Emergency Room At The Clinic

personal analysis of our own understandings of mental health and illness, debated, my understanding was as a recipient of anti and postnatal care, within this field my knowledge and medical information has now changed an example of how medicalisation has infiltrated a once common sense form of care, is midwifery which tended to be community lead, housewives routinely gave birth at home. Donnison (1977) argued this occurred around the 1720s whereby it was believed that midwifery crossed over from the private to the public domain with the introduction of the forceps, as only medically trained professional were permitted to use them, in a male dominated profession technology administered by men was to become the norm, altering only whereby complications arose, midwives were legally obligated to hand the reigns over to a doctor, thus technology Donnison (1977) claimed became a fundamental part of childbirth. Over the coming decades

During the 17th Century, European physicians were associated with childbirth. The midwives were allowed in the room when women were giving birth. In 1738, the first Caesarean Section

By 1938, the number had shrunk to half. Today the number is less than 1 percent.” (qtd. in The Business of Being Born,2007). 1909, Hannah Porn was arrested and jailed for 3 months; her only crime was that she “was a practicing midwife” (p.1022). That same year, Massachusetts became the first state to outlaw midwives, and other states were soon to follow. As concluded in the book Remarks on the Employment of Females as Practitioners in Midwifery "Both the character and education of women disqualify them for the office."(1820 p. 4). "Legalizing the midwife will work a definite hardship to those physicians who have become well-trained in obstetrics for it will have a definite tendency to decrease their sphere of influence." (Huntington, MD; 1913). Dr. Holms in 1920 stated, "Only the properly trained physician who has acquired surgical technique with specialty training in obstetric physiology and pathology is competent to circumvent the many ills of childbirth." This was the beginning of the push for the ending of midwifery (Dr. Neal Devitt’s Thesis). The Committee on Maternal Welfare of the Philadelphia County Medical Society (1934) “expressed concern over the rate of deaths of infants from birth injuries increased 62% from 1920 to 1929.” This was happening concurrently to the decline in midwife-attended births and the increase in surgical obstetrical births. As explained by a simple Freudian concept,

In the simplest terms, a midwife is someone, traditionally female, who assists women in childbirth. Yet, a midwife is much more than an assistant in the process of labor, but a strong, wise woman, capable of holding the lives of the mother and child. Throughout history, women have assisted each other through pregnancy and delivery. It was not until the discovery of new germ theories and the development of biomedicine that traditional midwifery has been pushed to the side. However, despite wishes of allopathic doctors, midwives have stood strong and remained present worldwide.

　　Nancy Dye’s, History of Childbirth in America, explores the social evolution of childbirth by breaking it into three stages: before the 18th century, late 18th century to 1919, and the 1920s on. In the first stage, pregnancy is a social event that is attended to by midwives and female friends and relatives.[ Nancy Dye, History of Childbirth in America. (1980), 97-108.] It was the pinnacle of femininity and the power women held. The midwife, who was not seen as a medical professional would see to everything in the pregnant woman’s home where the birth would take place by natural means.[ Dye, History of Child Birth in America, 97-108] Even though this was seen as a happy moment it was crowded with the cultural emphasis on the likelihood of pain and death that brought fear and confusion to women.[ Dye, History of Child Birth in America, 97-108] This stage in the history of childbirth is important to understand because it is this era that acts as a foundation for the rest to come. Also, as the stages are followed through one will

The history of Ob/Gyn care was provided by the woman 's mother or a female relative, the males were not allowed in the delivery room while the mother is giving birth. This took place during the Greek and Roman times and gradually traveled to the United States. Until the 17th century in France, where they established male midwives, still women have dominated the career in Ob/Gyn care with a 70.3% of residency while males are the minority with a 64% in this career field. Midwives functioned as respected care providers for women. During the 18th century doctor Robert Koch discovered that most infections were not transferred airborne, but by contact with other surfaces and created sepsis, which is a state of being free from disease-causing contaminants

The unit and facility I chose for this paper is the emergency department at St. Mary’s Medical Center in Evansville, Indiana. I chose this unit because it is where I work full-time as a registered nurse. St. Mary’s emergency department (ED) is a Level II Adult and Pediatric Trauma Center that is open twenty-four hours a day and seven days a week. The nurses are all certified in basic life support (BLS), advanced cardiac life support (ACLS), and pediatric advanced life support (PALS). The majority of the nurses are also certified in trauma nurse core curriculum (TNCC). The nurses work eight or twelve-hour shifts. Nurses are either weekend-option meaning they only work weekends or must work every third weekend.

(5:173, 6:237, 7:484) One of the essential forces behind this shift was the belief that childbirth is a pathological event in need of intervention. (6:237, 8:301) The responsibility of birth also experienced a shift from belonging to the birthing woman to the physician, now making decisions due to medical necessity in managing labour and birth. (8:304) During this time, British obstetrician and author Grantly Dick-Read began voicing his concerns regarding the use of obstetrical and pharmacological intervention during childbirth. (9:145) Dick-Read was dedicated to the study and promotion of natural childbirth, a term he introduced in his 1933 publication of the same name. (9:145) The 1970s began a Canadian resurgence of midwifery, taking place as a movement dedicated to restoring birth as a natural event and to restoring control to the birthing woman. (6:237, 7:485)

The idea of childbirth over time has been viewed in at least three different ways: as a social natural occurrence; as a passage to an early death; and in present times as a medical procedure needed when having children. In the seventeenth and eighteenth century childbirth was seen as a social celebration conducted by midwives, while in the nineteenth century fear of death arose due to an increase of maternal mortality rates. This time period also served as a transition time between the elimination of the midwife and the emergence of the physician. The transition was due to attitude changes and medical knowledge understanding. During the twentieth century, biological knowledge expanded and thus the idea of childbirth was medicalized into a medical procedure needed to have healthy children. Childbirth once seen as a natural phenomenon was now an event that needed medical attention by health facilitators at institutions of health. The ideas around childbirth developed based on the knowledge, cultural setting, mortality rates, and professionals available at the time. Based on these ideas it is easy to see how social and behavioral aspects influenced childbirth throughout the seventeenth, eighteenth, ninetieth and twentieth centuries. In addition, communities’ views on childbirth were influenced by the development of public health infrastructure, public health policy advancement and how well public officials were able to disseminate information.

A prospectus of the proposed research will be presented to the hospital affiliated Institutional Review Board of the participating outpatient clinic. To conduct the study, permission will be obtained from Prairie View A&M University Institutional Review Board. Once the proposal receives approval, selection sampling will begin with a table with a recruiting poster being placed in the lobby of the GI outpatient clinic. Flyers will be distributed to clinical staff and patients with information about the study for two weeks leading up to the study. Patients with unmanageable IBS to standard pharmacological therapy will also be referred to the study by physicians and nurses of the GI clinic. Participants that meet the inclusion criteria will conveniently

Medtrak is a fully intergraded EMR and medical software services system. This system makes it easier to choose with committing by being on an operating expense instead of an investment. The process of patient’s visits in real time was started in 1993 by eventually evolving to have an ambulatory setting that was once only to run the emergency room. Medtrak has changed the way a physician and staff provides their great service for their patients.

Early in life, I became aware of the fear and caution that can envelop healthcare practitioners when they are placed in a situation where they have to evaluate and treat a pregnant woman. As a young teenager, I remember my mother occasionally telling me amusing stories about her experiences as a labor and delivery nurse. One time in particular, I remember her telling the story of woman who was sent to her hospital unit (labor and

What are some challenges for exams performed in the emergency room? What are good ways to deal with these challenges? What are the advantages of performing exams in the emergency room?

As defined by the Gale Encyclopedia of Nursing and Allied Health midwifery is the practice of managing a woman’s care both pre- and post-partum. A midwife may provide gynecological services as well as provide care for the baby immediately after childbirth. A midwife is responsible caring for and advising expecting mothers. Midwives help the mothers through vaginal births. Midwives have been present at childbirth throughout history. Up until the mid-nineteenth century women chose to have their babies delivered by midwives. Midwives served as a vital part of the community. By helping the sick, helping mothers with housework, and laying the dead, midwives did above what physicians do today. In the 1760’s medical school became an option, for

Hearing the word midwife leaves many people thinking of unprofessional, inexperienced women who help deliver babies naturally, without the help of medication. In truth, nurse-midwives are registered nurses who have attended additional schooling for women’s health and are taught to make women feel as comfortable as possible. In the beginning, remedies were the females’ legacies, their “birthright”; these females were known as “wise-women by the people, witches of charlatans by authorities”. (Ehrenreich, 1973). “Females were wanderers, traveling from one place to another, healing the sick and wounded.” (Ehrenreich 1973). These women were among the first human healers and they were especially helpful when it came to childbearing. The midwives