Health promotion are strategies used by nurses as guidance for assessment and alleviation of risk factor for diseases (Potter et al.,2009). Maternal health nurses provides specific screening, teaching, counselling and risk preventing tools to achieve optimal health of mother and child during the postpartum period. Postpartum is a period of both physiological and psychological changes. The mothers adaptation such as, changes in parental role ,family ,body image, physiological changes after child birth and the requirements needed for an effective infant care makes the women more vulnerable to depression(Fahey &Shenessa,2013) .The maternal health nurses provides effective strategies to cope with depression with the goal of achieving optimal health . Nurses help women through teaching how to effectively mobilize social support, gaining self-efficacy, positive coping skills and setting realistic goals and expectation to treat depression during post-partum (Kuosemanen & Kumpuniemi,2010). As we know that depression leads to all other complications such as cardiovascular disease, cancer obesity, substance use, alcohol abuse. It also interferes with the child and mother relationship and the overall psychosocial, physical and mental health of a women. It is therefore really important to treat postpartum depression in women for not just reducing their risk of disease but also for a holistic approach to health. “The primary goal of maternal nurses can be stated simply as the promotion
Postpartum depression can have serious consequences for the health of both mother and child. Indeed, a recent study of 10, 000 postpartum women found 19.3% of women with postpartum depression had considered hurting themselves (5). In the United Kingdom suicide is the leading cause of maternal death in the postpartum period (6). Even in less severe cases, postpartum depression may compromise caregiving practices (e.g., are less likely to use car seats, breastfeed, or ensure that their child receives up to date vaccinations); (7;8) and maternal-infant bonding (e.g., are less responsive to their infants, engage in less face-to-face interactive play and participate in fewer enrichment activities); (7;9;10). These factors may be partly responsible for delayed cognitive, intellectual, social, and emotional development of the child (11-15). Given the negative consequences of postpartum depression, prevention and treatment is imperative.
The theory in which I feel solves a problem within advance nursing practice is Beck’s postpartum depression theory. Postpartum depression affects up to 85% of postpartum women (Cabrera & Schub, 2017). Knowing this, it is important for nurses to identify the signs and intervene early on. In 1992, Cheryl Beck published her theory: Becks postpartum depression theory. The purpose of the theory was to give individuals an understanding into the experience of postpartum depression (McEwen & Wills, 2010). Beck states that there is a four stage process into postpartum depression (McEwen & Wills, 2010).
Thesis: Postpartum depression is a mood disorder that can greatly effect new mothers. Knowing how to recognize their symptoms and treating it can greatly increase chances of a healthy, happy living.
Health promotion includes providing activities that improve a person’s health. These activities assist patients to “maintain or enhance their present levels of health. Health promotion activities motivate people to act positively to reach more stable levels of health” (Potter & Perry, 2005, p. 97). In order for nurses to assist patients in obtaining healthy lifestyles, they must first assess a patient’s perception of health. The World Health Organization defines health as a “state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity” (as cited in Potter & Perry, 2005, p. 91). There are many nursing theories that are based on an individual’s perception of health. This paper will
This article talked about dealing with women’s postpartum depression (PPD) in a spiritual way. Similar to Borra, C., Iacovou, M., & Sevilla, A’s article, the author also mentioned that the fluctuation of hormonal or chemical levels in women can be triggered by circumstances which include socioeconomic status, prior mental health history and their childbirth experiences such as if the mother had the experience of a traumatic delivery, preterm labor or difficulty in feeding. These factors not only influence on the well-being of the mother but also impact on the families, marriage and the lifelong health development of the child and their siblings.
The nursing role in pulmonary rehabilitation includes one on one sessions with patients to cover more in-depth education of the disease process including actual anatomy and physiology of the pulmonary system. After that has been covered then the nurses can focus on causes of COPD, symptoms of the disease and management of them, diet, pulmonary exercise, medications for COPD and compliance issues, and most importantly smoking cessation. The nurses will likely require the patient to give return demonstrations of the medication use and pulmonary exercises such as pursed lip breathing (Mohammadi, Jowkar, Khankeh & Tafti, 2013).
This journal article focuses on postpartum depression and how it differentiates from other disorders. This paticuarl article however focuses on defining the different types of depression within this catagorey and looks into clinical involvement as well as recognsisng risk elements and sysmtoms that allow it to be characterized from other mood and anxiety disorders. Beck (2006) finds that persons who where most at risk of this disorder most commently had stressful lives, with a history of mental illness. This article also concludes that postpartum depression can lead into server physosi, which is in need of immediate intervention and that this mental state can lead women to be dangerous to themselves of there children and clearly states that they should never be left alone. Overall this article is paticually usuful as a researcher as it clearly describes the differences in distinguishing the types of depression as well as the servierty of postpartum depression which can be underrecognsied.
Postpartum psychiatric disorders, particularly depression, has become the most underdiagnosed complication in the United States. It can lead to increased costs of medical care, inappropriate medical care, child abuse and neglect, discontinuation of breastfeeding, and family dysfunction and adversely affects early brain development (Earls, 2010). Over 400,000 infants are born to mothers that are depressed. One of 7 new mothers (14.5%) experience depressive episodes that impair maternal role function. An episode of major or minor depression that occurs during pregnancy or the first 12 months after birth is called perinatal or postpartum depression (Wisner, Chambers & Sit, 2006). Mothers with postpartum depression experience feelings of extreme sadness, anxiety, and exhaustion that may make it difficult for them to complete daily care activities for themselves or for others (Postpartum Depression). The six stages of postpartum are denial, anger, bargaining, depression, acceptance and PTSD. These stages may affect any women regardless of age, race, ethnicity, or economic status. However only a physician can diagnose a woman with postpartum depression. It does not occur because of something a mother does or does not do, it’s a combination of physical and emotional factors. After childbirth, the levels of hormones in a woman’s body quickly drop; which may lead to chemical changes in her brain (Postpartum Depression). Unbalanced hormones may trigger mood swings.
In summary, postpartum depression is the most widespread complication of childbirth, and the lack of diagnosis in postpartum depression cases results in the deterioration of their conditions. Deterioration arises in the form of progression stages of postpartum depression, and it varies from a case to another. Thus, preventive measures ought to be taken by detecting the onset of postpartum depression and providing early treatment. Also, the implications drawn from the aforementioned details may aid mental healthcare providers in the pursuit of better treatment
The birthing process generally leaves women with overwhelming joy and happiness. However, some women do experience a period of postpartum blues lasting for a few days or at most a couple of weeks but goes away with the adjustment of having a baby (Postpartum Depression, 2013). A condition called Postpartum Depression Disorder (PPD) leaves a dark gray cloud over 10-20% of woman after birth that is recognized in individuals 3 weeks to a year after the delivery of their baby (Bobo & Yawn, 2014). PPD leaves new mothers feeling lonely, anxious, and hopeless (Bobo at el, 2014). Postpartum Depression is a cross cutting disorder that can affect any woman after the delivery of a baby regardless of race, socioeconomic status, age, or education level (Postpartum Depression, 2013). Although this disorder affects more than 10% of women the article Concise Review for Physicians and Other Clinicians: Postpartum Depression reports that less than half of women with PPD are actually diagnosed with this condition (Bobo at el, 2014). It is important that postpartum women and their support systems receive education on what PPD consist of and ways to recognize the signs and symptoms of PPD so that a diagnosis is not overlooked. Early diagnosis is important because early recognition and treatment of the disorder yields for better results when treating individuals with PPD. In this paper I will deliver information about PPD based on recent literature,
The Center for Disease Control estimates that 1 in 20 people suffer from depression (2014). Although widely recognized and somewhat easy to diagnose, depression is an ignored and almost hidden, disease. In women, the statistics are especially grim for those who are pregnant or were recently pregnant. A great number of women suffer from postpartum depression; an illness which is often overlooked, misdiagnosed and untreated. Postpartum depression (PPD) has been defined as an emotional disorder that occurs in an estimated 10-15% of all women after childbirth (Liberto, 2010). Postpartum depression not only impacts the mother, but can cause long-term psychological challenges for the baby and create emotional turmoil for all family members.
Postpartum depression is the most common psychological complexity that occurs after childbirth (Bakhshizadeh, 2013). This form of depression has been reported to be as high as 20% (Asltoghiria, 2012). The mother will begin to experience postpartum depression between the birth of the infant and 6 to 8 weeks later (Bhati, 2015). Depending on the person, the typical length of postpartum depression ranges anywhere from two weeks to two years in length (Posmontier, 2010). It is thought that postpartum depression affects mothers of multiples at a greater incidence than mothers whom birth just one child, and the chance increases with the number of children in a multiple birth. Evidence shows that the older the mother’s age at the time of birth, shows there is no notable increase in the risk of being diagnosed with postpartum depression. Another factor that is thought to have an influence on the diagnosis of postpartum depression is income within the household. A study shows that as income goes down, the risk of having
Nurses play an important role in promoting health within the patient, family, and community (Kemppainen, Tassavainen, & Turunen, 2012). The focus of patient care has been transferred from treating the illness to disease prevention (Mchugh, Robinson, & Chesters, 2010). The implementation of consultation, education, and follow up exams can increase the overall quality of life for an individual (Kemppainen et al., 2012). I will discuss the various roles of a nurse in health promotion along with the multiple work environments in which they can be implemented within. I will also reveal the maintenance plan of my own personal health regimen.
Mothers who have brought into this world a blessing have been preparing themselves for a big change in their life. They have been learning and educating themselves about how to be a good mother. Many mothers find it really hard to transition from being an independent woman without children to becoming a mother (Corrigan, Kwasky, & Groh, 2015). Adapting to motherhood can be a drastic change, and usually creates challenges that lead to feeling overwhelmed (Leger & Letourneau, 2015). When a newly mother begins experiencing stress or becomes emotional then there can be a possibility that they can encounter Postpartum Depression (Leger et al., 2015). Postpartum depression can be seen and experienced in many different ways, it all varies on every mother (Corrigan et al., 2015). Many different mental health issues can be seen including baby blues, postpartum depression, postpartum obsessive-compulsive disorder, and the most serious, postpartum psychosis (Tam & Leslie, 2001).
Postpartum depression (PPD) affects 13% - 19% of postnatal women worldwide (香港特別行政區 : 衛生署衛生防護中心, 2014). The impact of PPD on women, infants and their families is significantly negative and enduring, and imposes a burden on the health-care system (Leung et al., 2013). More awareness and understanding of this mental health problem should be promoted in the general population and among health care providers, families, friends, and new mothers themselves. This paper will discuss on the definition, prevalence, risk factors and consequence of Postpartum Depression, and treatment options with a focus on Cognitive Behavioral Therapy.