Health, Delivery, And Plan Of Care

Throughout my time on the Mother Baby Care Unit, I have faced many instances in which I have been able to reflect on both my patients and the care that I was providing them. One situation in particular that I found myself critically reflecting upon involved a new mother who was feeling slightly stressed about being discharged as her newborn son would not be going home with her. For confidentiality reasons, this patient will be given the pseudonym of Kayla for the remainder of this reflection.

Chapter 2 focuses on problems in health care such as access, cost, quality, and what some believe to lead to health issues. “The World Health Organization defined health as “a state of complete physical, mental, and social well-being” (p27). Many argue that “the study of social problems is, essentially, the study of health problems, as each social problem affects the physical, mental, and social well-being of humans and the social groups of which they are a part” (p27).

These past couple of weeks working on the Mother Baby Care Unit have provided me with many opportunities to reflect on the care that I have be able to provide to each of my patients. In particular, one encounter that I found myself deeply reflecting on involved a situation in which I was assisting a patient who was struggling to breastfeed her daughter. For confidentiality purposes, this patient will be referred to as Rosie and her daughter will be referred to as Emily.

Roemer’s model of a health care delivery system shows the different necessary elements for a system to be successful. As health needs are the input; the system needs resources, organization of programs, economic support mechanisms, and delivery of services to provide the health needs output (Roemer, p 33). Able 2 is an organization that provides services to people with disabilities. They have many resources, but perhaps not enough to meet the health needs of every consumer. They have well organized programs, have economic support, and can deliver services completely and holistically to produce health as the output of the client. The most important implication that was found in analyzing Able 2 was the need for increased resources as they are not able to meet the needs for every client in need of its services. Ultimately though, Able 2 is an excellent organization that provides an array of services for those people with disabilities.

For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the

(1) Describe the extent and source of your knowledge of Loma Linda University School of Medicine (LLUSM). (750 characters max)

The entities Comprising the Public Health Infrastructure include: County and city health departments and local boards of health - State, territorial, and island nation health departments - Various U.S. Public Health Service agencies in the Department of Health and Human Services (HHS) - Tribal health agencies coordinated at HHS by the Indian Health Service - Public and private laboratories - Hospitals and other private-sector healthcare providers - Volunteer organizations, such as the American Red Cross, American Diabetes Association, American Cancer Society.

In the past, managed care in the United States took the form of voluntary programs. Such programs date from about 1850, when managed care was provided chiefly by cooperative mutual benefit and fraternal beneficiary associations. Limited coverage by commercial companies was also introduced during that period, and subsequently many plans were established by industries and labor unions.

People living with HIV and AIDS have always had a difficult time obtaining access to health coverage (Sorian, 2010). Medicaid, Medicare, and the Ryan White HIV/AIDS Program have provided a critical safety net (Sorian, 2010). But today, nearly 30% of people living with HIV do not have any health insurance coverage, and many others have limited coverage (Sorian, 2010). In addition, people living with HIV and AIDS have faced hurdles to getting quality care from qualified providers (Sorian, 2010).

Healthcare financing is proven to be challenging. A balance between adequate access, acceptable quality and affordable cost are the main objectives of a healthcare system (Paterson, 2014, p. 13). The island of Tekram is finding extremely difficult to achieve a solution to the current crisis of their healthcare system. The objective to this case study is to recommend a new healthcare strategy to island government.

Throughout the first few weeks, being assigned to the different nurses, I had the opportunity to overlook and observe about six patients they were caring for. These mothers in postpartum care were from around the same gestation time period but most had undergone one of both childbirth procedures—either vaginal delivery or caesarean section. All the mothers were kind and tolerant to allow me to care for them or to aid the nurses to care for them, in which I consider myself to be grateful—in return I did my best to by amiable and tried my best to carry out the given tasks in the best of my abilities.

Today, most hospitals do not give enough time to provide adequate transition between the birth and discharge; mothers delivering in a hospital may leave the hospital as soon as they are medically stable, which can be as early as a few hours postpartum. The average for spontaneous vaginal delivery is one to two days, and the average caesarean section postnatal stay is three to four days (Bryanton, & Beck, 2010). During hospital stays, mothers are monitored for physiological functions such as bleeding, bowel, bladder, uterus, and psychological functions such as emotional status, bonding, and newborn care. Unfortunately, after discharge, mothers are left

Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. A mother plays a key role in aiding healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period(CDC,2015). It is an important public health priority in terms of health of women and infants.

Population Health Management is the management of the healthcare delivery system in a more clinically and cost effective way with a keen focus on quality and safety. Population Health Management is about applying the strategic management and interventions in a proactive way in order to reach the high utilizer population. Population Health seeks to create a continuum of care where care is not an outcome but it is a process instead. Care does not stop when a person walks out of the hospital or clinic, it is continuous and a warm hand off is required to take care of the extremely sick population. This initiative involves knowing the population you serve by conducting a health assessment and risk stratification. Then the population is further

The couple’s first experience of having newborn babies came unexpected amidst severe warnings of a hurricane at 5:20 AM; the mother’s water had broken and the baby was being born 13 weeks early. The delivery was high risk, not only due to the premature nature of the newborns, but also because the pregnancy was multiple-birth (twins). As this is a high-stress moment for any future parent, and ones with complex situations in particular, the overall service experience should be as easy, informational, safe, and stress-free as possible.