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Health care quality
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As premature birth rates in Ireland are rising it is of paramount importance that the quality of the health care available to premature infants be assessed. It is important to establish a functioning and high quality health care system for these vulnerable infants, which is why a great deal of research has gone into establishing the causes and effects of prematurity, on both infant and parent, as well as research into the quality and availability of health care. Through collecting sources I established key five key themes that ran through the different literature, which assessed the quality of the health care provided for premature infants and their parents. Common Themes in Literature 1. Facilities – Quality and Improvements. 2. Countrywide inequalities of Health Care 3. Feelings and Emotions of Parent/Guardians 4. Causes and Effects of Prematurity. 5. Possible Solutions to the causes of Prematurity The quality and improvement of health care facilities for infants in Ireland was proposed by the Department of Health in Part Two of the publication ‘Quality and Fairness: a health system for you’. The Department of Health and Children aim to integrate existing functions of health care provision for both premature and non-premature infants, making it accessible to all, and develop the processes of preventive/screening programmes for diseases and disabilities in infants to improve the quality of health care available. They also strived for the improvement in the quality of medicine and enhanced the idea of health promotion (Department of Health and Children, 2001). However, in a policy paper released by the Adelaide Hospital Society it states that the ‘Quality and Fairness: A health system for you’ strategy has failed to achieve its... ... middle of paper ... ...ifferent aspects involved in catering for all the needs of premature infants and their parents, from initial, fast action medical care, through to care in Neonatal Intensive Care Units and eventual follow up and home care. I also began to understand the emotional aspects of having a premature infant and how those emotions need to be properly dealt with. The literature I reviewed gave me an idea of the differences in regards to the geography of health care available and the inequalities of health care provision; however there were some gaps in relation to Ireland specifically. So for the purposes of this project I will be focusing on the quality of health care for premature infants and their parent’s country wide, and building and advancing upon the information about the spatial differences and inequalities of health care provision faced by people living in Ireland.
Sorensen, J., & Abbott, E. (2004). The Maternity and Infancy Revolution. Maternal & Child Health Jounal, 8(3), 107-110. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=14089739&site=ehost-live
Pam Jenkins is a 36 year-old woman that is 30 weeks into her third pregnancy. Since her pregnancy began, Pam has gained 20 pounds. Although Pam has reduced the amount that she smokes, she continues to smoke 5 cigarettes per day, which may cause some issues with her worry of another preterm birth. Another factor that could also cause complications is her delayed prenatal vitamin use. After logging her dietary intake within a 24 hour period into SuperTracker, I will be making recommendations on how she can alter her diet and lifestyle to ensure that Pam receives the nutrients she needs for herself and for her baby.
‘Since its launch in 1948, the NHS has grown to become the world’s largest publicly funded health service. NHS employs more than 1.7m people and deals on average with 1m patients every 36 hours. It is also one of the most efficient, most egalitarian and most comprehensive. Even though NHS services in England, Wales, Scotland and Northern Ireland are managed separately and each might have some system differences, they remain similar in most respects and belong to a single, unified system. The NHS core principle is that good healthcare should be available to all, regardless of wealth.’ (NHS, 2010) Success of NHS depends on how well the organisation balance quality and customer (patient) satisfaction with adequate financing and long-range goals. Health care organisations such as NHS must deal with government oversight, managed care, new technologies, and increasing pharmaceutical prices.
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).
Birth is a normal, physiological process, in which a woman’s body naturally prepares to expel the fetus within. It has occurred since the beginning of time. Unfortunately, childbirth has gradually evolved into what it is today - a highly managed whirlwind of unwarranted interventions. Jennifer Block, a journalist with over twelve years experience, has devoted herself to raising awareness regarding the authenticity of the Americanized standard of care in obstetrics, while guiding others to discover the truth behind the medical approach to birth in this country. In her book, Pushed: The Painful Truth About Childbirth and Modern Maternity Care, Jennifer Block brings forth startling truths concerning this country’s management of birth.
The first five years of a child's life are the most important for laying the foundation skills which will see them through to adulthood. In order to give children a positive start to life health visitors can offer advice and support by using the Healthy Child Programme (HCP) which can take place within a home or community environment. This programme offers families a range of services including screening, developmental reviews and support on parenting and making healthy decisions. Health visitors have the skills to identify children who may not be meeting their developmental milestones and refer them onto other services to meet their needs. They can also recognise and support safeguarding issues within a family. Although most people found these services to be beneficial a study conducted by Knott and Latter (1999) claimed that some mothers felt the services they ...
Statistics show the impact that preemies are causing as the rate of preterm birth increases every day. Any part of the world is affected no matter how advanced they are in technology. “One of every eight infants born in the United States is premature babies” (Medline Plus). These statistics are extremely high, however people can change it by getting involved in the community and helping preemies have a less chance to lose in their battle for life. In 2003; 499,008 infants were born prematurely (National Center for Health Statistics). The rates of preterm births have increased over the years. "In 1995: 11.0% of live births were born preterm, In 2006: 12.8% of live births were born preterm"(March of Dimes-Peristats). As the numbers keep increasing, many families are suffering and losing hope for they’re babies. African American women have the highest rate of preterm birth in 2004 with a 17.6% (Reedy, 2007). These statistics demonstrate the high frequenc...
The history in a family can influence many generations. Certain families have stereotypes about them based on family history. This is a real world situation; the movie The Pregnancy Project, stereotypes about teen pregnancy where shown, and how they affect people. In the Pregnancy Project, the use of Gabi’s background influenced people’s reactions because her family has a history of teen pregnancy.
Neonatal intensive care units are normally thought as a safe place for a neonatal to be, but there are instances where the neonatal develops an infection in their fragile bodies. This paper examines the ways that they could develop infections that harm them. The ANA states, “individuals who become nurses are expected to adhere to the ideals and morals norms of the profession and also to embrace them as a part of what it means to be a nurse.” (Code of Ethics, n.d.). German NICUs participated in a study of very low birth weight infants (VLBW) from 2006-2011 and found that an outbreak of severe neonatal infection occurred within a period of time in the same center in four different patients (Schwab, 2014).
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
For over two decades the NICU was comprised of large open bays often housing eight to ten babies in a single space. More similar to a barracks instead of a place of such fragile care, the rooms felt cold and antiquated. Long overdue, the NICU was moved to a brand new state-of-the-art facility to continue their award winning care. Dr. Jeff, the NICU medical director, welcomed the move with open arms stating that “this is like Christmas”. The move provides the fragile lives with brand new high tech equipment and privatized rooms, while providing the nurses and staff with a whole new set of responsibilities.
Abortion is the termination of a pregnancy by the removal or expulsion of a fetus or embryo from the uterus before viability (dictionary.com). Those who disagree with abortion think that this is not right, mid evil and a form of murder. All of those thoughts are correct; abortion is the act of removing a fetus from the protection of the mother’s uterus. However, is it not the duty of the mother to protect her unborn child? In this day in age, we are still allowing this barbaric method of ending a pregnancy to happen despite the many alternatives. If an unexpected pregnancy should occur, abortion should not the only option. There are many reasons why abortion should not be illegal in all parts of the world, and people need to know the options available. Adoption is certainly a strong option in a world wanting for children. Abortion is not a method of birth control and people need to be educated on pregnancy prevention and take on some responsibilities.
Commission for Social Care Inspection (2005) Making Every Child Matter, Commission for Social Care Inspection
To start this off, conception is the action of conceiving a child, and pregnancy is the period from conception to birth. They both share the same meaning: the process of getting pregnant. Conception happens when a sperm penetrates on one of the female’s eggs. Then, at around day 14 of a 28 day cycle, the egg leaves the ovary, and it is surrounded by a protective layer of cells. The fallopian tube is lined with cilia, which helps move the egg towards the womb. This is called ovulation. In the next 12-24 hours, the egg waits to be fertilized by a single sperm. The sperm then swims through the womb to meet the egg in the fallopian tube. And the sperm secretes enzymes to help penetrate the outer layer of the egg. Once the
The prenatal period is considered the period between the conception of a baby until its birth. During this time embryo's and fetus go through major changes to prepare for their life after birth. In the years after they are born, what we call infancy and toddlerhood, while as adults we don't seem to change much in a year or two, children go through many changes that are crucial in developing the patterns of their futures.