Emma Critical Incident

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.

Although the security of Australia is grateful, the social inclusion was disregarded. (In text) described the lack of interpreting services in Australian hospitals and an absence of personal and communal care impacted on their experiences giving birth. Frequently, normal births became confusing or difficult for the midwife to manage, and with a language barrier it can become exacerbated due to stress of the women. (In text) have researched in responses from the women’s culture can vary from healthcare to healthcare professionals, with younger women displaying preparedness to report and identify discrimination. They believe the problems lie within the health care, coupled with the inability of women who require attention, not within the healthcare system itself, but more likely individual social attitudes which are the women’s rights to be treated (in text). Stress, depression, hopelessness and feelings of hostility can play a part from the language barriers. Without understanding each other the midwife and women would not achieve a good professional relationship. Without the rapport, labour and birth is compromised by the frustrations on the midwife and women due to the language barrier. This compromised by the lack of verbal

The Birmingham paper of Wednesday morning, December 5, contained headlines that would have been enough to capture anyone’s attention. On December 4, the body of a nicely-dressed girl around the age of eight or nine years old was found floating in the lake in the Birmingham suburbs known as East Lake. Her body was found by two teenage boys by the names of John Keith and Ben Cluberson who were innocently playing in a boat. The Jefferson County Coroner conducted an initial exam and determined that the cause of her death to be murder. Unable to identify the little girl, they placed her body for viewing in hopes someone would recognize her. Just a few days later, the local butchers identified her as being May Hawes, the oldest daughter of Richard and Emma Hawes.

Emma Woodhouse, who begins the novel "handsome, clever, and rich, with a comfortable home and a happy disposition" (Austen 1), suffers from a dangerous propensity to play matchmaker, diving into other’s lives, for what she believes is their own good. Despite this, she is a sympathetic character. Her matchmaking leads only to near-disasters and her expressions of remorse following these mistakes are sincere and resolute. Jane Austen's Emma concerns the social milieu of a sympathetic, but flawed young woman whose self-delusion regarding her flaws is gradually erased through a series of comic and ironic events.

The Latina transnational mothers in this reading, struggled financially to provide for themselves and their children, which forced them to improvise their motherhood duties. These immigrant mothers work abroad while their children remain in country of origin which challenges the traditional

Stewart et al. studied postpartum women in Montreal, Toronto and Vancouver and found that immigrant women had lower social supports than Canadian-born women and a greater risk for postpartum depression, which they postulated was due to their lack of social support, language challenges, and limited experience with life and healthcare in the Canadian context. (Stewart:123) In another study involving 1,250 women recruited from 5 hospitals in Canada, Sword found that immigrant women had less social support than Canadian-born women, which may relate to the absence of adult female relatives for many of these women. (10:721) The lack of social support for immigrant women can lead to social isolation and adverse health effects. (10:721) This is particularly relevant to consider since it is the norm in may non-Western cultures to obtain assistance from family members for up to 40 days postpartum and to be taken care of by female family members. (10:722, 725) Gagnon at al also found that women were unable to access maternal health care given that they relied on their partners for language translation and transportation and it was challenging to attend appointments with their other children. (Gagnon:563-4) With the absence of extended family, friends and cultural communities for immigrant women in Canada, we can see how the effects of these barriers could be isolating

When creating care plans for children it is so important to include the child’s family in their care as it will benefit in this case both James and his family in helping to meet his milestonesIt is especially important when creating care plans for children to include where possible the philosophy of children’s and young person’s nursing which is family centred care. (Glasper and McEwing, 2010). Family centred care does not mean that parents have to remain with their child at all-times in hospital.it Care planning is all about prioritising what is best for the patient and putting the patient first (in this scenario James) but also incorporating family centred care in the patients plan. As discussed in care plan 3, we saw how James experienced anxiety as a result of hospitalisation for the first time and how his mother also suffered from anxiety as a result of not being able to stay with James all the time. In spite of this, James’ individualised care plan alleviated this problem by assigning him a nurse that he built a trusting relationship with and by creating a home environment for him by bringing in some family photos and comforts like his blanket and favourite toys.

During class this week we focused our study on the many roles of a family healthcare nurse. Now we shift our focus to different approaches for family intervention. Hence, the purpose of this paper is to discuss our experience with patients and their families as well as the effects of not only the illness but our interventions while providing care. As we differentiate the roles of individuals within families we focus on the four types of approaches including theories relevant to family health care nursing as well as pertinent social issues that impact the patient’s and family’s health.

This essay discusses some of the oppertuities and challenges facing Health visitors today, It outlines changes, strategies and plans commisioned by the National Health Service (NHS), Department Of Health (DOH) and the Government to ensure families have a positive start. The aim is to strengthen the Health Visiting team and provide continued care using communication, information sharing and multi disciplinary team work.

In her article, Becoming a mother: The meaning of childbirth for African-Canadian Women, Josephine Etowa describes childbirth as a life-changing event not only for the mother, but her whole family (2012). This paper is based on the interview I had with Ms. Alice, a mother of three children aged thirty-one years, twenty-two years, and fourteen years describing her experience with Canadian health system through her pregnancy, labor, and post-partum period. Ms. Alice is now fifty-six years old, working for a well-known University in Halifax, Nova-Scotia as a secretary. She is quite content with her job, her family, and herself.

Cultural credence’s in many cases avail to make that decision more facile to bear for the mothers, as they do in the chronic impecuniosity of the slums of northeast

The current social expectations of motherhood are complex, the definition of a “good” mother, can sometimes lead to women feeling as they do not and can not measure up. To illustrate the challenges of motherhood and the feelings of inadequacy that go hand in hand, Tamar Hager, discusses her personal experience as the new mother of twins. She highlights the myth of maternal extinct by discussing the difference between how she was told she would feel as a new mother in comparison to the reality she felt. She shares that she felt scared, alone, disorientated and in pain after the birth of her children. Hager explains that self-sacrificing images of motherhood are expected and seen as normal characteristics of being a mother. She states that

With complaints of inadequate maternity health care services in newspapers and social media on the rise, the issue of Ireland’s poor services for women before and after birth has become an important topic. Some health care officials believe there are already safe and effective services and staffing levels implemented in prenatal and postnatal health care. Even government officials feel that there is an abundant amount of government assistance services available for prenatal and postnatal women. These views are predominately based on the data that Ireland has “one of the lowest maternal and perinatal mortality rates in the world” (Larkin et al. 98). In a newspaper article by Sinéad Redmond, she points out that in March of 2014, figures revealed that not a single maternity hospital in the Republic of Ireland had “staffing levels of midwife-to-women ratios that [met] international safety standards” (“Ireland’s Maternity Units”). In a study conducted by Larkin, Begley, and Davane, it was also found that “women often felt alone and unsupported,” and “Some women would not have another baby due to their childbirth experiences” (98). Women who wish to be pregnant in Ireland are unhappy with their prenatal and postnatal experiences on the account of inadequate health care services, including job and government assistance. I will argue that the government and health care system in the Republic of Ireland should work together to solve these problems.

How is “gallant” described in the novel Emma by Jane Austen? Emma is a novel detailing the lives of a select group of individuals with a strict social hierarchy living in a small town outside of London in the eighteenth century. The word gallant and its variations are used 25 times in this book. Different characters use it with different connotations, some positive, some negative; overall, it seems to refer to the complimenting or flattering of women.

The conflict or problem in my book is Emma Paxton is being forced to play the role of her dead twin, Sutton Mercer, and pretend as if nothing was wrong. Before Emma receives a video of Sutton and her friends at a party from an anonymous source, she had no idea her twin sister even existed. Thinking her sister was the one who sent the video, Emma made plans with the anonymous person to meet up. When Sutton does not show, Emma begins to worry. Suddenly she gets a text message saying Sutton is dead, and Emma is next if she does not fill in for her. Sutton's killer threatens Emma’s life, and the lives of her friends and family by promising to kill them if she can not fill Sutton’s shoes. Needless to say Emma needed to learn how to be Sutton overnight. Little does the killer know, Emma is multitasking. While trying to learn every aspect of Sutton's life, she is also searching for clues as to who her killer might be. Emma is very eager, and will stop at nothing to find out the truth.