The aim of this essay is to address the key principles involved in delivering person-centred care and to explore issues that have to be taken into consideration, this includes protection of people that may be susceptible to poor care and safeguarding issues. Other key aspects that will be discussed are, the skills required to maintain and promote the principles of person-centred care such as working in a multidisciplinary team and interpersonal skills and how these skills can be applied into practice.
This is a reflection on continuing professional and personal development in practice. This reflection is to allow me to improve profeesionally with supportive, evidence based literature and to enable me to evaluate the impact my professional behaviour as a student and future midwife. My learning need is to focus on the importance of professional behaviour when on placement and working with women, their families and members of the multi-disciplinary team (MDT).
2.1 Device a strategy and criteria for measuring recent changes in Health and social care
With patients today using the threat of reporting low satisfaction rates in the hopes of receiving faster or higher quality care, they seem to have taken the upper hand in some of the decision making of what takes place in the healthcare world today (Sullivan). But is it really the survey results that will make the drastic changes that are needed?
In the Chicago Tribune, August 1, 2000, Darryl E. Owens (Knight Ridder) writes about a birthing practice used for thousands of years that has made a renewed entrance into American Healthcare entitled, “Childbirth ‘Doulas’ Take Root” (Owens, 2000). I found this article to be very interesting as I am studying to enter nursing school, and I have a desire to work as a nurse in women’s health, especially obstetrics. This article describes a different approach to preparing and supporting expecting families before, during and immediately after childbirth.
Giving birth to a baby brings one of the biggest psychological and physiological changes a woman may encounter in her lifetime. Pregnancy and childbearing bring with them joy, hope and excitement and are marked by celebration. However, the birth of a child can at times be overshadowed by overwhelming emotional struggles. Due to the enormity of the changes associated with child bearing, it is highly likely that a woman may experience some form of related stress. These emotional or mood struggles are a common occurrence after childbirth and are a major postpartum challenge (Stocky & Lynch, 2000). According to the NIH (2015), mood changes, otherwise known as postpartum stress or depression, affects mothers within three
Birth a new baby is interesting and pleasant experience, it can trigger a mix of emotions, from joy to fear and anxiety. Also, some mothers face difficulties like emotional, social, mental and more. The result of that difficulties can effect on mother in some disorders that might not expect it like depression. Depression is a condition of low mood and dislike to do activities and that can affect a person 's behavior, feeling, thoughts, and feel of well-being (Ali LaVacca, 2013). The type of depression that mothers get it after birth can defined as postpartum depression (PPD). Postpartum depression is moderate to acute depression in a woman after she birth a baby. It may be occur shortly after birth or up to one year later. Most of the time,
Welcoming a new child can be a joyous occasion for a mother and the family. With this joy a flood of emotions can occur within the first few hours to days after delivery. This can include feelings of whether or not the woman may be a good mother, anxiety about how things are going to change, and exhaustion from the new change of a new member of the family (). These symptoms can last for a few days but can also impact a mother for several months, this is known as Postpartum Depression. Postpartum depression can affect any women with any type of pregnancy, whether it is a first time mom or someone with their fourth child, PPD can have an impact on motherhood (apa.org). Postpartum depression can cause a psychological impact on the
Quality improvement in medical care and health services has a long history. It has been debated whether focus should be on services meeting professional standards (process measures) or end results (Rohrer, 2014). The purpose of this paper will be to describe the quality program goals, objectives, and quality management structure of my respective organization. The way quality management projects are selected, managed, and monitored will be discussed as well as the methodology and tools/techniques that are utilized. Evaluation of the effectiveness of quality improvement activities will be discussed along with what happens when the activity is not effective.
As a nurse working in Labor and Delivery, a hot topic right now is enhanced recovery for cesarean section deliveries. The enhanced recovery program helps women improve their post-op outcomes, so they are more alert and able to bond with their baby (A.Laronche et al., 2017, pg.212). Enhanced recovery allows mothers to be more alert because there are not any narcotics in the enhanced recovery pathway. The reason enhanced recovery is so important in patient care is because we encourage patients to do skin to skin, breastfeed, and bond with their baby as soon after delivery as possible. When the patient was given narcotics, they were drowsy, asleep, or just didn’t feel strong enough to hold their baby, Since the enhance recovery has been introduced, patients are much more AAO x 3, and are able to have bonding time with their baby, which is much more satisfying for the mother and infant. We used to give patients Gabapentin one hour prior to the patient having their cesarean section, but we stopped giving Gabapentin due to patient drowsiness afterwards, which was defeating the purpose of the enhanced recovery program.
Birth is commonly called the “miracle of life”, and while it is, it can come with negative life-changing side effects for both the mother and child. Postpartum Depression is the depression, anxiety, etc. that could happen post-birth. It is caused by a drop in hormones, including progesterone and estrogen. Postpartum depression is not a confined to a set amount of time; this is one of the many misconceptions about this type of depression. Like many forms of the disease, it can last long after a mother gives birth. One example of a woman who was affected for decades is Bonnie Clutter from In Cold Blood, a nonfiction work by author Truman Capote. After the birth of her first child, Bonnie suffered from postpartum
Medical care provided by health personnel also found to be associated with traumatic childbirth. Inadequate information about delivery, less interaction with the medical staff, and inadequate care during delivery were predictors of traumatic childbirth (Creedy, et al.2000; Soet, et al. 2003; O’Donovan, et al. 2014; Simpson & Catling, 2015). Allen 1998 reported that women felt harmed when they received inadequate care and the staff was not present around the time of delivery which led women to loss control and perceiving childbirth as traumatic event. Beck (2004) supports these findings, in her qualitative study four themes were emerged about the experience of traumatic childbirth, three themes were about medical care, safety during childbirth
Satisfaction is defined as the doctrine of fulfilling a contract or an obligation to desired level (Drummond & Standish, 2007). This definition does not fully define our services at Bascom Palmer; we define satisfaction as an accomplishment and attendance of our patients needs in a unique way, which is beyond their expectations. Satisfaction implies to exceeding the needs of your clients or customers. A patient expects to be accorded good services, but as we all know, good services cannot be fully satisfactory, therefore, to us, satisfaction implies to offering the best quality services which surpasses patient’s anticipation.
Medicalization is the process by which nonmedical problems become defined and treated as medical problems, usually in terms of illness, disorders and syndromes. It is a major concept within the subfield of medical sociology. Natural childbirth is a philosophy of childbirth that is based on the belief that women who are adequately prepared are innately able to give birth without routine medical interventions. In this paper, the impacts of medicalization on childbirth and the problems come with it will be analyzed. Lastly, the challenges to medicalization will also be discussed.
The expectancy is considered as a general concept in psychology, however, conversely in the health literature it is assumed as it is in the real world. In psychology, expectancy theory posits that satisfaction is expressed by a difference between what one received and expected or wanted to receive. However, expectations are made of “cognitive processes” and shaped by “previous experiences”, so it is dynamic, complex beliefs (Bowling et al., 2012).