, there are some concepts that do not require firm statistics to realize an issue in the making. An article on anti-depressants brings to light a concern that does not appear much in the ADHD debates, that of a child's sense of self (Sharpe, 2012). Adults diagnosed with depression, or even adult ADHD, have an idea of who they were before the medication, and as such, can see the differences that medication may, or may not, have made.
Needs assessment can be gathered by looking at current women problems, collecting data of demographics and the number of the population the issue affects. Evaluation process is a resourceful tool which helps the government on all level outline elements of the policy that can potential need change or be
16 Eckenrode J, Ganzel B, Henderson CR, Smith E, Olds DL, Powers J, Cole R, Kitzman H, Sidora K (2000), Preventing child abuse and neglect with a program of nurse home visitation: the limiting effects of domestic violence. JAMA 284:1385-1391. 17 Burke JD, Loeber R, Birmaher B (2002), Oppositional defiant and conduct disorder: a review of the past 10 years, part II. J Am Acad Child Adolesc Psychiatry 41:1275-1293. 18 Burke JD, Loeber R, Birmaher B (2002), Oppositional defiant and conduct disorder: a review of the past 10 years, part II.