Anya Maria is the parent of a 2-year-old in an early childhood p.docx

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Anya Maria is the parent of a 2-year-old in an early childhood program for which you are the executive director. She has just told you that she is 4 months pregnant with her second child. During your initial conversation, you discover that she has not yet seen her doctor, that she is trying to maintain a healthy diet, and that she plans to visit with a doctor soon. She is taking over-the-counter prenatal vitamins and has recently quit smoking and drinking. Her job as a certified nursing assistant is a bit stressful, and she is hoping to cut back on the 12-hour shifts that she is currently working. She confides there are several things she is concerned about when she thinks about the birth of her child. She and her 2-year-old are new to the community and unaware of available health resources. The father of the children recently left the family, and paying for child care and other bills represents a pressing concern. You are concerned that Anya Maria has not connected with other families in the program, and you learn that her extended family lives more than 4 hours away. To prepare: Reflect on this quote: “The fetus is an active being from the start, responding to stimuli but also actively initiating events” (Music, 2017). Consider information presented in the Learning Resources about impact of prenatal development on a child’s healthy development and learning, and the importance of supporting healthy contexts for mothers and the developing fetus. .

Education

Anya Maria is the parent of a 2-year-old in an early childhood p.docx

Dialogue 2 Doctor As far as her pregnancy, if Paula doesn’t take her HAART medications religiously, she risks having a baby who is HIV positive. I am concerned about how she is going to care for a baby with her multiple medical issues. On the practical side, I wonder how she will physically care for this child. She has a semi-paralyzed right hand and walks with a limp. Additionally, when her foot ulcers flare up, she can barely put pressure on her feet. Newborns take a lot of time and energy, and I am not sure she has the capacity to handle the needs of an infant—let alone a toddler. I have not made any formal recommendations to Paula regarding whether to continue the pregnancy, but I have told Paula that, if she does decide to have the child, she must take her HAART medications every day. I explained that this is vital to her health and the health of her unborn child. Dialogue 2 psychiatrist When her social worker, who I am in regular contact with, informed me that Paula announced she was pregnant, I was obviously concerned. Knowing Paula as well as I do, I felt I could be honest with her and give her my opinion about the situation. I told her that she should abort. Based on her medical history, including her physical and mental health disabilities, I did not believe she had the capacity to care for this unborn child. She has absolutely no support at all, outside of the treatment team, and would have no familial assistance to take care of this child. My recommendation for abortion was only solidified when we had to involuntarily hospitalize her. I fear that Paula cannot take care of herself, and she cannot be trusted to take her medications. If she does decide to continue with the pregnancy, my recommendation would be that she stay on the psychiatric unit for her entire pregnancy. That way, we will know that she is taking her medications and that Dialogue 2 OB Nurse Paula is most definitely a high-risk pregnancy, but that does not mean she can’t have a healthy baby. If she keeps up with her HAART medications and comes to her prenatal visits, there’s no reason this baby can’t be born healthy and HIV negative. My larger concern is with the pain medications she takes for her foot ulcers. There is a slight chance the baby will be born addicted to them. We would have to plan for a stay in the NICU if that occurs. While Paula clearly started to decompensate and exhibited some very risky behaviors recently, I think we should try and understand the stress she has been under. While it is not my place to tell the patient what she should do about a pregnancy, I don’t see that we would have to recommend termination. Dialogue 2 Social worker Paula has overcome many obstacles in her life, but a baby—at her age and with her medical profile—is very different. Paula has made many bad decisions in her life, and the decision to keep this baby may or may not be the best for both her and the.

Session-14-On-Going-Support-for-Mothers.ppt

Medidas Medical Center INC

As a clinical social worker it is important to understand group .docx

ssusera34210

As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups. For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following: Choose either a treatment group or task group as your intervention for Paula Cortez. Identify the model of treatment group (i.e., support, education, teams, or treatment conferences). Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication? Include the advantages and disadvantages of using this type of group as an intervention. REQUIRED resource for assignment A Meeting of an Interdisciplinary Team Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk. Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her HIV medications. The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy. Click one the above images to begin the conversation. Physician Dialogue 1 Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.

Postnatal Depression: Let’s Talk

Dr. Umi Adzlin Silim

Marlia, a 38-year-old professional woman, struggled with managing everything on her own after her new maid left one month after childbirth. She felt overwhelmed without practical support and could not depend on her husband. Marlia felt low and teary every day, unable to make decisions or manage tasks. Zarina's dreams of a natural birth were shattered by a C-section and issues with her baby. She argued with her husband who tried to help but did things incorrectly. Wardina knew something was wrong after her second childbirth when she felt miserable and had urges to harm herself during her confinement alone. She desperately wished to have someone to talk to. Postnatal depression can affect up to 1 in 10 mothers and

Assignment 1 Creating a Single-System (Subject) Design StudyThe.docx

carlibradley31429

The document outlines a case study involving a social worker developing a single-subject research study proposal to evaluate their intervention with a client, Paula Cortez. It provides background on Paula's medical and psychiatric issues, including recent stressors of an unwanted pregnancy and threats from the father. It also includes a dialogue between Paula's treatment team discussing concerns about her ability to care for the pregnancy given her non-compliance with medications and mental health issues. The assignment is to submit a 5-page research proposal identifying the problem being addressed, proposed intervention and evaluation plan using valid measures to determine effectiveness.

Postpartum depression

fitango

This document discusses postpartum depression, including its symptoms, causes, risks, and treatment options. Postpartum depression causes new mothers to feel restless, anxious, fatigued and worthless. It can be treated through talk therapy and antidepressant medication. Risk factors include a personal or family history of depression or mental illness, lack of social support, stress, substance abuse, and depression during pregnancy. Untreated postpartum depression can negatively impact both mother and baby's health, development and bonding.

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Lovina Kapoor

This document discusses factors that can lead to a high-risk pregnancy and ways to minimize risks. It identifies several factors that can increase pregnancy risks such as age under 17 or over 35, multiple births, previous pregnancy complications, existing medical conditions, smoking, and premature labor. It recommends preconception evaluation, regular prenatal care, healthy lifestyle habits, addressing any medical conditions, and having social support to help reduce risks.

Wicked Nutrition Capstone Personas

Connor Shannon

This document discusses antenatal care, which refers to the care provided to pregnant women from the first month of pregnancy until delivery. It outlines the objectives, components, and benefits of antenatal care. The objectives include maintaining the health of the mother, promoting well-being of the mother and child, ensuring a healthy full-term baby, and early detection of risks. Components include medical examinations, tests, counseling, and health education. Benefits are better health for mother and baby, increased knowledge, improved preparation, and staying up-to-date. The document also notes obstacles to antenatal care in Bangladesh and recommendations to improve access and utilization.

Schizophrenia case presentation.

arunithar

The patient is a 45-year-old married female who has been experiencing psychiatric symptoms for 12 years. She initially presented with fear, talking to herself, and suspicious behavior. Medications provided minimal relief and her condition has worsened over time. She now experiences auditory hallucinations, delusions that she is being harassed, and shows unpredictable and aggressive behavior. A mental status examination revealed impaired thought processes and insight.

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Colleen Maguire Phebus

This document provides information and guidance for new mothers. It discusses the importance of folic acid for preventing birth defects, staying up to date on vaccinations, taking care of physical and mental health after giving birth, practicing safe sleep for infants, accessing dental care services, and utilizing family planning resources. The guide offers tips for adjusting to life with a new baby while maintaining self-care.

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Jovoni Simmons

This document provides information about the Nurse-Family Partnership (NFP) program. NFP aims to positively transform the lives of vulnerable babies, mothers, and families through free home visits from trained nurses. The visits cover topics like health, child development, and self-sufficiency. The document shares statistics on NFP's success in improving child and family outcomes. It also features testimonials from nurses, clients, and community partners about the positive impact of NFP.

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Anita Harris Hering

The MFLN's Family Development, Family Transitions, Military Caregiving, and Nutrition & Wellness offer this collaborative two-part webinar on chronic illness for military family service professionals. During Part 2 participants will explore ways to help military families harness resources, utilize resilience, and provide support to promote effective management of chronic illness. Participants will engage in case study discussions to identify and assess the family development, transitions, caregiving, and nutrition/wellness perspectives of chronic illness issues within military families. Strategies, tools and resources will be shared. If you missed Part 1, you can find the recording and resources at https://learn.extension.org/events/2899

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Codi Leggett

A student nurse conducted a family assessment interview of a 24-year-old mother who recently gave birth. The mother has 4 daughters from different fathers and her family history shows a pattern of multiple children from different partners. During the interview, the mother's cousin was present and made sarcastic comments, but the student nurse was able to maintain an open dialogue with the mother. The interview revealed family dynamics, social support systems, medical histories and the mother's confidence in caring for her newborn. The student nurse was able to develop a better understanding of the family to focus the care plan and discharge teaching.

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Gateway Northwest Maternal & Child Health Network

The document summarizes 5 case studies of mothers who called a postpartum health hotline seeking help for symptoms of postpartum depression: Case 1 involves a mother with an 8-month-old and older child who has a history of depression and is struggling with breastfeeding. Case 2 is a mother with three children seeing her doctor for possible postpartum depression. Case 3 is a mother with a 3-week-old who dislikes holding or breastfeeding her baby and has mood swings. Case 4 is a first-time mother with a history of depression seeking reassurance that her symptoms are temporary. Case 5 involves a concerned mother seeking a second opinion on whether medication during

Running head 1 BIO-PYSCHO-SOCIAL ASSESSMENT 12 BIO-PSCHO-SOCIAL.docx

jeffsrosalyn

This document provides a bio-psycho-social assessment of a case involving a 16-year-old pregnant student named Eboni Logan. The assessment covers Eboni's demographic and family background, medical history, social relationships, and strengths. It finds that Eboni faces the challenges of an unplanned early pregnancy and pressures from her parents who disagree on whether she should keep the baby or have an abortion. The social environment and learning from her mother's early pregnancy likely influenced Eboni's behaviors. The assessment will help Eboni evaluate her options and make an informed decision.

FRAMEWORK_FOR_MATERNAL_AND_CHILD_HEALTH_NURSING___POWEPOINT.pptx.pdf

BrianMaingi2

Ms. Chin Won, age 26, presented for her initial prenatal care visit and was found to have elevated blood pressure, excessive swelling, and a small fetus on sonogram. Early prenatal care could have helped decrease risks of maternal and perinatal mortality by identifying and correcting any problems before they affected the fetus. The nurse should ensure Chin Won's care is family-centered by coaching her and family for care rounds. Cultural assessment would be beneficial in planning care throughout pregnancy and postpartum by considering Chin Won's cultural traditions. The plan of care would vary depending on if Chin Won was single, working, or a teen to address social and personal adjustments needed to cope with her situation.

Do Employer Sponsored Workplace Lactation Programs increase exclusive breastf...

Joan Ortiz RN, BSN, IBCLC

This study examined whether comprehensive employer-sponsored lactation programs increase exclusive breastfeeding rates. 371 employees responded to a survey about their experiences in six different employer lactation programs. The programs provided prenatal education, 24/7 phone support from lactation consultants, and breast pumps. Results showed that 82% of respondents returned to work full-time, with average maternity leave being 5 months. 58% provided exclusive breastfeeding to their infants at 6 months, exceeding Healthy People 2020 goals. 86% found 24/7 lactation consultant support valuable, and 79% said employer support was important for continuing to breastfeed at work.

Motivation of Couple For Planned parenthood- Preconception Care,Preparing fo...

sonal patel

1. The document discusses motivation of couples for planned parenthood through preconception counseling and care. It describes identifying risk factors, providing immunizations and supplements, addressing medical conditions, lifestyle factors, nutrition, and genetic counseling. 2. It also discusses preparing for parenthood by becoming educated about child development and the emotional/lifestyle changes of becoming a parent. The roles and responsibilities of parenthood are explored. 3. The nurse's role in preconception counseling includes conducting assessments, providing education and counseling to address risk factors, and ensuring patients are well-informed and supported in their decision to conceive.

Improving Decision-Making in Pre-birth Assessment: The OxPUP Project

BASPCAN

This document summarizes the OxPUP (Oxford Pre-birth Pathway) project, which aims to improve decision-making in pre-birth assessments. It describes the OxPUP pathway, which involves identifying high-risk families during pregnancy and providing intervention. It also discusses tools used in pre-birth and postnatal assessments. The document presents two case studies, one where the child remained with their parents and one where the child was removed at birth. It finds that OxPUP cases had lower foster care costs and shorter court times compared to non-OxPUP cases.

Teaching Experience Nursing Question.pdf

sdfghj21

- The document discusses a telehealth nursing student's teaching experience with a pregnant patient regarding nutrition. - It includes the student's nursing process worksheets summarizing conversations with the patient, as well as instructions for writing a 2-3 page report on the teaching experience. - The instructions provide objectives for the teaching experience and outline topics that could be covered in a teaching plan, such as breastfeeding or postpartum depression.

To Be or Not To Be

Dbear722

Diana was raped by one of her thesis subjects. She and her husband were trying to conceive their second child. At the emergency room after the rape, Diana was offered Plan B due to the possibility of pregnancy from the rape. Plan B could prevent implantation of a fertilized egg. Diana had to decide whether to take Plan B or not, considering the moral and religious implications as well as the impact on her and her husband's ability to have another child. In the end, Diana decided not to take Plan B. She gave birth to a healthy baby girl who turned out to be fathered by her husband based on a paternity test.

Assignment Decision TreeFor this Assignment, as you exami.docx

luearsome

Assignment: Decision Tree For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder. The Assignment: Examine Case 2 : You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment. At each Decision Point, stop to complete the following: Decision #1: Differential Diagnosis Which Decision did you select? Why did you select this Decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different? Decision #2: Treatment Plan for Psychotherapy Why did you select this Decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different? Decision #3: Treatment Plan for Psychopharmacology Why did you select this Decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Also include how ethical considerations might impact your treatment plan and communication with clients and their families. Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. Case #2 Anxiety disorder, OCD, or something else? BACKGROUND Tyrel is an 8-year-old black male who is brought in by his mother for a variety of psychiatric complaints. Shaquana, Tyrel’s mother, reports that Tyrel has been exhibiting a lot of worry and “nervousness” over the past 2 months. She states that she notices that he has been quite “keyed up” and spends a great deal of time worrying about “germs.” She states that he is constantly washing his hands because he feels as though he is going to get sick like he did a few weeks ago, which kept him both out of school a ...

Brian’s story Brian is 65 years old and lives with his dog ‘Spider.docx

CruzIbarra161

Brian’s story Brian is 65 years old and lives with his dog ‘Spider’ in a town flat on the first floor of a block of units in a government housing estate. About a year ago Brian had to move to town from his home community because his increasing health needs could not be readily met in his community. He misses his community, the close bonds with family and friends back home and is worried about his family’s welfare in his absence. Brian has been a smoker for 30 years. He smokes 20 cigarettes per day and has a history of recurrent chest infections, hypertension, sleep apnoea and gout. He has a persistent cough that he calls a ‘smoker’s cough’. Recently he has noticed his cough is getting worse and producing greenish coloured sputum. Over the last few days he has been finding it increasingly difficult to walk up stairs and to look after himself. He now has to stop every few minutes to catch his breath and decided it was time to come to the Emergency Department at the hospital where you are practicing. On your shift today, the Emergency Nurse gives you the following handover as part of Brian’s admission to the setting where you are practicing today as a registered nurse: Brian presented to the Emergency Department because his respiratory function has been deteriorating over the last few days. After medical review, his provisional medical diagnosis is an acute chest infection exacerbating suspected chronic obstructive pulmonary disease. He is being admitted for treatment and further investigation of his respiratory function. Brian’s current medications include allopurinol, cilazipril and metoprolol and in the emergency department he has had first doses of ampicillin and a combination bronchodilator by metered dose inhaler which are to continue until review. The doctor also ordered low flow oxygen via nasal prongs, chest physio after the bronchodilator therapy and a high energy, high protein diet. The Emergency nurse also tells you that Brian has reported he hasn’t had a shower for two days because he gets “too puffed out’ and that he is very worried about his dog ‘Spider’ who has been left locked up alone in his flat. He also is concerned that his family back in the community doesn’t know that he’s not well and had come to hospital. Your task in Assessment 1 is to critically discuss some of the key nursing issues related to Brian’s care on your shift. Details of the specific nursing issues to address are identified on the following pages. Tasks Based on Brian’s case and the information you have available, address the following seven (7) items. Do not make up or assume information in relation to Brian’s case. Only use what you know from the case study information on the previous page. Note: In most items Assessment 1, textbooks are not appropriate resources. Item 1: Clinical presentation No Textbooks are to be used in this section Brian is part of your patient allocation for your shift today. You haven’.

BHW-ORIENTATION-MATERNAL-AND-CHILD-HEALTH-AND-NUTRITION-PROGRAM.pptx

PatrickPaulDeris

This document provides guidance for community health workers on maternal and child health and nutrition programs. It outlines key aspects of prenatal care that health workers should provide to pregnant women, including early signs of pregnancy, maintaining a list, health tips, immunizations, breastfeeding preparation, checkup schedules, danger signs, birth spacing, high-risk pregnancies, follow-up visits, and preparing for labor and delivery. The overall goal is to ensure proper prenatal care and management of pregnancies and deliveries in order to improve maternal and child health outcomes.

Revisiting Trials of Improved Practices Methodology_J.Jennings_5.10.11

CORE Group

The document summarizes the results of a study using a modified TIPS (Trials of Improved Practices) methodology to engage men in supporting their wives during pregnancy, childbirth, and the postpartum period in a community in an effort to promote gender responsive programming. Focus groups and home interviews were conducted to understand existing knowledge, motivations, and barriers. Strategies were then developed and certain male supportive practices were trialed. Follow-up visits found that many men participated in the recommended practices during pregnancy, childbirth, and postpartum care of their newborns. The study recommends involving local health ministry personnel to support scaling up the recommended practices.

Hannah Siaurusaitis

Clarksville Middle School

A neonatal nurse cares for newborn babies in the hospital, consoling families and prescribing medication. They work with patients and families to develop healthcare plans and teach new parents how to care for their newborns. Neonatal nurses require a nursing degree and study biology, chemistry, and other sciences. Related careers include pediatrician, nurse practitioner, and ER nurse. The job outlook is excellent with much faster than average growth in the coming years due to the importance of caring for newborns.

NICU+presentation

Kara Mcgregor

This document discusses the benefits of parent education programs for parents of premature infants in the neonatal intensive care unit (NICU). It notes that over 3,800 premature infants were admitted to California NICU's in 2006. Their parents often experience feelings of helplessness and emotional distress. Without intervention, up to 15% of mothers and 8% of fathers are at risk of developing postpartum depression or PTSD. Parent education programs can help address this crisis by teaching parents infant care skills, providing social support, and reducing parental stress and mental health risks. Studies show these programs result in shorter hospitalizations, better parent-child bonding, and improved long-term cognitive and emotional outcomes for infants. The programs more than pay for themselves by

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Anya Maria is the parent of a 2-year-old in an early childhood p.docx

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