Labor is a very emotional process, and women often experience anxiety. Most of the research describes the rapid onset of pain relief from Nitronox is often accompanied by a decrease in anxiety and a sense of euphoria. These results occur with fewer reported maternal side effects than other methods of pain management. Less than 24% of patients reports slight drowsiness (Baysinger, 2014), and less than 36% percent of women report nausea & vomiting (Stewart et al., 2012). Shultz et al. (2012) emphasizes the significance of instilling realistic expectations to the patient. Baysinger (2014) explains that Nitronox is a low dose analgesic. Nitronox is a valued choice for patients who desire a more natural approach and greater autonomy. Since Nitronox …show more content…
She advises nurses to discuss realistic expectations with the patient to identify appropriate treatment options. When this is achieved, patients report higher satisfaction with Nitronox, and the obstetric team. The CNS reports that some patients will move to something stronger, but the use of Nitronox improves the patient’s overall experience (F. Teplick, personal communication, October 14, 2016). A Labor and Delivery Nurse, and Nurse Educator at Naval Hospital Jacksonville (NHJ) strongly advocates for the use of Nitronox in obstetric practice. She informs that education involves realistic expectations and that when patients request somethings stronger, it is not a failure of the agent. The chief comment from patients at her facility is that Nitronox reduces anxiety and controls pushing efforts (L. Wilmer, personal communication, October 14, 2016). The National Center for Biotechnology Information supports the use of Nitronox for labor analgesia. The report makes it clear that alternative pain therapy for laboring women is necessary. It concludes that Nitronox is a safe and effective treatment for laboring
When pregnant, many expecting mothers are faced with a very tough decision, the decision to have an epidural during labor or to have a natural birth. Both methods have negative and positive aspects. This topic has such conflicting views that about 50% of women decide to get an epidural when going into labor and the other 50% of women choose the alternative: natural childbirth. It is important for an expecting mother to look into both options thoroughly to ensure they make the best choice for both themselves and for their child. With all of the speculations circulating about both options, it is hard for mothers to see the truth about both epidurals and natural childbirth.
Lilley, L. L., Rainforth, S., & Snider, J. (2013). Pharmacology and the Nursing Process (7th Ed.)
In the society we currently live in today, medical careers are a vital factor regarding the well-being of citizens in the United States. Neonatal nurses make up a very small part of this field, but still play a huge role. Our population depends on neonatal nurses, for the reason that they assist newborns, who were just brought into this world, in becoming stable and healthy. Evidently, in order to become a neonatal nurse, a particular education is required. In addition, with this career comes both a number of benefits and burdens. Overall, in our country, even in the world for that matter, neonatal nurses are needed and the demand for them will continue to grow in the future.
Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
Natural birth is a method of childbirth in which medical intervention is minimal and the mother practices relaxation and breathing techniques to minimize pain during delivery. Modern obstetrics has created an entire industry to observing and
Since neonatal nursing is my special interest and field, I chose to write about the health care options which are available to parents having children in different hospitals throughout the world. With the state of the art technological advances in the neonatal units, there are so many options available for the care of newborn babies. I reviewed the neonatal units in Australia, Saudi Arabia, New York, Tokyo, Ireland, and California, and I have learned what It takes to run a neonatal intensive care unit all around the world.
I believe this can only benefit the hospital and patient care, and have a new way that the patient is cared for. Treating the whole family, instead of just the patient is what the future is all about. Implementation of this type of care requires creating a partnership between the patient, physicians, nurses, and patient’s families. This can only improve performance improvement, and treat the patient the way we would want to be treated. My goal is to decrease the patients and families anxiety throughout their hospital experience, and keep the whole family informed of the patients treatment plan.
In my previous role as a Licensed vocational nurse, I worked in the outpatient setting, Perinatology, where there are high-risk pregnant patients. The patient I helped take care of, was early in her pregnancy, approximately 29 weeks, and was a patient who had been seen in this clinical office
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Ladak, S. J., Chan, V. W., Easty, T., & Chagpar, A. (2007). Right medication, right dose, right patient, right time, and right route: How do we select the right patient-controlled analgesia (pca) device?. Pain Management Nursing, 8(4), 140-145. doi: 10.1016/j.pmn.2007.08.001
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
To complete my labor and delivery rotation for NUR-113, I was assigned to a client in the labor and delivery unit and followed her labor process throughout the duration of my shift, I observed the nurse’s role, doctor’s role, medications given, the patient, the patient’s family and evaluated myself. The client that the RN was assisting was a 21 year old, white unmarried female with O+ blood, at the end of my shift she gave birth to a beautiful baby boy after a few complications during the labor process. Gravida 1, Preterm births 0, Term births 0, Abortions 0, Living Children 1, after the birth ...
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally deliver after a cesarean delivery, as well as the risks and benefits if it. Delivering a child by a c-section also has a few advantages and disadvantages for both the mother and child; this will also be discussed in more depth a bit later.