This document provides guidance to help pregnant women decide what to do by considering their feelings, values, plans and options. It discusses the options of continuing the pregnancy and parenting, continuing the pregnancy and arranging an adoption, or ending the pregnancy through abortion. It prompts the reader to reflect on how they feel about being pregnant, their current plans and dreams, and their thoughts on each option. The goal is to help the reader clarify their feelings and make the best decision for their situation.
In recent research, our team found that 51% of pregnancies in the United States are unplanned. Every woman has a different situation, and everyone’s reasons for considering adoption are her own. The most important thing for you to remember, though, is that there are people out there who truly care about your unique situation; there are compassionate individuals who care about you and your life ahead.
In recent research, our team found that 51% of pregnancies in the United States are unplanned. Every woman has a different situation, and everyone’s reasons for considering adoption are her own. The most important thing for you to remember, though, is that there are people out there who truly care about your unique situation; there are compassionate individuals who care about you and your life ahead.
Swaddle like a Champion: A Class on the Happiest Baby on the Block 5s' Helen Adeosun
Our first open house featuring our most popular class, the Newborn Care Class and Certification was a resounding success! We have another event in March here in Boston and we look forward to seeing you in March 2014!
Happiest baby on the block handout, purple cryingMolly Soeby
Frustration with a crying baby is the most common reason for shaking a baby. Shaken Baby Syndrome (SBS) is caused by the baby's brain being damaged from shaking. This can lead to serious brain injuries and even death. Learn tips to calm a crying infant. Recognize that unrealistic expectations about baby's can lead to abuse. Learn who is the most likely person to abuse a baby.
In 1990 Midwives became the lead maternity carers in New Zealand. There is a wonderful partnership with Women. Close to 90% of all expectant mothers have a continuity care midwife. Midwives respect 'choice' and help develop a Birth Plan for each pregnant woman.
The c-section rate has risen from 12.9% to close to 30% since 1990. Why is that? Simple really. There is absolutely NO societal expectation for expectant families to become skilled no matter where they birth, who is present and what happens.
Every expectant family should be specifically instructed to self-learn from at least one of the well know skills-based methods including Birthing Better Childbirth Preparation. Others are Lamaze, Bradley, Birth Without Fear, Calm Birth, Active Birth, Hypnobirthing/Hypnobabies.
Every appointment put into your notes what they want and don't want and which skill they've learned. By the time of the birth it will become clear whether the Birth Plan unfolds as desired or changes. The skills can be used no matter what! Encourage your clients to use the skills you've put in your notes. Praise and encourage!
I think it is about time you dropped those negative thoughts about yourself and act now. There are many positive things you can do about your weight than to sit there without doing anything. Seek and you will find!!!!!!
Delicious, Easy-To-Make Smoothies For Rapid Weight Loss, Increased Energy, & Incredible Health.
link to the 21 Day Rapid Fat Loss Smoothie will be in the file.
Managing your thoughts can be a daunting, tedious, and fruitless task. Instead, pay attention to how you're feeling and adjust your thoughts accordingly. Here are some tips to keep your mindset healthy which in turn will help you parent effectively with more ease.
This guide is for members of the public and explains advance care planning. It outlines the different options available to people when planning for their end of life care.
This publication is a revised version of Planning for your future care (2009).
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Swaddle like a Champion: A Class on the Happiest Baby on the Block 5s' Helen Adeosun
Our first open house featuring our most popular class, the Newborn Care Class and Certification was a resounding success! We have another event in March here in Boston and we look forward to seeing you in March 2014!
Happiest baby on the block handout, purple cryingMolly Soeby
Frustration with a crying baby is the most common reason for shaking a baby. Shaken Baby Syndrome (SBS) is caused by the baby's brain being damaged from shaking. This can lead to serious brain injuries and even death. Learn tips to calm a crying infant. Recognize that unrealistic expectations about baby's can lead to abuse. Learn who is the most likely person to abuse a baby.
In 1990 Midwives became the lead maternity carers in New Zealand. There is a wonderful partnership with Women. Close to 90% of all expectant mothers have a continuity care midwife. Midwives respect 'choice' and help develop a Birth Plan for each pregnant woman.
The c-section rate has risen from 12.9% to close to 30% since 1990. Why is that? Simple really. There is absolutely NO societal expectation for expectant families to become skilled no matter where they birth, who is present and what happens.
Every expectant family should be specifically instructed to self-learn from at least one of the well know skills-based methods including Birthing Better Childbirth Preparation. Others are Lamaze, Bradley, Birth Without Fear, Calm Birth, Active Birth, Hypnobirthing/Hypnobabies.
Every appointment put into your notes what they want and don't want and which skill they've learned. By the time of the birth it will become clear whether the Birth Plan unfolds as desired or changes. The skills can be used no matter what! Encourage your clients to use the skills you've put in your notes. Praise and encourage!
I think it is about time you dropped those negative thoughts about yourself and act now. There are many positive things you can do about your weight than to sit there without doing anything. Seek and you will find!!!!!!
Delicious, Easy-To-Make Smoothies For Rapid Weight Loss, Increased Energy, & Incredible Health.
link to the 21 Day Rapid Fat Loss Smoothie will be in the file.
Managing your thoughts can be a daunting, tedious, and fruitless task. Instead, pay attention to how you're feeling and adjust your thoughts accordingly. Here are some tips to keep your mindset healthy which in turn will help you parent effectively with more ease.
This guide is for members of the public and explains advance care planning. It outlines the different options available to people when planning for their end of life care.
This publication is a revised version of Planning for your future care (2009).
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
The Saving Inventory-Revised is a 23-item questionnaire designed to measure three features of hoarding: excessive acquisition, difficulty discarding, and clutter.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. We prepared this booklet for the
many women, teen and adult, who
become pregnant and find it hard to
make a decision about what to do.
The ideas in this booklet are based on
our experience counseling thousands of
women.This booklet, like counseling,
does not encourage you to make any
particular decision. Rather, it offers ideas
that have been helpful to other women
as they struggled to make the decision
that was right for them.
Each person reading this is facing her
own special situation.Yet we have found
that each woman also has some things
in common with others who are facing
the same decision.We hope you will use
these ideas to help you become clear
about your own thoughts and feelings.
…what do I do?
2. First, Are You
Pregnant?
When you suspect that you are pregnant, your first
step is to get a pregnancy test. If you use a home kit,
you should still have the pregnancy confirmed with a
physical exam by a health care provider.
If you find out that you are not pregnant — and if you
really don’t want to be pregnant now — this may be the
time to obtain a dependable method of birth control.
If you are pregnant,
you have three basic choices:
Choice A: Continue the pregnancy and
become a parent.
Choice B: Continue the pregnancy and arrange for
an adoption, either within your family or
through an agency.
Choice C: End the pregnancy now
by having an abortion.
The rest of the booklet asks
questions to help you clarify
· Your feelings about being pregnant,
· Your plans and dreams for the near future, and
· Your thoughts, values, or beliefs about
each of your options.
This guide also gives ideas about
· Where you can obtain more information and help, and
· How to go about deciding which option to choose.
How Do You Feel
About Being
Pregnant?
Perhaps you planned to get pregnant because you
wanted to have a baby, and that is still what you want
most at this time. If so, you will probably decide on
Choice A — continuing the pregnancy and becoming
a parent. If that is no longer what you want, or if you
didn’t intend to get pregnant in the first place, you
can start by looking more closely at how you feel
about being pregnant. An unintended pregnancy can
arouse many different feelings. In fact, most women
find they have mixed or conflicting feelings.
For example, you might feel:
· Worried about being able to manage a baby,
· Afraid you’ll have to give up other things that are
important to you, or
· Concerned about how other people may react.
At the same time, you might also feel:
· Happy to learn that you can get pregnant,
· Pleased to have the opportunity to have a baby, or
· Excited by a new and unique event in your life.
In the following space, list the different feelings you
have right now about being pregnant. (When you
can’t think of any more, go on to the next section.
Later, if you think of other feelings, you can add them
to your list.)
3. What would I lose or give up right now:
If I become a parent?
If I arrange for an adoption?
If I have an abortion?
What would I lose or give up in the next
five or ten years:
If I become a parent?
If I arrange for an adoption?
If I have an abortion?
How much money could it cost me:
If I become a parent?
If I arrange for an adoption?
If I have an abortion?
How would other people who matter (such
as my partner, parents, friends) react:
If I become a parent?
If I arrange for an adoption?
If I have an abortion?
What Are Your
Plans And
Dreams?
Here are some good questions to ask yourself about
your life right now and your future:
What are two or three things that matter
most to me in my life right now?
What are two or three things that I hope
to have or achieve in the next five or
ten years?
In order to have or achieve those things,
How would becoming a parent help?
How would adoption help?
How would abortion help?
4. Choice B: Arranging For An Adoption
__ I could continue the pregnancy and give birth,
without having to raise the child.
__ I could help the child have parents who want it
and can care for it.
__ I could postpone being a parent myself until later
in my life when I feel ready.
__ I like the idea of giving someone else the baby
they can’t create themselves.
__ My family would rather have the baby stay in the
family than be raised by strangers.
__ I don’t think I could give up the baby after nine
months of pregnancy and delivery.
__ I would not like living with the idea of someone
else caring for my baby.
__ I would worry about whether the baby was being
well treated.
Other:
Up to this point, you’ve been looking at the possible
effects of different decisions on your plans and
dreams. Now look at your thoughts, values, and beliefs
about your situation and the different choices.
Following are some statements people often make.
Check the ones that fit for you, and write in other
thoughts you have.
Choice A: Becoming A Parent
__ I feel ready to take on the tasks of being a parent.
__ Some people have said they will help me.
__ I want a child more than I want anything else.
__ My partner and I both want to have a baby.
__ I think I am too young (or too old) to have a baby.
__ I don’t believe I can manage this by myself.
__ I don’t have enough money to raise a child properly.
__ Having a child now would stop me from having
the life I want for myself.
__ Having a child will cause problems for the children
I already have.
Other:
What Are Your Values?
What Do You Believe?
5. Choice C: Having An Abortion
__ I would like to postpone being a parent until I am
able to provide for a child (older, finished school,
more financially secure, in a stable relationship).
__ I don’t want to be a single parent.
__ My partner doesn’t want a baby, and I want to
consider his feelings.
__ An abortion is a safe and sensible way to take
care of an unwanted pregnancy.
__ My religious beliefs are against abortion.
__ I am afraid I might not be able to get pregnant again.
__ My family (or someone else who is important to
me) opposes abortion.
__ I don’t have enough money right now to pay for
an abortion.
Other:
6. you may find that whatever decision you make won’t
feel like the “perfect” decision. It is natural to continue
to have some mixed feelings. Ask yourself,“Can I
handle those feelings?”
If your answer is “Yes,” you are ready to act on your
decision. If you cannot decide, you may need to get
more information about your choices or talk with
someone you trust — not to decide for you, but to
help you decide what you think will be best for you.
That person could be a:
· Parent or other family member,
· Teacher or religious counselor,
· Close friend or partner who cares about you,
· Counselor in a social service or family planning
agency such as Planned Parenthood.
The questions in this booklet might help you and that
person discuss your choices.
Even without knowing how far along your pregnancy
is, we must emphasize the importance of deciding
soon. If you decide to continue the pregnancy, it is
important to begin prenatal care early so you and
your baby are healthy. If you decide on abortion, the
earlier you obtain it, the safer it will be.
No one can predict the future. No one can be
certain what all of the consequences of any choice
may be.What you can do, however, is carefully con-
sider your plans, your values, and your feelings, and
then make the best decision you can at the time.
If you — like so many women — have mixed feelings
about being pregnant and about each of the choices
open to you, making a decision can feel scary and
difficult. In making your decision, it is helpful to know
your feelings, to name them, and to look at them.To
show how you are feeling right now, try to finish each
of these sentences.
The idea of becoming a parent makes me feel
because
The idea of arranging for an adoption makes me feel
because
The idea of having an abortion makes me feel
because
Now that you have explored your choices and
clarified your feelings and values about the choices,
you may be ready to make a decision. Since you
probably have conflicting feelings about each choice,
Summing Up Your
Feelings
7. Do You Need More
Information?
There may be things you need to find out before you
can make a decision. If so, you can get more facts
about each of your choices from places like the
following. Either call with your questions, or ask them
to send you information.
· Adoption agencies and abortion clinics in your
area are listed in the yellow pages of your tele-
phone book. (If an agency tells you that abortion is
unsafe or immoral, that is a clue that they are not
interested in helping you make your own decision;
call the National Abortion Federation’s hotline at
(800) 772-9100 for the name of an agency that will
give you accurate information and non-judgmental
assistance.)
· Your state or local department of social services,
family planning clinics, and many physicians have
information about adoption, prenatal care, delivery,
and parenting.
· The National Abortion Federation’s toll-free,
confidential hotline has facts about pregnancy and
abortion and can refer you to qualified medical
professionals near you (800-772-9100).You can also
visit the NAF website at http://www.prochoice.org.
If you are teenager considering abortion,
some states say you can make that decision
on your own, but others require teens to involve
a parent or close family member.
If you have questions about your state, call the
National Abortion Federation’s
toll-free hotline at (800) 772-9100.
Note: