Continue Care Essay

Duscuss the impact of the ACA and the IMPACT act on long term care arcross the continuum of care.

It relies on persuasive tactics to ensure compliance. Being medical-based, it aims to reduce morbidity and reduce premature mortality and is conceptualised around the absence of disease. As midwives do not regard pregnancy and child-birth as states of ill-health, its validity in midwifery care must be questioned (Dunkley, 2000a). The benefits of breastfeeding are well-documented (Appendix Two), however difficulties arise in making this information relevant and personal to each woman. Often, simply giving women ‘information’ makes little difference to them (Dunkley, 2000b).

Historian Laurel Thatcher Ulrich provides a glimpse of America post Revolutionary war through her critically acclaimed book, A Midwife’s Tale, which is the interpretation of Martha Ballard’s seemingly humble diary—a record of her life as a midwife, mother, wife, and caregiver from 1785 through 1812. The book features Ballard’s account of her average day’s activities, which, in turn, serves to represent the tasks of women in her society; however, Ulrich cross-references the diary with documents such as court transcripts, land records, maps, and other diaries in order to piece together a more detailed account than one gathered solely from Ballard’s words. While popular belief envisions women in this timeframe as being constrained to the home and a litter of children, it is Ballard’s diary that reveals that women played a major role in other aspects of society, including the market economy, medicine and childbirth, versus just being mothers and homemakers.

Being a midwife does not only defined by assisting women in childbirth. The general dictionary definition are the misconception of how people view midwives. Being a midwife means to be ‘with women’ and this leads the construction of the midwifery philosophy, Page (2006) 5 steps and Nursing and Midwifery Board of Australia (NMBA) competency standards, in order to provide the best women centred care (Australia Collage of Midwives, 2017). This essay will cover a constructive overview of what Page (2006) 5 steps of being a midwife means, it will also defined what women centred care is and emphasis on the importance it has for the woman. Understanding Page (2006) 5 steps and women centred care helped build the pathway for midwifery philosophy to correlate with NMBA competency standard in order to support midwifery practice. For

     Before I watched 'A Midwife's Tale', a movie created from the diary found by Laurel Ulrich chronicling the life of a woman named Martha Ballard, I thought the women in these times were just housewives and nothing else. I pictured them doing the cleaning and the cooking for their husbands and not being very smart because of the lack of education or them being unable to work. My view on the subject changed however when I watched this specific woman's life and her work.

I believe as a Midwifery Student at Australian Catholic University (ACU) that childbirth is a natural life process. Within my philosophy, my aim is to provide a women-centred care based on evidence- based practice. Also the importance of supporting women with cultural variation, social circumstance and understanding other specific needs throughout the woman’s pregnancy. The women-centred care is an essential quality to a midwife as it ensure that the women is educated in healthy lifestyle choices within pregnancy, childbirth and during parenthood. This relationship of “women-centred care” is the key to midwifery practices as Australian College of Midwives (2009) refers to the philosophy of maternity care that promotes a holistic approach by recognising each women’s social, emotional, physical, spiritual and cultural needs. In retrospect, it is important to reflect on your past experiences during your midwifery practice but also your life beyond midwifery.

When Thomas Jefferson wrote the second paragraph of the Declaration of Independence, it became one of his greatest legacies. In the first line he wrote, "We hold these truths to be self-evident, that all men are created equal" (U.S. Constitution, paragraph 2). Jefferson wrote these words to give inspiration to future generations in the hopes that they would be able to change what he either would or could not. The word “men” in the Declaration in the early 1700 and 1800’s meant exactly that, but even then it only was true for some men, not all. Women, children, and other segments of the population such as slaves and Native Americans were clearly not included. Jefferson himself was a slave owner and held the belief that women were

Laurel Ulrich's Midwife Tale did a good job interpreting and using Martha Ballard's diary to provide a descriptive and impartial account of the 18th century period in women's history, with particular insight into colonial attitudes towards rape.

This report will evaluate the roles and responsibilities of a midwife. “Midwifery encompasses care of women during pregnancy, labour, and the postpartum period, as well as care of the new-born.”(WHO, 2015) This is a recent definition and clearly points out that a midwife has many roles and responsibilities. The NMC Codes of Conduct will be evaluated with specific emphasis on recent changes within healthcare. These changes took place as a result of the tragedies at Mid-Staffordshire Hospital in 2005-2009 and are the outcome of the Francis report in order to improve care given to patients.

Bernadette Ward RN, Midwife, Grad Cert Ed, MPHandTM, MHlth Sci Lecturer, Faculty of Health Sciences, La Trobe University, Bendigo, Australia. B.Ward@latrobe.edu.au Glenda Verrinder RN, Midwife, Grad Cert Higher Ed, Grad Dip Pub and Com Health, MHlth Sci Senior Lecturer, Faculty of Health Sciences, La Trobe University, Bendigo, Australia.

Call the Midwife fills that need we have to see how poor people live and also serve them. These midwifes spend their time serving members of the community no matter the problems that arise and we don’t often recognize that effort. These women as we talked about in class also often don’t have people supporting them and they are taken advantage of, so seeing them be cared for in such a supportive way is amazing. The emotional bond that the show thrives on is vital because people don’t always make connections with facts and tables but hearing stories of a young girl in a workhouse or having to give up their child because they were unwed and forced into prostitution, makes it real. I started watching the show a couple years ago and while it may not be the perfect solution to learning about this time and place compared to history texts and the like because it is a TV drama after all. But seeing the people interacting or even learning about how a woman’s body works during pregnancy and childbirth is so important. So many things they do in the show or in Jennifer Worth’s books have never occurred to be before I started watching and reading because poverty and pregnancy isn’t really talked about. We haven’t escaped that woman’s world being separate from the rest of the work and seeing how these people and especially women lived is important.

Professional Ethics in midwifery practice is a book speaking about just that, professional ethics within the field of midwifery practice. This book addresses what ethics actually are and how they apply to the profession today. Ethics are not tied into religion rather are the moral way for professionals to interact with their clients regardless of background, religious beliefs or ethnicity. Ethics are relevant in field of the healthcare system. Ethics serve to protect both the midwife and the client by helping the profession of midwifery be a trustworthy one. If the profession is trustworthy it builds the client’s confidence of the profession. Within the topic of ethics there are four broad topics. The first being the respect of autonomy, which

In today's society, the midwife has more roles and responsibilities than ever before. A midwife is someone who has to be able to provide women with the essential care, supervision and advice during their pregnancy, labour and postpartum period, and to care for both mother and child (International Confederation for Midwives 2011). As autonomous practitioners, they act as an advocate for the woman by supporting her and encouraging her to make her own independent decisions (Royal College of Midwives 2008). Midwives care for families from different social, psychological and physical backgrounds and work as part of a multi-professional team so excellent communication is vital. The number of women with complex social and physical needs such as drug and alcohol misuse are increasing, and a midwife needs to adapt to these situations and communicate effectively (Midwifery

Woman-centred care requires a holistic approach and should encompass all a woman’s expectations from an emotional, physical, spiritual and cultural perspective (Fahy K 2012 & Australian College of Midwives (ACM) 2016). I believe that woman-centred care is of utmost importance in all aspects of midwifery care, and I am sure that many others in the profession would share my opinion. Simple principals of woman-centred care include but are not limited to: collaborative care between health professionals, continuity of care provider, care focused on the woman’s needs and expectations before those of the institution or health professionals and ensures the woman’s autonomy and ability to make informed decisions is supported and respected (Fahy K 2012 & ACM 2016). Unfortunately in some situations, woman-centred care is not always successfully implemented. A common example is when there is an indication for Electronic Fetal Monitoring (EFM), particularly in the intrapartum period

Providing continuous physical and emotional support during labour can reducing maternal fear, stress, and anxiety and protect physiological birth (Steen, 2012). Research shows that fear and anxiety during labour and birth can be detrimental to physiological birth. An environment that women feel unsafe in may stimulate a surge of neuro-hormones that can influence both fetal and maternal physiology, causing irregularity of contractions, fetal distress and subsequent medical inteverntions (Fahy & Parratt, 2006). Conversly, maintaining an environment where women feel safe, protected and supported can facilitate favourable physiological performance (Fahy & Parratt, 2006). Midwives can do this by giving women one-on-one continuous support and placing her at the centre of care throughout childbirth (Steen, 2012). As observed in practice, by constantly reassuring the woman about her progress, her baby’s health and addressing any of her concerns, the midwife can provide a calm and relaxing environment that is conducive to the labouring woman (Buckley, 2015; Steen, 2012). The midwife worked with the woman, encouraging her throughout labour and birth by telling her that she was doing extremely well. The midwife also breathed in-tune with the woman while giving her a back massage, inducing a sense of comfort. The atmosphere was calm and this contributed to the woman garnering confidence in her ability to avoid medical pain relief. Downe (2008) noted that the positive impact of