Identifying, Understanding and Working with Grieving Parents in the NICUKirsti Dyer MD, MS
This lecture was prepared and given at the First Annual Perinatal Conference held by the March of Dimes Valley Division in Modesto California in November 2005. I was one of the speakers invited to present as a former NICU Parent and a Grief, Loss and Bereavement expert.
Contact me if you are interested in using this lecture.
Note: This lecture is copyright under Attribution-Non-Commercial-NoDerivs license.
Terminal illness and death during childhoodNEHA MALIK
A terminally ill child is a child who has no expectation of a cure for his or her disease or illness. this study material will help the medical professionals to learn more about caring for a terminally ill child.
YOUTUBE CHANNEL LINK :- https://www.youtube.com/results?search_query=medic+o+mania
Answer below discussion. Two paragraphs and two references no later .docxnolanalgernon
Answer below discussion. Two paragraphs and two references no later than 5 years.
This week’s discussion questions caused a lot of reflection on how I practice nursing. The questions led me to reflect on what type of nurse I am. Am I doing the best I can, or have I done the best I could? While considering the six ways of knowing I kept coming back to unknowing. The act of being unaware or not being able to fully understand what the patient is experiencing or going through (Heath, 1998). That is how I approach every patient. I have no preconceived notion that I have even the faintest idea of what they must be feeling. It is the ability to be fully present of yourself and open to the patient and their life. The other is empirical knowing. Empirical knowing is the first introduction we have in nursing school. Understanding the science, the epidemiology, the physical nature of the illness or medical situation. I believe there is a lot of value in empirical knowing, as the patients want us to know why and how to do what we do. They place a lot of trust in us to do the right thing. It is part of our daily responsibility to assess and monitor therapeutic response to treatment (Zander, 2007).
Though the entire 6 ways of knowing were brand new to me and it took me some time to reflect on my understanding of these concepts, I fear the two I have put the least focus on in the past but am keenly aware of their implications are emancipatory and aesthetic knowing. This is not to say that I did not practice the art of nursing, using my years of experience to draw on and I am astutely aware of the social, cultural, and political implications of those in my care. I never was able to put a name or definition to them. Emancipatory knowing, the ability to be astutely aware of the social injustices and be able to act in a way to reduce the negative impact of these inequalities (Peart & MacKinnon 2018). Aesthetic knowing, the ability to interpret the patient’s behavior or expression of self and then asking what this means (Zander, 2007). Aesthetic knowing in a simpler phrase might be considered that gut feeling a nurse often refers to.
I am reminded of a recent experience I had when I was given the privilege to assist another nurse on a home visit. This nurse is an incredible pediatric nurse. I admire her aesthetic way of knowing and how she is so patient and kind with the children she cares for. This young boy, age 11, was recently diagnosed with Pediatric Autoimmune Neurological Disorders Associated with Streptococcal Infections (PANDAS). It is a horrid and unexpected disease that takes an otherwise perfectly healthy child and they become severely paranoid, have expressions of sudden onset OCD type behaviors, and a myriad of other symptoms (International OCD Foundation, n.d.). This young boy was to receive Intravenous Immunoglobulin (IVIG) at his home, requiring placement of a peripheral IV. I was called in for re.
This slideshow provides a comprehensive look at what a doula is and why they are needed. It is the first unit in the certification course from New Beginnings Doula Training.
Identifying, Understanding and Working with Grieving Parents in the NICUKirsti Dyer MD, MS
This lecture was prepared and given at the First Annual Perinatal Conference held by the March of Dimes Valley Division in Modesto California in November 2005. I was one of the speakers invited to present as a former NICU Parent and a Grief, Loss and Bereavement expert.
Contact me if you are interested in using this lecture.
Note: This lecture is copyright under Attribution-Non-Commercial-NoDerivs license.
Terminal illness and death during childhoodNEHA MALIK
A terminally ill child is a child who has no expectation of a cure for his or her disease or illness. this study material will help the medical professionals to learn more about caring for a terminally ill child.
YOUTUBE CHANNEL LINK :- https://www.youtube.com/results?search_query=medic+o+mania
Answer below discussion. Two paragraphs and two references no later .docxnolanalgernon
Answer below discussion. Two paragraphs and two references no later than 5 years.
This week’s discussion questions caused a lot of reflection on how I practice nursing. The questions led me to reflect on what type of nurse I am. Am I doing the best I can, or have I done the best I could? While considering the six ways of knowing I kept coming back to unknowing. The act of being unaware or not being able to fully understand what the patient is experiencing or going through (Heath, 1998). That is how I approach every patient. I have no preconceived notion that I have even the faintest idea of what they must be feeling. It is the ability to be fully present of yourself and open to the patient and their life. The other is empirical knowing. Empirical knowing is the first introduction we have in nursing school. Understanding the science, the epidemiology, the physical nature of the illness or medical situation. I believe there is a lot of value in empirical knowing, as the patients want us to know why and how to do what we do. They place a lot of trust in us to do the right thing. It is part of our daily responsibility to assess and monitor therapeutic response to treatment (Zander, 2007).
Though the entire 6 ways of knowing were brand new to me and it took me some time to reflect on my understanding of these concepts, I fear the two I have put the least focus on in the past but am keenly aware of their implications are emancipatory and aesthetic knowing. This is not to say that I did not practice the art of nursing, using my years of experience to draw on and I am astutely aware of the social, cultural, and political implications of those in my care. I never was able to put a name or definition to them. Emancipatory knowing, the ability to be astutely aware of the social injustices and be able to act in a way to reduce the negative impact of these inequalities (Peart & MacKinnon 2018). Aesthetic knowing, the ability to interpret the patient’s behavior or expression of self and then asking what this means (Zander, 2007). Aesthetic knowing in a simpler phrase might be considered that gut feeling a nurse often refers to.
I am reminded of a recent experience I had when I was given the privilege to assist another nurse on a home visit. This nurse is an incredible pediatric nurse. I admire her aesthetic way of knowing and how she is so patient and kind with the children she cares for. This young boy, age 11, was recently diagnosed with Pediatric Autoimmune Neurological Disorders Associated with Streptococcal Infections (PANDAS). It is a horrid and unexpected disease that takes an otherwise perfectly healthy child and they become severely paranoid, have expressions of sudden onset OCD type behaviors, and a myriad of other symptoms (International OCD Foundation, n.d.). This young boy was to receive Intravenous Immunoglobulin (IVIG) at his home, requiring placement of a peripheral IV. I was called in for re.
This slideshow provides a comprehensive look at what a doula is and why they are needed. It is the first unit in the certification course from New Beginnings Doula Training.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
1. Psychological Care of a Patient Essay.
Psychological Care of a Patient Essay. Nicolls indicates that the psychological skills should
be routine provision. Discuss this statement using a case study from clinical practice.
Discuss the relevance of psychology and how it is applied and integrated into a case study.
Identify the medical and nursing problems and the related pathophysiology to set the
context of the case study. (1000 words.)Psychological Care of a Patient Essay.ORDER A
PLAGIARISM-FREE PAPER HEREPortfolio 2Psychological care refers to an approach of
looking after the ill, (in this case also the parents) and should be integrated with nursing to
provide an organised and practical psychological content to overall care. Krigger et al
(2007). They also state it represents a big step towards meeting the requirements of truly
holistic care. As mentioned it requires an organised approach with various skills and
objectives and to deal with psychological issues arising from the event of illness. Firstly for
psychological care there has to be an awareness. Secondly intervention and thirdly refer on
if necessary for therapy. Nicolls states that it should be common provision’ in hospitals. He
also states that common psychological reactions to illnesses include shock and even post-
traumatic stress, confusion, distress and loss of self-worth, lowered self-control and even a
collapse into dependency.Psychological Care of a Patient Essay.Kevin (not his real name for
the purposes of confidentiality) was a term +10 day baby. Spontaneous vaginal delivery. His
birth weight was 3.2kgs. Apgar score was 9 at one minute of age and 10 at ten minutes of
age. He cried at delivery, no resuscitation required just dried and suctioned. He was pink
and given to mother for skin to skin. He was her first baby. At fifteen minutes of age baby
was on the breast and sucking. All was well. At 30 minutes of age, mother’s partner noticed
that the baby while still on the breast was not sucking and not breathing. He immediately
called for help. The neonatal team came immediately. Cardiac massage was given, the baby
was intubated and ventilated, and adrenaline 1:10,000 was given by three individual doses
via the endotracheal tube. He was transferred to the neonatal unit. A team decision was
made to start the baby on cooling as per cooling guidelines. Umbilical arterial and venous
lines were inserted and he was commenced on morphine. Pancuronium (muscle relaxant)
was withheld initially so the team could observe if there any abnormal movements.
Continuous monitoring functioning was commenced. His mother Mary (not her real name)
came down to the unit accompanied by her partner shaken and shocked at the fact that her
baby had been taken away from her so suddenly. She went from euphoria the birth of her
first baby a beautiful baby boy to a lifeless baby cold to touch in a cooling supported by a life
support machine with bags of intravenous fluids, syringes and pumps. This for her was so
2. surreal.Psychological Care of a Patient Essay.After initially explaining to Mary how we were
actually nursing Kevin being continually aware that it was pretty much going over her head
but as Drewery in his article states ‘repetition is the prime influence in memory’ None of the
team at this point could actually tell her what had happened because we did not know. We
as a team were also shocked as to what happened. We tried to internalise the situation. The
baby was pink, was at the breast and sucking. What happened?Each time Mary came to the
neonatal unit she would spend long periods of time there sometimes on her own sometimes
with her partner or family members. She appeared vague as if everything was going over
her head and it was to a certain degree. Emotional and psychological care was paramount
for her at this stage. By day four it was clear that Kevin would not survive without the
ventilator, psychological preparation for that was of vital importance. Communication with
the parents seeing exactly at what point each of them were at and bridging that gap. To
build a bridge from where they were at that point and helping them cross that bridge
metaphorically speaking where they needed to be without them falling. That was a huge
challenge for us as a team. According to Egan (1998) Attending, Listening and
Understanding are the three basics in communication skills. Attending which is being
present for the person or persons. Listening which must be active listening as this will
encourage the clients to talk and how they feel and what is going on for them at that present
time. Egan (1998) also states we have to listen to nonverbal cues as very often as in this
case the present was familiar (at least the baby was present) as opposed to the prospect of
change. They appeared to have understood the consequences of withdrawing ventilation
but their body language clearly stated they did not want it to happenThe bond of
attachment had already formed especially with Mary. As Bowlby (1989) states ‘attachment
is a close emotional bond between infant and the care giver in this case between infant and
mother. She said very little initially how she felt, just asked very appropriate questions
regarding Kevin. It was difficult nursing him as we both knew the outcome but on the other
side she had built up a relationship with us. One of trust one that had been formed on the
basis of been open and frank with her and she with us. We left them decide when they
wanted to withdraw ventilation. This bridge was built and crossed. The initial conversation
about withdrawing treatment went completely over their heads, but as mentioned earlier
Repetition is the prime influence in memory. Dewey (2012). Traumatic news sometimes
cannot be processed. One can proceed to the responses of grief: denial, anger, bargaining
and finally acceptance. According to Krigger et al (2007) grief often manifests itself with
features similar to depression and it is vital as health care professionals can distinguish
between the two, as this may require professional help example counselling or
psychotherapy. With this particular case the parents had very good family
support.Psychological Care of a Patient Essay.CONCLUSION.In conclusion I agree from my
experience of dealing with this particular case and other cases also that psychological care
of a patient and in this case the parents is paramount. They must be treated in holistically,
physiologically, psychologically and spiritual care is also of great importance. Holistic care is
central to nursing and also intuitive. As Wynne (2013) describes palliative care is ‘an
approach that improves the quality of life of patients and their families facing life
threatening illnesses’. One has to care in a way that counts one has to be emphatic and kind
3. also to look after one’s own needs to ensure that psychological care is of routine
provision.Psychological Care of a Patient Essay.
