Midwifery Case Study
Being a midwife does not only defined by assisting women in childbirth. The general dictionary definition are the misconception of how people view midwives. Being a midwife means to be ‘with women’ and this leads the construction of the midwifery philosophy, Page (2006) 5 steps and Nursing and Midwifery Board of Australia (NMBA) competency standards, in order to provide the best women centred care (Australia Collage of Midwives, 2017). This essay will cover a constructive overview of what Page (2006) 5 steps of being a midwife means, it will also defined what women centred care is and emphasis on the importance it has for the woman. Understanding Page (2006) 5 steps and women centred care helped build the pathway for midwifery philosophy to correlate with NMBA competency standard in order to support midwifery practice. For
Midwifery Continutity of Care Essay
The ANMC states that midwives should promote safe and effective practice. This competency standard involves: Applying knowledge, skills and attitudes to enable woman centred care, provide or support midwifery continuity of care and manage the midwifery care of women and their babies. Midwives providing continuity of care are able to provide safe and effective practice. They know there patients well from the woman’s blood test results to the woman’s birth plan. The midwife can provide safe and effective practice because she knows the woman best. Midwifery Continuity of care is associated with a reduction in the rate of a number of interventions, without compromising safety of care (Spiby &
Questions On Professional Midwifery Portfolio Essay
Being a midwife refers to a profession where the midwife would work in partnership with the women throughout her pregnancy, labour and the postpartum period. Not only is being a midwife women-centred, however, their role also includes ensuring the partner and family members are prepared and aware of the process. Within a women’s health, the midwife should focus on health, family planning, nutrition, domestic and other health issues as the main priority is the
Unit 9: M2/D2 Values and planning in health and social care
Midwives identify high risked pregnancies and they make referrals to doctors and other medical specialists.
The Model Of Maternity Care
Within Victoria there are multiple models of maternity care available to women. An initial discussion with the woman’s treating GP during the early stages of her pregnancy is critical in her decision-making about which model of care she will choose and this key discussion is essential in allowing a woman to make the first of many informed decisions throughout her pregnancy. According to a survey conducted by Stevens et al. (2010) only 43% of women felt ‘they were not supported to maintain up-to-date knowledge on models of care, and most reported that model of care referrals were influenced by whether women had private health insurance coverage.’ Many elements of these models of care differ: from location of care, degree of caregiver continuity, rates of intervention and maternal and infant health, outcomes access to medical procedure, and philosophical orientation such as natural or medical (Stevens, Thompson, Kruske, Watson, & Miller, 2014). According to the World Health Organization (1985) and Commonwealth of Australia (2008) there is a recognition that ‘85% of pregnant women are capable of giving birth safely with minimal intervention with the remaining 15% at potential risk of medical complications’ (McIntyre & Francis, 2012).
Continuum Model Of Midwifery Education
The international Confederation of Midwives (ICM) defines the midwife as a person who has successfully completed a nationally recognized midwifery education program, is qualified for registration, and competent to practice in midwifery. As a midwifery student, I will explore the philosophies of this profession whilst working with my first continuity of care experience woman and her family. In this essay, I will examine the roles of the midwife, the scope of the practice for midwives and midwifery students, and search the value of the midwifery partnership and the importance of the woman centered care. I will also clarify the legal, professional and ethical responsibilities of the midwife in accordance with national standards and code. Analyzing
The Continuity Of Midwifery Care
In this article, the authors explored the continuity of midwifery care using the caseload approach that was established in Queensland. This was to address the development of care for women experiencing inequalities and to improve birth outcomes. The authors objective was to investigate midwife’s responsibilities within their scope of practice when applying a caseload model (Midwifery Group Practice [MGP]).
Roles And Responsibilities Of A Midwife
This report will evaluate the roles and responsibilities of a midwife. “Midwifery encompasses care of women during pregnancy, labour, and the postpartum period, as well as care of the new-born.”(WHO, 2015) This is a recent definition and clearly points out that a midwife has many roles and responsibilities. The NMC Codes of Conduct will be evaluated with specific emphasis on recent changes within healthcare. These changes took place as a result of the tragedies at Mid-Staffordshire Hospital in 2005-2009 and are the outcome of the Francis report in order to improve care given to patients.
Business of Being Born
For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in
Medical Guideline Policy And Carilion Clinic Policies On A National Level
Cesarean section (C/S) births can occur in the hospital for several reasons. Some women choose to have elective C/S birth and others require C/S births out of infant or maternal safety, complications, or by necessity. This paper discusses both elective and emergency C/S deliveries and reviews both National Guideline policy and Carilion Clinic policies on C/S births. The problem statement is: in pregnant women (population), does C/S delivery following National or Carilion policies (IV: exposure vs. none-exposure) differ in terms of patient care and outcomes concerning maternal and neonatal health (DV)?
Research Critique in Midwifery
A constructive critique of the research into women’s experiences of becoming a mother after prolonged labour.
The Role of a Midwife in Maternity Care
This essay will be relating to an episode of care that was provided to a woman, her partner and their baby on day five during the postnatal period. It will examine the role of the midwife in relation to breastfeeding and how this was not achieved in the case study which is shown in the appendix. Throughout the essay it will look at the following outcomes: the role and responsibility of the midwife within current maternity care provision, the importance of sensitive midwifery, key legal and ethical dimensions of the midwife's role and key sociological and psychological agendas impacting on current maternity care.
First Antenatal Appointment In Australia
This is the beginning of the mother’s involvement with the midwife. This is an opportunity for both parties to establish a personal relationship, partnership. This is where education exchange can occur, recognition of responsibilities, options and choices are determined which are supported and discussed with the mother and her supporters. (Pairman, 2010, pg. 431-432)
What A Postnatal Abdominal Palpation Is Important For A Successful Birth Experience Essay
This essay will first describe partnership and how a midwife working in the continuity of care model develops and maintains it. Secondly, this essay will describe what a postnatal abdominal palpation is, why it is done and what the outcomes may be. It will also describe the anatomy and physiology of a uterus and involution. Lastly, a description of how the assessment is conducted and how during this partnership and cultural safety is maintained by the midwife.
Vaginal Birth After Caesarean ( Vbac )
Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.
- Caesarean section
The Research Paper Factory
Midwifery Case Study
In: Other Topics
MIDW113 – Jodie Sparke S00163149_assess2 b). Postnatal case study – Gina is a 34 year old G2 P2 woman, day 2 post caesarean section. You enter her room to find her teary and upset; she tells you she had planned on having a natural birth in a midwifery led model of care. However, she experienced an emergency caesarean section after her baby showed signs of fetal distress. Describe and discuss the role and responsibilities of the midwife in providing pre and post-operative care to a woman in Gina’s position. You are expected to demonstrate, plan and evaluate safe, holistic, woman centred evidence-based midwifery care. This paper considers a postnatal case study of Gina, a day two post-operative, 34 year old Gravida 2 Para 2 woman. She experienced an Emergency Caesarean Section (ECS) resulting from fetal distress. This essay will investigate why birth can become an emergency and the evidence-based indications involved in decision making. It will explore the roles and responsibilities of a midwife in both the pre and post-operative support of a woman; based on a safe, woman centred and holistic approach to maternal care. It will discuss the emotional effects an ECS can have on a woman and her family as a crucial aspect in this case. An integral part of the preparation for birth is a birth plan. This allows the woman to detail how she would like her labour/birth to progress. It often includes the expectation of a natural vaginal birth. However, due to a variety of physiological complications which occur during labour, birthing may result in an ECS (Oxford University Press, 2011, p. 379). Walsh (2011) explains ‘normal labour naturally follows a sequential pattern that involves painful regular uterine contractions stimulating progressive effacement’ (p. 485). When labour is not following the normal signs of progression, the midwife monitors for indications of fetal...
...This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling community. This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling population within our society. My group colleagues and I decided to use the same methods of collecting information as in the previous case studies. I feel very frustrated because there is a lot of ignorance within our society, lack of information and understanding of people who disregard others because of were they come from. Firstly I make reference to the NMC’s guidance on anti-discrimination practice; As a qualified nurse I am personally accountable for my practice, and when caring for my patients I must; 1.1 Respect the patient as an individual 1.2 Protect and support the health needs of individuals 1.4 I have a duty of care to patients, who are entitled to receive safe and competent care. 2.3 As a registered nurse I am personally accountable for ensuring that I promote and protect the interests and dignity of patients and clients, irrespective of gender, age, race, ability, sexuality, economic status, lifestyle, culture and religious or political beliefs. 2.4 I must promote the interest of patients. This includes helping individuals and groups gain access to health and social care, information and support relevant to their needs. The NHS is accountable for all acts and omissions that relate to equality and......
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Role of Power
...contemporary organizational issue you find intriguing. Use one field site or example for the entire paper. Also, be explicit about the level issue. For example, if you are using the concept of personality then it is an individual level issue. A list of concepts and their related levels is provided in a separate document. Focus of paper-related requirements: Outline: Submit a formal outline for your paper, complete with references. The purpose of the outline is to help you organize your content, which also results in increased clarity, improved logic, and better structure of the paper. There may be adjustments from this document to your final paper, but at this stage the paper should not require major revisions. Final Paper: Use a case study format for the structure of your paper. Identify and analyze issues using course concepts, and propose recommendations for the organization you are focusing on. Use of course concepts 1. Use a minimum of 8 concepts for the paper. Include a list of the concepts you used at the beginning of the paper. 2. Briefly define each concept you use within the text (a paragraph or two). 3. For each concept, write a diagnosis at one level (e.g., the person level). For example, you might write “The employee misses work frequently due to stress from conflict with her supervisor.” Note, stress and conflict would require definitions.) 4. For each concept, write a solution or solutions. Identify the level(s) you addressed in......
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...Calendar Overall for Case-Study Presentation & Mid-Term Exam – MGT 4760 (Strategic Management) Sem 1, 2012/2013 Sec 8 (M-W) No. | Week | Topics | Class Day | Date | Schedule | Details | | 1 | Chapter 1: The Nature of Strategic Management | 1- Mon 2- Wed | 10/912/9 | | | | 2 | Chapter 2: The Business Vision and Mission | 3- Mon 4- Wed | 17/919/9 | | | | 3 | Chapter 3: The External Assessment | 5- Mon 6- Wed | 24/926/9 | | | | 4 | Chapter 4: The Internal Assessment | 7- Mon 8- Wed | 1/103/10 | Quiz 1 (Chapter 1.2.3) | | | 5 | Chapter 4: The Internal Assessment | 9- Mon 10- Wed | 8/1010/10 | | | | 6 | Chapter 5: Strategies in Action | 11- Mon 12- Wed | 15/1017/10 | | | | | BREAK(22/10 – 28/10) | 13- Mon 14- Wed | 22/1024/10 | | | | 7 | Chapter 5: Strategies in Action | 15- Mon 16- Wed | 29/1031/10 | Case Presentation Session 1Case Presentation Session 2 | Group 1:L: Lia Hilaliah (Case Study 3)Group 2:L: Mas Syairah bte Mohamad (Case Study 5) | | 8 | Chapter 6: Strategy Analysis and Choice | 17- Mon 18- Wed | 5/117/11 | | (Mid-Term Exam 7/11 Wednesday)Seminar Room 1.1 | | 9 | Chapter 6: Strategy Analysis and Choice | 19- Mon 20- Wed | 12/1114/11 | Case Presentation Session 3Case Presentation Session 4 | Group 3:L: Mohamed Sheikh (Case Study 9) Group 4:L: Izzati Nor binti Salleh (Case Study 14) | | 10 | Chapter 7: Implementing Strategies: Management and......
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Ob, Arctic Minings Consultants, Case Study
...ARCTIC MINING CONSULTANTS Case Synopsis Arctic Mining Consultants is a mining company that deals with mineral exploration. In this case study, the project given is staking 15 claims in Eagle Lake, Alaska. The project Manager was Tom Parker, who has a wide experience and specialized knowledge in all nontechnical aspects of mineral exploration. He is a geological field technician and field coordinator for Arctic Mining Consultants. He assigned his previous field assistants John Talbot, Greg Boyce and Brian Millar to help him complete the project. The job required them to stake at least 7 lengths each day in order to be completed on time. However, the whole team has became very tense and agitated, especially Tom Parker, as the deadline was just around the corner and there’s still many to be finished within the limited time. The problem became worse with the way Tom managed and treated his team. The only motivation to the team was the $300 bonuses promised by the company when the job is done on time, otherwise, they might wished to give up already. This happened because working as a field assistant and in long-working hours only giving them low wages, which is considered unreasonable compared to what they have to do. During the eight hard days, everything had actually proved the strengths and weaknesses of each of the team members, including Tom. Case analysis symptoms 1) What symptom(s) exist in this case to suggest that something has gone wrong? The symptom(s) to......
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Case Study Sample
...Running head: CASE STUDY XYZ Case Study XYZ: An Examination of Project Procurement Management Practices Group 12 John Doe Jane Smith Bobbie Sue University of Maryland University College Project Procurement Management, Semester XXXX, Section XXXX Professor Stephen R. Guth MMMM DD, YYYY [No Abstract or Introduction required for this assignment] The Inception Phase Rating Scale: 5—Excellent, 4—Very Good, 3—Good, 2—Poor, 1—Very Poor |Project Management Area |Inception Phase | |Scope Management | | |Time Management | | |Cost Management | | |Quality Management | | |Human Resource Management | | |Communication Management | | |Risk Management | | |Procurement Management | ...
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...policy. 2) Employee conditions: a. Lack of motivation b. Compensate for low wages by over indulgence of free food allowance c. High turnover rate due to availability of high application rates. d. Employees are mostly college and high school students e. Lack of respect for managers. f. No incentive to increase motivation. In the case study Perfect Pizzeria, the area supervisor has many problems that need his attention. The largest appears to be the organization. In this case study I will assume that the area supervisor has the authority to affect change within his organization (i.e. he is the franchise owner). Being in an area with few job opportunities should give him the perfect opportunity to recruit bright, ambitious, and motivated people to staff his pizzerias. How can the area supervisor change his organization to achieve a more fluid corporate culture? I think this change can be achieved by human resource changes, structure changes, motivational changes, and reward for good performance as well as accountability for poor performance. Each one of these areas will require a change from the corporate level. For the sake of my case study I am going to assume that the area supervisor (franchise owner) can lobby to achieve this change within the organization. The first area to look...
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Why Financial Intermediaries Exist
...letters in industry or for a class, knowing your purpose and audience will help determine what information to include. Generally, business letters follow a particular format, although your instructor or company may require you to use alternative formats. This guide provides writers with an introduction to writing business letters. Case Studies: This guide examines case studies, a form of qualitative descriptive research that is used to look at individuals, a small group of participants, or a group as a whole. Researchers collect data about participants using participant and direct observations, interviews, protocols, tests, examinations of records, and collections of writing samples. Starting with a definition of the case study, the guide moves to a brief history of this research method. Using several well documented case studies, the guide then looks at applications and methods including data collection and analysis. A discussion of ways to handle validity, reliability, and generalizability follows, with special attention to case studies as they are applied to composition studies. Finally, this guide examines the strengths and weaknesses of case studies. Desktop Publishing: Desktop publishing is the process of laying out and designing pages with your desktop computer. With software programs such as PageMaker and Quark Xpress, you can assemble anything from a one-page document to a...
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Brussels and Bradshaw
...Brussels and Bradshaw In response to the case study, Brussels and Bradshaw is a well-established financial institution that offers their clients competitive and innovative solutions for their community and work environments. The banking institution offers a summer internship to bright and driven individuals. The internship includes 14 weeks of very intense training and long hours. Interns are paid $20,000 for the contract. During the screening process, out of all the possible candidates Audrey Locke was selected. Audrey has some experience as an assistant, assurance analyst and financial planning analyst. Brussels and Bradshaw is operating in more than 25 countries globally; this case study takes place in Toronto. Many behavioral issues in the Brussels and Bradshaw institution are unprofessional and stressful. Job stress is defined as feeling one’s capabilities, resources, or needs that do not match the demands or requirements of the job (Hitt, Miller, & Colella, 2011 p. 249). Working 70 and 80 hours per week or possibly 120 hours will put a major burden on anyone, especially someone new to the working environment. Audrey is excited with her internship and very eager to learn. She is assigned a mentor and buddy by the business development manager, Kelly Richards. Kelly has 10 years of experience. Although associates consider her human resources, Kelly’s job is strictly administrative. Audrey is never introduced to her mentor and her buddy, Christine Page is......
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...Business case studies determine and define the primary issues that a company faces in the modern world market. A well designed business case study can provide a detailed contextual analysis of limited conditions and their horizontal relationships to other entities. In the case of Coach, they are an international clothing accessory company with a reputation of making pristinely handcrafted items with unique designs and a label that represents over seventy years of craftsmanship. In order to fully understand Coach’s business model, empirical data must be collected and analyzed to include the historical and current financial statistics, an in-depth analysis of the company overall, an analysis of the company’s business model, and finally current issues and future forecast that affect the longevity of the enterprise. By studying the history of Coach, both investors and those with an interest in the company can gain insight into key factors that motivate company decisions. Background/History The history of Coach starts in 1941 in a small family run leather workshop with six primary artisans in Manhattan that had skills passed down from generation to generation. It was not long until leather good become sought after for their high quality and workmanship. Through the guidance of the longtime and current CEO, Lew Frankfort, Coach expanded their business from just 6 million dollars 30 years ago to current sales exceeding 3.6 billion dollars. (Coach, 2012) From 1941 to present, the...
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Muller Case Study
...Case Studies and Exercises Lecture 2. The Rise of Multinational Companies Case: MUELLER: China Bound? (A), (B) and (C). (308-358-1, 308-359-1 and 308-360-1). Discussion Questions: 1. What are the primary ownership advantages of Mueller? 2. What are the major ways in which Mueller could serve the China market? 3. What are their primary advantages and disadvantages?? 4. If Mueller decided to invest in China, what would be the main functions of its subsidiary? 5. How could the risks involved in the FDI to China be managed? Lecture 3. The Myth of the Global Company Case: Lafarge: From a French Cement Company to a Global Leader (304-019-1) Discussion Questions: 1. What are the main characteristics of Lafarge’s internationalisation strategy and competitive competences and how do these differ from those of other cement companies such as Cemex and Holcim? 2. What were the assumptions underlying Lafarge's strategy and how justified were these? 3. To what extent is Lafarge a French company with foreign operations, as distinct from a global MNC, and how is it likely to develop as a MNC? 4. What are the implications of Lafarge’s growth for the internationalisation of other French firms? Lecture 4. Competing Capitalisms in the 21st Century Case: Messier's Reign at Vivendi Universal (9-405-063) Discussion Questions: 1. What was Messier's strategy in transforming CGE into Vivendi, what assumptions was it based on and how justified were these? 2. What does this transformation reveal about......
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Research Case Study: Vodafone's Youth Market
...Research Case Study: Vodafone's Youth Market | | INTRODUCTION This case study will explain how the highly competitive telecommunications market lead Vodafone to set up an on-going 'panel' of respondents to give them a greater understanding of the youth market. THE CLIENT Vodafone is probably the biggest success story of the telecommunications market, becoming a household name with a penetration of 29% (TNS Telecoms panel Q3 2001) of the mobile phone market. Vodafone's media and planning agency, OMD UK plays an important strategic role in terms of researching the commercial market. THE CHALLENGE Operating in such a highly competitive industry meant that Vodafone had to look at new ways of researching how it could best profit from the hugely competitive youth market. The youth market is defined as anyone aged between 16-24 years old. Currently 90% of all 16-24 year olds own a mobile phone in the UK, amounting to 6.1m people in the UK. THE SOLUTION OMD UK, along with 2CV Research, recruited a panel of volunteers who receive monthly questionnaires over a long-term period in order to build up a profile of habits, attitudes and opinions of the young Vodafone user. The panel is made up of 200 respondents, all of whom must have an email address and a mobile phone (this is 85% of the youth market), and is maintained by 2CV. Questions sent out every month cover a whole range of areas, not just telecommunications. The idea is to build a very comprehensive picture of...
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Ac 505 Case Study I
...Case Study I Materials purchased $325,000 Direct Labor $220,000 Sales $1,350,000 Gross Margin 30% Cost of Goods Available for Sale $1,020,000 Prime Costs $545,000 Manufacturer Overhead 65% of Conversion cost Direct Materials $325,000 Beginning Inventory numbers: Raw Materials $41,000 Works in Process $56,000 Finished Goods $35,000 Formulas: Prime cost = Direct Materials cost + Direct Labor cost Conversion cost = Direct Labor cost + Manufacturing overhead cost (65% conversion) Prime cost = 325,000 + $220,000 545,000 ( Data given) Trying to get to the Conversion cost. Direct labor = 220,000 = 35% of conversion costs = 220,000/.35 = 628,571.42 Manufacturing Overhead = 628,571 - 220,000 = 408,571 Prime cost = direct material cost + 220,000 545,000 = direct material cost + 220,000 545,000 – 220,000 = 325,000 Direct material cost = 325,000 Gross Margin = 30% of $1,350,000 = 405,000. $1,350,000 – 405,000 = 945,000 Ending balance finished goods = 945,000 Cost of Goods Available for Sale $1,020,000 - Finished Goods Inventory (Beginning) 35,000 = Cost of Goods Manufactured $985,000 Cost of Goods sold: Beginning balance finished goods $ 35,000 + Cost of Goods Manufactured $985,000 Goods available for sale $1020,000 - Ending balance finished goods 945,000 Cost of goods sold $ 75,000 Manufacturing Costs: Direct......
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...Mighty Amazon by Fred Vogelstein The story of how he started Amazon is now legendary. While working at Shaw in 1994, he read a study that predicted the Internet would explode in popularity. He figured it wouldn't be long before people would be making money selling over the web. After researching a host of items that could sell online, he settled on books. Almost every book was already catalogued electronically, yet no physical bookstore could carry them all. The beauty of the model, Bezos thought, was that it would give customers access to a giant selection yet he wouldn't have to go through the time, expense, and hassle of opening stores and warehouses and dealing with inventory. It didn't work out that way. Bezos quickly discovered that the only way to make sure customers get a good experience and that Amazon gets inventory at good prices was to operate his own warehouses so he could control the transaction process from start to finish. Building warehouses was a gutsy decision. At about $50 million apiece, they were expensive to set up and even more expensive to operate. The Fernley, Nev., site sits about 35 miles east of Reno and hundreds of miles from just about anything else. It doesn't look like much at first. Just three million books, CDs, toys, and house wares in a building a quarter-mile long by 200 yards wide. But here's where the Bezos commitment to numbers and technology pays off: The place is completely computerized. Amazon's warehouses are so high tech......
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Cra Case Study
...Assignment 1: Consensual Relationship Agreements Case Study Due Week 3 and worth 100 points Read the Consensual Relationship Agreements case study located in Chapter 2. In Questions 1 and 2, focus on non-ethical ramifications (save any discussion of ethics for Question 3). Write a six to eight (6-8) page paper in which you: • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. On the Written Assignment, "Consensual Relationship Agreements"; it's due this week Sunday, October 28th, by 11:59PM. Remember also to be sure to proofread your paper thoroughly because for each typographical mistake, incomplete sentence, or non-response to the assignment questions, points will be deducted. In addition, APA formatting has to be used which certainly includes in-text citations and a Reference page; check the Resource Center for an example of APA guidelines. Finally, once the paper is submitted, that will represent the final grade for the assignment; there are no-resubmissions allowed. Organizational Behavior Perceptions & Attributes by Tara Duggan, Demand......
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Cem 480 Week 1 Paper
... * Produces Nutritious Food * Reduces Family Food Budgets * Conserves Resources * Creates opportunity for recreation, exercise, therapy, and education * Reduces Crime * Preserves Green Space * Creates income opportunities and economic development * Reduces city heat from streets and parking lots * Provides opportunities for intergenerational and cross-cultural A community garden within the Southern Nevada area must have specific characteristics to be compatible with the dry arid climate and weather of the southwest. This paper will examine 4 case studies of successful community gardens within the Desert Southwest region. Each case study will explain the design including plant types and layout, as well as construction including materials and practices. These two case studies will provide the stepping stones into the proposed UNLV Community Garden. Case Study Number 1 –Tonopah Community Garden (http://www.tonopahcommunitygarden.org/) Location: 715 N. Tonopah Drive Las Vegas, NV 89106 Design: This community garden is on four acres of...
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Essay Writing for Student Midwives
Below is an essay by one Melissa Newman. She’s a qualified midwife doing her PhD. This is one of her undergraduate essays that scored a 1st. Cheers Melissa!
There’s a version of Melissa’s essay with nicer formatting here.
Complications Around Childbirth: Pre-eclampsia Toxaemia
Word count: 3,292
This essay will firstly look at the diagnosis of pre-eclampsia toxaemia (PET) in the case study of Lucy and describe the subsequent care she received. The pathophysiology section will explore the causes of this progressive disease and then analyse the role of the midwife in caring for a woman with PET, with particular consideration given to why taking accurate blood pressures is so pivotal. The use of Magnesium Sulfate (MgSO4) in caring for pre-eclamptic women will then be discussed before moving onto how the midwife can look after a woman’s psychological wellbeing at this stressful time in her life.
The table below demonstrates that Lucy had an uncomplicated pregnancy up until her routine 34 week appointment with her community midwife.
Booking blood pressure (BP)
Booking Body Mass Index
Booking Haemoglobin (Hb)
Her sister had PET, although Lucy herself has no relevant medical history
Ultra sound scans (USS)
All normal, no apparent abnormalities and growth within normal range. Singleton pregnancy.
It was at the 34 week appointment the midwife found Lucy's BP was raised at 157/104mmHg and she had +++ protein in her urine. Lucy also commented that her hands and feet were swollen but she thought it was caused by the heat. The midwife referred Lucy to the Day Assessment Unit (DAU), where midwives took her blood, attached her to a cardiotocograph (CTG), sent a Protein-Creatinine Ratio and did her observations. A Registrar was bleeped to review Lucy and arrived when her blood results were back, as displayed in this table. The abnormal results are highlighted.
95 beats per minute
Serum uric acid
International Normalised Ratio
The trace on the CTG was considered reassuring so the Registrar admitted Lucy to the antenatal ward and prescribed 200mg Labetalol twice daily. BP readings were taken 4 times a day and ranged from 146/88-151/92. Lucy consented to a course of Dexamethasone to mature her baby’s lungs should she deliver early. She wore anti-embolic stockings and was prescribed Tinzaparin once daily to reduce the risk of thrombosis, which is in line with Royal Berkshire Foundation Trust (RBFT) (2015) guidance. Lucy had an USS that showed consistent growth, a good volume of amniotic fluid surrounding the baby and normal umbilical artery Doppler’s.
Despite RBFT (2015) and the National Institute for Health and Clinical Excellence (NICE) (2011) guidelines advising that CTG tracing should not be carried out more than weekly if fetal monitoring results are normal, Lucy was attached to the monitor for 30 minutes every morning. The traces were all reassuring. 3 times a week Lucy had blood taken for Urea and Electrolytes, Liver Function Tests and a Full Blood Count, as per RBFT (2015) protocol stipulates. The results remained steady and Lucy was otherwise well so the Registrar decided to continue with conservative management, as a Cochrane review by Churchill et al (2013) found that delaying delivery is more beneficial for the baby.
The RBFT guideline (2015) advises USS every 2 weeks for women with PET, so at 36 weeks gestation Lucy had an USS. It was found that fetal growth was now on the 20th percentile when it had previously been on the 64th. The Doppler’s also showed some degree of impairment. Lucy complained of grossly swollen feet that did not improve even when elevated. She felt nauseous and reported epigastric pain, a headache and blurred vision. Her observations were as follow:
110 beats per minute
20 breaths per minute
Reduced variability despite multiple changes in maternal position
The Consultant was called to review and by the time he arrived bloods had been taken and the results back:
The consultant transferred Lucy to delivery suite and gave 4g MgSO4 intravenously. She was attached to a CTG, which showed a prolonged deceleration of 3 minutes and so the decision was made to deliver the baby by Category 1 caesarean section under general anaesthetic. The APGARS were 7 at 1 minute and 9 at 5 minutes and there was meconium in utero. The estimated blood loss was 550ml and the 2.5kg baby was not admitted to Special Care.
Lucy was transferred to the high risk postnatal ward, where her BP medication was slowly reduced over 24 hours and her BP returned to pre-pregnancy values. She had a PET screen 48 hours post-delivery, as per RBFT (2015) protocol, the results of which were normal.
Occurring in an estimated 5% of pregnancies (National Health Service Choices 2015) and presenting after 20 weeks gestation, PET is an idiopathic condition characterised by proteinuria and hypertension (Robson et al 2014). Boyle and McDonald (2011) describe it as multi-organ affecting with progressive detrimental effects to both mother and fetus.
Although PET presents in the later stages of pregnancy, its origins lie in the earlier phases, with abnormal placentation. In normal placental implantation, trophoblast cells invade the decidua and myometrium and the spiral arteries’ muscle coating is eroded, dilating them to ensure plentiful blood supply to the fetus (Bewley 2012). BP is lowered because maternal blood pools in the intervillous spaces of the placental bed (Bewley 2012). In PET spiral artery tone is retained, meaning they only dilate to 40% of what they should do (Stables and Rankin 2005). As the blood is forced through constricted arterioles, BP rises, the placenta becomes under perfused and the fetus may become hypoxic (Bothamley and Boyle 2009). This results in oxidative stress, which alters cell membranes and triggers the placenta to release cytokines which activate platelets, damage endothelial cells and cause capillary leakage (Coad and Dunstall 2011). The platelets aggregate in the damaged blood vessels, putting the woman at an increased risk of thrombosis (Boyle and McDonald 2011). Oedema is caused by tissue fluid accumulating as the capillaries leak, meaning women with PET are at risk of fluid overload (Jordan 2010).
In pregnancy uncomplicated by PET, there is increased synthesis of prostacyclin, thromboxane A2 and nitric oxide, which alters homeostatic balance and ultimately causes uterine artery vasodilation. However, in PET there is an imbalance of these vasodilators due to the endothelial dysfunction that occurs as a consequence of poor placentation (Boyle and McDonald 2011). Prostacyclin is under-produced and thromboxane is relatively over-produced, encouraging vasospasm of the spiral arteries, which in turn leads to atherosclerosis and raised BP (Stables and Rankin 2005).
Due to the multisystem nature of PET and variability in presentation, endothelial damage can occur throughout the body, affecting multiple organs with the deposition of fibrin in the blood vessels (Jordan 2010). These fibrinous deposits cause further damage by stimulating the clotting cascade, meaning eventually clotting factors and platelets become depleted, leading to haemorrhage and disseminated intravascular coagulation (Morley 2004). The incoordination of the haematological system is further emphasised by haemoglobin levels appearing elevated due to haemocentration (Morley 2004). PET can quickly evolve into HELLP syndrome (haemolysis, elevated liver enzymes, low platelets), which is associated with poor maternal and neonatal outcome (Fraser and Cooper 2012), so they midwife must be mindful of this and alert to signs the woman is deteriorating.
One of the diagnostic manifestations of PET is proteinuria, caused by glomerular endothelial damage allowing plasma proteins to pass into the urine. The glomeruloendotheliosis occurs because hypertension induces vasospasm of the arterioles, equalling decreased blood flow and eventually hypoxia and oedematous endothelial cells in the glomerular capillaries (Fraser and Cooper 2012). Plasma urates rise and clearance of uric acid is reduced, showing that tubular function is damaged (Stables and Rankin 2005). Ultimately, PET can lead to acute renal failure if left untreated (Cowan 2011).
Raised liver enzymes in women with PET reflect the hepatic damage that occurs when the liver cells become hypoxic and oedematous due to vasoconstriction of the hepatic blood vessels (Fraser and Cooper 2012). Vasospasm within the liver is caused by small haemorrhages and hypoxic swelling, which the woman interprets as epigastric pain (Lavellee 2015).
Due to acute cerebral complications, PET is largely responsible for the world’s high maternal mortality rates (Zeeman 2009), although deaths from PET are at a record low (Nelson-Piercy et al 2014). Combined with cerebrovascular endothelial dysfunction, hypertension causes an impairment of the blood-brain barrier, allowing cerebral oedema and micro-haemorrhaging, which is characterised by visual disturbances and headaches (The Pre-eclampsia Community Guideline 2004).
In the first half of pregnancy fetal development will not be affected as maternal blood supply is sufficient. In the second half of a normal pregnancy the placenta increases the vascularisation of its villi, as oxygen demands increase. However, in a pregnancy complicated by PET, this mechanism cannot happen and this is where intrauterine growth restriction (IUGR) occurs (Reister and Kingdom 2004). Research shows that growth restricted fetuses adapt themselves to a limited nutrient supply, hereby altering their metabolism permanently and predisposing them to hypertension, cardiovascular disease and diabetes in later life (Lapidus 2011). IUGR often co-exists with Oligohydramnios, which can cause babies to become hypoxic in labour if the umbilical cord becomes compressed, the effects of which are heightened by the fact that the baby is already oxygen deprived to a certain degree due to the PET. This can cause the baby to become distressed and pass meconium in utero, putting them at risk of meconium aspiration (Coutts 2007).
Nelson-Piercy (2010) says PET is the commonest cause of iatrogenic preterm delivery, meaning many newborn complications are not specific to PET but rather the consequences of the disease, such as IUGR and prematurity, with the risks increasing the earlier the gestation.
As the primary caregivers for pregnant women, midwives are the practitioners most likely to initially suspect PET. A midwife should refer the woman to the hospital for further testing and Registrar review, as diagnosis of PET is outside the scope of practice which a midwife works within (Nursing and Midwifery Council (NMC) 2015). One warning sign of PET is hypertension, defined by NICE (2011) as moderate when the diastolic is 100-109mmHg and the systolic 150-159mmHg. Lucy fit into this category when the midwife referred her to DAU. See appendix 2 for PET symptoms.
The British Hypertension Society (2012) advise it is best practice to measure arm circumference prior to taking BP to ensure the correct sized cuff is used, as a Cochrane review by Banner and Gravenstein (2011) found that using a cuff too small for the woman can increase the systolic value by up to 80mmHg. In a disease where the focus is hypertension, this false increase can greatly impact on the clinical decisions made by health care professionals and therefore outcomes for mother and baby. It is good practice to document in the notes the cuff size used (RBFT 2015) to ensure consistency and good communication with colleagues, which is in line with what the NMC (2015) say about working in partnership to deliver seamless care. Members of the multidisciplinary team all have the common objective of providing the best possible service for the woman (Day 2006). The safety of mother and baby depends on the midwife’s knowledge and skills in recognising the abnormal and her ability to act on this, for example referring to a Registrar if BP becomes unstable & medication requires altering.
In community, where Lucy’s hypertension was revealed, midwives take manual BP’s but in hospital Dinamaps tend to be used because they are perceived as being easier and can be set to automatically take BP at set intervals, which frees up busy midwives’ precious time. Greeff et al (2010) found Dinamaps to be accurate and recommends their use in pregnancy and PET. Another benefit of using a Dinamap is that it is more consistent than lots of different midwives taking the BP and this allows a trend to be shown. Dinamaps also monitor heart rate and oxygen saturation levels, which are vital for detecting fulminating pulmonary oedema (Robinson and Scullion 2009). Antihypertensive medication is often titrated against Mean Arterial Pressure, which is automatically calculated when a Dinamap takes a BP, therefore saving time and reducing the risk of calculation error occurring.
RBFT (2015) state that when BP rises above 160/110mmHg a loading dose of 4g MgSO4 should be given intravenously for eclampsia and stroke prophylaxis. Recommended as first-line treatment of eclampsia, it has a strong hypotensive effect, although its primary function is as an anticonvulsant (British National Formulary 2015).
Clotting bloods should be taken regularly as MgSO4 increases clotting times by slowing down platelet activity and reducing thrombin production, putting the woman at increased risk of haemorrhaging (Jordan 2010).
Urine output must be closely monitored and exceed 25ml/hour (RBFT 2015) to ensure infusion rate is in line with renal function. This is because PET causes renal impairment, reducing glomerular filtration rate and increasing the time it takes for the drug to be eliminated from the body, potentially causing toxicity (Fraser and Cooper 2012). Toxicity symptoms are varied due to MgSO4 affecting all body systems, but can include flushing, sweating, hypothermia, bradycardia, cardiac arrest and pulmonary oedema due to cardiac depression, hence the need for the woman to be continually monitored with an electrocardiogram, BP machine and pulse oximeter (RBFT 2015). MgSO4 affects the baby similarly to its mother, so should be continually monitored with a CTG (Guidelines and Audit Implementation Network 2012). Because MgSO4 inhibits muscle contraction, the midwife should be aware that fatigue and muscle weakness are initial signs of impending toxicity, necessitating the need for respiratory rate, consciousness and patellar reflex monitoring (Jordan 2010).
The midwife should record these vital signs on a High Dependency chart, as per RBFT (2015) protocol and document all events clearly in the notes (NMC 2015), staying forever alert to signs of deterioration and deviation from the norm. This ensures optimal communication between members of the multidisciplinary team caring for the woman, for example Registrars, Consultants and Anaesthetists, and promotes collaborative working with input from each area of expertise to provide safe, evidence-based care.
The midwife should look at the woman as an individual case and treat her accordingly, not just acting upon what is considered to be abnormal by the Trust’s standards, but by the woman’s personal history and what is normal for her. She can do this by referring to the woman’s booking BP and blood results and how her observations have changed since.
The World Health Organisation (WHO) (2011) recommends women at risk of developing PET should take 75mg Aspirin daily from 12 weeks gestation as a Cochrane review by Duley et al (2010) found that doing so reduces the risk of PET by 17%, as pre-eclamptic women have increased coagulation systems in their blood, which can be inhibited by taking Aspirin (Action on Pre-eclampsia 2012). See Appendix 1 for risk factors for PET. Lucy did not receive optimal care because although she is at increased risk of acquiring PET because she is over 40 years old, her sister had PET and there is a 10 year age gap between this baby and Lucy’s other child (Royal College of Obstetricians and Gynaecologists 2012), she was not advised to take low-dose Aspirin. This is not in accordance with what the NMC (2015) say about practising effectively using evidence-based guidelines and advising on medication administration to preserve the safety of patients.
Pre-eclamptic women might feel they are not in control of their lives and that their disease controls them and a multitude of health professionals are trying to control the disease, without perhaps, seeing the woman as a person. This could negatively affect an emotionally stressed woman who feels guilty she is putting her baby at risk. In conjunction with being told the realities of how dangerous PET can be, this may leave the woman fearful and feeling that achieving a healthy pregnancy is an impossible task.
Occurring in 1-2% of women postnatally, post-traumatic stress disorder (PTSD) is a psychological disorder that develops in response to experiencing or witnessing a traumatic event (The Birth Trauma Association 2015). It is characterised by intrusive flashbacks and nightmares of the event that leave sufferers feeling panicked, distressed and intensely fearful (Gamble and Creedy 2005). Alder (2006) found that 33% of women are affected by pregnancy/birth trauma, although they do not meet all the diagnostic criteria for PTSD, meaning they do not receive the help and support they need. Because PTSD symptoms must present for more than a month in order to make a diagnosis and midwives usually hand over care to the health visitor around 10 days postnatally, diagnosis usually takes place with other professionals, leading to lack of awareness of the condition and possible misdiagnosis as postnatal depression (Hunter 2013). This could cause delay in treatment and potentially fatal consequences for mother and/or baby, as deaths from mental illness have now overtaken sepsis (Nelson-Piercy et al 2014). Fragmented postnatal care and lack of continuity only confound this as relationships between midwife and woman cannot be established. Mapp (2005) discusses how women may avoid engaging with health professionals for fear their baby will be removed if it is realised they are struggling. This can prevent women seeking medical help when they need it, so it is fundamental a partnership is formed with women in order to promote their health (International Confederation of Midwives 2014).
Ultimately, if health professionals are not aware of PTSD then they cannot know how to prevent it. Midwives need to work in conjunction with other health professionals to lessen the traumatising effects of emergency situations, in order to reduce the risk of PTSD occurring. WHO (2007) say health care professionals should preserve dignity and use supportive non-verbal communication to demonstrate they are listening, which will encourage the woman to allay her fears candidly. The supportive presence and advocacy role of the midwife can be reassuring for a woman and her family while dramatic events are unfolding. Cowan (2011) says that once a pregnancy becomes complicated and an array of health professionals become involved, the midwife can alleviate some anxieties by being honest, encouraging her to ask questions and explaining what will happen next. Mapp (2005) says women are understanding that emergencies arise but the effect of them can be lessened by receiving sensitive care and being kept updated so that stress and overall negative impact of the situation is reduced.
Women like Lucy do not anticipate to go through potentially traumatising emergency events, particularly if they have had a low-risk pregnancy before, but having PET and an emergency caesarean (EMCS) may alter their ability to cope with stress and put them at risk of PTSD. 14.1% of women at RBFT had an EMCS between 2013-2014 (RBFT 2014), which is a lot of women at increased risk of developing PTSD. Women may experience inner conflict between expectations and reality and withhold emotions from health care professionals as they are perceived as the ones having caused this trauma. Connell (2015) says health care providers use medical jargon and abbreviations that women do not understand, leaving them feeling powerless, isolated, vulnerable and not involved in decisions made about their care, hence why informed consent is so important. Instead, information needs to be offered through a platform women can engage with so she understands what is happening to her and why (Sully and Dallas 2010). The feeling of helplessness is only fuelled by lack of continuity of care and care appearing clinical and not person-centred, as health professionals tend to focus on physical wellness, with less consideration given to psychological and emotional wellbeing (Hunter 2013). Health care professionals have targets to meet in terms of successful births, but success is measured by low rates of physical mortality rather than psychiatric morbidity, which is not the best approach (Hunter 2013).
Women may feel detached and find it difficult to bond with their baby because they associate their baby with the trauma they experienced (BTA 2015), which can impact negatively on the physical and psychological development of the baby. They may struggle to breastfeed, adding to feelings of failure that they couldn’t have a healthy pregnancy or vaginal birth. NICE (2015) advise women should not be offered formal debriefing because it has been suggested that they may be soothed and placated while having their experience relayed to them in medical terms in order to avoid litigation for health care professionals.
It is clear that this poorly understood, multisystemic, multifactorial disease has no one cause, although treatment is always the same: delivery of the baby and placenta. It is the responsibility of the midwife to work in conjunction with other members of the multiprofessional team to provide individualised care that will optimise outcome for women and babies. However, psychological wellbeing should not be ignored and simple measures can be taken by all involved in her care to minimise the risk of lasting impact of what could otherwise be a truly traumatic experience.
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Appendix 1 – risk factors for developing PET
If a woman’s sister or mother had PET then she is 40% more likely to develop the disease herself
A three-fold risk if there has been a 10 year age pregnancy interval
Risk is doubled if over 40 years old
Under 16 years old
First pregnancy with new partner
Body Mass Index of 35 or above at booking
Hypertensive disease in a previous pregnancy
Type 1 or 2 diabetes
Autoimmune disease, for example Lupus or Antiphospholipid syndrome
Connective tissue disease, form example rheumatoid arthritis
Donor egg pregnancy
Sickle cell disease
Billington and Stevenson (2007)
Symptoms of PET
Headache which tends to be frontal and not alleviated by over the counter analgesia
Visual disturbances such as flashing lights and blurred vision
Liver tenderness and epigastric pain that can be specifically left-sided
Oedema in the face, hands and feet
Abnormal liver enzymes
Falling platelet count
Reduced fetal movements
A baby that is small for gestational age and may have impaired Doppler’s
Bothamley and Boyle 2009
Coad and Dunstall 2011
Appendix 3 – peer review feedback from case study presentation
1. Was the handover communicated in a clear and logical manner?
2. Did the handover contain all the pertinent information required?
3. Were the key aspects of the case covered in the presentation of the case study?
4. What aspect of care (physical or psychosocial) was discussed?
PTSD very good and in depth (X3)
5. Were the relevant aspects of midwifery care included?
6. Were key references provided?
7. Any suggestions for improvement that may help in preparation for your essay
• Very good! (X2)
• Highlight ‘abnormal blood results
Writing Your Application for your First Midwifery Job (Band 5)
[𝐃𝐚𝐲 𝟐𝟏] 𝐓𝐌𝐈.
Midwifery Case Study
Within the Midwifery Professional Practice discipline, there are various issues similar to any other health professional practices. In particular, a central issue within Midwifery is providing suitable women-centred care for everyone including those who are vulnerable and live in a low socioeconomic environment. By aiding women-centred care presents elements of the dignity of the human being and the common good in relation to the midwifery practice. Within the midwifery profession, we are faced with pregnant women from different cultures some who are seen as vulnerable due to their socio-economic background, their age and gender. Therefore, discrimination is often seen and increase the women pain tolerance, fear of the unborn child. This …show more content…
In this case, the dignity of the human person whether it’s the midwife respecting the women’s privacy demonstrates the idea of common good. In which midwifes’ should perform their roles and duties according to their professional’s guidelines and take in consideration the publics interest. However, by applying common good into midwifery presents challenges needed to overcome, such as the advance development in midwifery as an individual profession and practice. Over the years, midwifery has started to strengthen and grow with the help of professional education for students in order to promote the common good in society. It is important for midwives to provide benefits for the public whilst promoting the common good as it reduces the burden of nurses and allows for midwives to dedicate their knowledge and skills according to their profession. Therefore, when women-centred care is applied appropriately for both the women and the midwife, only then can the women flourish throughout the bond of a therapeutic …show more content…
In doing so as a midwife there are times when certain boundaries are put in place in order to treat the women with respect and care within certain aspects of their life, such as maintaining the women’s dignity in a foreign hospital environment. It is illustrated that when women aren’t given their specific needs or wishes, they may resort to other techniques in order to gain what they want therefore leading to avoidance and confrontation (Clark, 2010). Another quality is by providing a therapeutic relationship with the women. According to Widang et al (2008) when women are treated as an individual and not an object to be treated, their experiences during pregnancies and labour and choices are greatly valued. This allows the women to feel inclusive throughout their pregnancy journey although women who come across discrimination and disrespect would increase the chance of negative experiences, therefore the women would need greater support to overcome certain issues. Therefore, in order for women to feel safe and participate without fear effective communication between health professionals is needed for better care. In the end, it is important for health professionals to reinforce the need for evidence-based practice and overcome the obstacles that midwives will be faced within their practices. These include providing a suitable model of care for
In this essay, the author
- Explains that the midwifery professional practice discipline has issues similar to any other health professional practice, such as providing suitable women-centred care for vulnerable people.
- Opines that it is important to maintain human dignity with women to reduce the risk of dignity in maternity settings and decline adverse outcomes.
- Explains that the principle of common good relates to issues within the midwifery discipline as it connects with the women and the community.
- Opines that women should be treated with respect and care in a women-centred care setting, and that effective communication between health professionals is needed for better care.
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In every culture health play an essential part of life but means to achieve that healthy being may vary from one country to another depending on their belief system. It is important that professional healthcare providers obtain a proficiency in different cultures and respect these customs as they may influence patient’s behaviors towards receiving care. Birthing is a very important stage in the life of a Vietnamese woman . the Vietnamese culture is very diverse as many of their cultural practices have been influenced by the country’s’ strategic located between china and India. The Vietnamese people religiously observe their traditions and beliefs especially in pregnancy and during and after delivery.
The Pros And Cons Of The Midwife
In the early nineteen-hundreds, the American Medical Lobby was almost successful in stopping out its competition: Midwives. The Journal of the American Medical Association (AMA) published an article in 1912 “The Midwife Problem”, which analyzed a survey given to obstetricians of their thoughts on midwives were. The article states “a large proportion admit that the average practitioner, through his lack of preparation for the practice of obstetrics, may do his patients as much harm as the much-maligned midwife.” This statement demonstrates the discrimination of skilled midwives. Comparing a trained midwife to a unprepared obstetrician. “doctors are the main reason women don’t have midwives.” says Cristen Pascucci the Author of “ Why Are We Asking Doctors if Women Should Have Midwives?”. Midwife led care is the norm all around the world for mothers and babies, so why not in the United States you may ask. Many may say that the United States has a dysfunctional system of maternity care, leading to poor outcomes for mothers and babies. After the 1912 “Midwife Problem”, prenatal mortality has been higher in hospitals and lower in at home births. (Pascucci, 2014) The doctors employed by the AMA in 1912, failed to take down the glorious, strong willed midwives. Even after 100 years of scrutiny, midwives are still going strong and proving their ways of doing things are
Analysis Of A Walk To Beautiful
The videos depicted the reality of life in poor developing countries where the basic necessities of life are unavailable and inaccessible resulting in high infant/maternal mortality rates, diseases, and disability. The experience also broadened my knowledge in terms of how to communicate and educate this population of women who are so ingrained in the existing traditional, harmful practices and beliefs that cause unsafe health outcomes for themselves. Cultural awareness and communication will be key components to prevent early marriage, childbirth, and obstetric fistulas. The activity also increased my awareness of the limited resources, information, and support available for the low income population to meet their daily needs and health necessities. As trained health care providers, we are an important source of information, aide, and support system for our vulnerable clients especially during hard times. Based on this course learning, I will continue to make an effort to provide accessible health information (e.g., treatment, monetary resources, medications, etc); basic self care needs (e.g., ADLs); and socio-psychological support to my patients in my nursing practice.
Cultural Diversity in Patients
This essay will focus on outlining the fundamental principles of cultural diversity and how effective nursing interventions are used when providing an adequate amount of care for an individual from a culturally diverse background and how this may collide with the nursing therapeutic engagement. This essay will give the reader an insight upon culture whilst giving a significant explanation of cultural differences within a health setting. The patient’s real name will not be used and will be referred to as Mr. X. This is in line with the Nursing and midwifery Council 2008 (NMC, 2008) requirements to maintain confidentiality at all times.
The Importance Of Consent In Health Care
The purpose of this essay is to introduce the concept of consent, briefly identify its types and legal fundaments, examine significance of consent in a healthcare provision and illustrate the main issues involved with patients’ consent with midwifery practice as the focal point of interest.
Nursing Ethics: The Role Of Ethics In Nursing
(9) United Kingdom Central Council for Nursing, Midwifery, and Health Visiting. (UKCC) (1992). Primary Health Care, Code of professional conduct for the nurse, midwife and health visitor. London: UKCC.8 (2)
Applying the Sociological Imagination to Sole-parent Familes
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
Certified Nurse Midwife
Throughout history mankind has come up with some wonderful inventions and innovations, but out of all the creations by far the most beautiful and precious is human birth. I first developed an interest in nursing and in particular midwifery years ago. I believe it is a great service within the health profession because of the privileged position to assist in human childbirth. The word midwife means with woman. Centuries before obstetricians delivered babies, midwifes assisted women in having at home births. But it was only formally established as a profession in the early 1900’s. A nurse-midwife is a registered nurse that specializes in midwifery. The job of midwife is to assist in family planning and birth control advice, provide general gynecological services (such as pap smears and breast exams), aid women in childbirth, and help women by providing prenatal and postpartum care. Nurse-midwives are required to have a Master’s of Science in Nursing (MSN) degree and pass the American College of Nurse Midwifery (ACNM) board examination to obtain certification.
Midwife Vs Home Birth Essay
For one woman, this vision of childbirth is not the norm. Ana Rhodes is a midwife, and she is one of the only birth attendants available to...
Midwife Reflective Account
I initially considered midwifery when I attended an antenatal scan with my auntie and heard the heartbeat of the unborn baby for the first time. Listening to discussions regarding health concerns and family support highlighted the importance of the midwife and mother relationship. Two years ago I was given the opportunity to be my mum’s birthing partner alongside my dad. I saw how the midwives interacted and were supportive through the birthing and decision making process. It was found that the baby was breach and the safe option was a caesarean section, and with the complications discussed mum was able to make the right decision. I attended pre and postnatal appointments and listened to the midwives offering advice and guidance, develop a birthing plan as well as check and monitor the health and wellbeing of mum. These first hand experiences have given me a deeper understanding of the role of a midwife and how communication and building trusting relationships is key during these emotional and vulnerable times for a woman, and inspired me to become a midwife.
Abortion: Pro-Life and Pro-Choice
The debate concerning abortion still exists and is causing a lot of controversy. One of the biggest is an issue concerning mother’s who are experiencing health compilations during p...
The Importance of Nursing in American Culture
"The Role of a Nurse / Midwife." Irish Nursing Board, An Bord Altranais. N.p., n.d.
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Midwifery Focused Option - Essay Example
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- Level: College
- Pages: 6 (1500 words)
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Litigation and midwifery, analysis of an ethical dilemma - working in the antenatal clinic, midwifery: guidance during a third stage physiological delivery, options for deliveries: vaginal breech deliveries, a technique to reduce pain during labor: the midwife's in the administration of epidural anesthesia, the role of the midwife in the normal process, informed consent in midwifery, the process of registration as a nurse.
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