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Teaching observation reports
Effects of cultural diversity essay
Teaching observation reports
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The labor and delivery unit is an amazing place filled with pleasant, friendly, and knowledgeable staff members that help bring miracles into this world. The client population on the unit consisted of patients ranging in age. The patients were 16, 17, 21, and 35 years old. The staff members on the unit worked consistently well with each other. They were nonjudgmental about all client situations. There were women at all different stages of life in the unit. They were all culturally diverse some had a very large open close knit family where others had a small private family present. For some it was there very first child and wanted it to be their last; for others it was not their first and they had several other children. The staff seemed to work well together. Never once during my shift did I see anyone get out of sorts even though, it was a rollercoaster ride. One minute no one would be busy and the next there was too much stuff to do. The staff handled this well; they split up and designated the tasks at hand. No one complained about the work they had to do. The staff was effective, pleasant, calm, and worked well together at all times. 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 ... ... middle of paper ... ...of her culture to receive the epidural and be surrounded by her family as much as possible. Works Cited Drugs.com Prescription Drug Information, Interactions & Side Effects. (2014). Retrieved March 5, 2014, from http://www.drugs.com Goins, W. P., Talbot, T. R., Schaffner, W., Edwards, K. M., Craig, A. S., Schrag, S. J., . . . Griffin, M. R. (2010). Adherence to Perinatal Group B Streptococcal Prevention Guidelines. Obstetrics and Gynecology, 115(6), 1217-24. doi:10.1097/AOG.0b013e3181dd916f Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2013). Labor and Birth Processes. In Maternal Child Nursing Care (5th ed., p. 351). Elsevier-Health Sciences Division. The Writing Lab, The OWL at Purdue, & Purdue University (n.d.). Purdue OWL: APA Formatting and Style Guide. Retrieved March 4, 2014, from https://owl.english.purdue.edu/owl/resource/560/1/
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
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.
Saunders (2012) states that the treatment of a breech delivery requires the paramedic team to work simultaneously and efficiently to perform several interventions. He states that the paramedic team should undertake a primary survey and introduce themselves to the patient on arrival. From the initial patient contact, the paramedics should begin providing reassurance to the patient and their family, both verbally and non-verbally (Saunders, 2012). Reassurance aims to reduce patient anxiety, create a rapport with the patient and encourage an environment of care, respect and understanding (Pincus et al., 2013). The paramedic team should complete a secondary survey, including vital signs and a complete patient history, particularly pregnancy relevant
MLA, in which this essay has been written, is most commonly used in the study of literature and humanities. This is because of a variety of factors within the format that allow the author to display their information in a fashion that seamlessly flows. APA, unlike MLA, labels when the topic or subject
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).
...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.
Modercin-McCarthy M. A., McCue S., Walker J. Preterm infants and stress: A tool for the neonatal nurse. J Perinat Neonatal Nurs, 1997; 10, 62-71.
Smith, M., Segel, J., & Ramsey, D. (2013, 9). Add / adhd medications. Retrieved from http://www.helpguide.org/mental/adhd_medications.htm
This time in life may also be very stressful due to the trend for medicalization of birth. The medicalization of birth is the trend we see in society today. There has been an increase in the use of medical technology. The cesarean section is the most common surgery done in the United States, even higher than a hysterectomy and tonsillectomy. Over one forth of birhs in the United States were cesarean sections. There are major complications that could occur with the increase use of this surgery. For example, the mortality rate is four to ten times higher than a vaginal birth. There is also an increase use other artificial medical interventions such as induction of labor and epidurals. It is hard to explain why women are choosing to deviate from traditional births, but it is a growing societal trend.
A labor and delviery nurse has vast knowledge of the process and methods that are required for delivery and bring a new life into the world and is educated with the responsibilities of assiting the new born babies with their medical issues. Considering all the responsibilites needed to take on this career, such as assisting women with complications within the pregnancy, delivering a newborn and managing post birth issuses, the nurse must be professional in his or her work at all times. All people wishing to pursue the career of being a Labor and Delivery Nurse must also have good analytical skills, as part of there job to montior and analyze the mother and child (CollegeAtlas.org).
One of my assignments for a clinical rotation day this semester on the post-partum unit was an ESL mother and her newborn. The charting stated the mother was ESL, but she actually spoke almost no English, and the ESL father translated throughout our care. Although, the patient care is fundamentally the same, I chose this as the topic for my reflection because it was challenging, and a unique experience as a student nurse. Both parents despite our obvious barrier were very receptive of health teaching as well as patient throu...
She was a 24-week-old premature infant. I had never seen anything so fragile yet so resilient in my life. Every time she took a breath her lungs would completely collapse. To inhale, she had to pull everything up from on her back, out from her rib cage, and inflate her lungs. She was a powerhouse! Instinctively doing everything she could to stay alive. She died hours later. She was the youngest and smallest infant ever to be born alive at Vanderbilt Children’s Hospital.We will never know her full potential, and the loss of the opportunity for someone to become an asset to society is something that I cannot tolerate. Thus, my desire to become a neonatologist was affirmed.
The hospital room holds all the usual scenery: rooms lining featureless walls, carts full of foreign devices and competent looking nurses ready to help whatever the need be. The side rails of the bed smell of plastic. The room is enveloped with the smell of plastic. A large bed protrudes from the wall. It moves from one stage to the next, with the labor, so that when you come to the "bearing" down stage, the stirrups can be put in place. The side rails of the bed provide more comfort than the hand of your coach, during each contraction. The mattress of the bed is truly uncomfortable for a woman in so much pain. The eager faces of your friends and family staring at your half naked body seem to be acceptabl...
...s the need for changes in the current "drive thru" system of childbirth. Hospital stays have been reduced as new mothers are quickly sent home without medical resources at their disposal(8).
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.