Pregnant Women With Social Risk

The health nurse can be a great advocate in identifying both the current and future needs of the parent and baby. Many community services are available to assist with nutritional needs, prenatal care services, and future childcare needs (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2014). I myself was once a young pregnant mother who required assistance. Working a part-time minimum wage job while pregnant with my first child and attending nursing school full-time, I struggled financially. Before the time of healthcare reform, first-time pregnant mothers did not receive governmental assistance for health insurance or prenatal care. The community service that aided me during that time was the Women, Infant, and Children (WIC) program. Without the assistance of those wonderful nurses and program, I would have suffered from times of inability to buy food for myself while pregnant and would have also struggled to buy formula for my newborn. Not only was the food assistance godsend, the practical and applicable knowledge I gained from the nurse educators was

Currently, Community Prevention Partnership of Berks County, Nurse Family Partnership, home visitation Program, provides services to first time low income expectant mothers. The organization has been delivering the program for many years. Successfully, the program serves 250 families. The Berks county, Nurse Family Partnership program has served 1600 first time poor mothers, and 1250 children since it began. Most NFP clients by the time of referral are 18 years of age. Accordingly, the thirty-one percent of this first-time mothers receives Supplemental Nutritional Assistance Program (SNAP) and about fifty five percent are receiving Medicaid assistance. In fact, the household income average is 16, 000 and fifty two percent of mothers have not obtained a high school or GED diploma. Indeed, NFP outcomes involves maternal and child’s development education, referral and follow ups. Also, the program encourages breastfeeding, immunization updates developmental screenings. It has reduced smoking during pregnancy by 16.9% as well as prematurity rate by 4.5 %. (Michalopoulos, Lee, Duggan, Lundquist, Tso, Crowne, Burrell, Somers, Filene, & Knox, 2015).

The Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM) have concerns with three major medical and political issues. One of those issues is a concern about health care to the poor and uninsured. According to the KCNPNM (2014), Kentucky alone has 20% of the population at or below 100% poverty and 41% under 200% poverty in 2007. Their focus on this is driven by the fact that those uninsured suffer negatively, including premature death and illness, due to lack of medical care (KCNPNM, 2014). As a group, they make an effort to provide the underserved community with information regarding available healthcare programs (KCNPNM, 2014). They also work to encourage legislation to aid those without health insurance by reaching out and informing local and regional lawmakers of our due diligence to promote health in all populations (KCNPNM, 2014).

Public health nurses visit with the expectant mom, giving the mom guidance on healthy pregnancies. These nurses provide home visits to the mom to ensure proper prenatal care, give the mom information on caring for an infant and they continue to visit the home until the child turns two-years old.

Meeting these goals will help the disparity in the community. The public health nurse is out in the community, they can see what changes in the community need to be done to better the health in the population. They work with the local health departments to understand what the greatest need is for funding to make the improvements in the community. As the American Public Health Association reports, “only 3 percent of our health care spending is focused on prevention and public health, when chronic conditions—the most common, costly and preventable of all health problems— account for 86 percent of our health care costs”. The Health Care Reform has made a special funding geared toward public health. As the American Public health Association reports, “the Prevention Fund is the nation’s first mandatory funding stream dedicated to public health programs”. A compentcy in the public health nurses position would be to collaborate with the community, local businesses, health oraginazations and local health departments to address the need of the community. Garcia et al. (2014) explain, “an important skill is learning how to develop collaborative community partnerships to

Public health is defined by the World Health Organisation as ‘all organised measures to prevent disease, promote health, and prolong life among the population as a whole’ (WHO, 2015). Within this role of public health, the midwife has an essential role. They are in the best position to be able to guide

A journal gives an example of Medicaid prenatal services providing in the state of Washington. The program includes, case management, nutrition, psychological changes, health education and home visiting. The Medicaid sponsored service and case management program was associated with a decrease in the low birth-weight rate of high risk women (Baldwin et al., 1998).

Mother’s mental health plays a key role on effective parenting and social engagement (Hartas, 2014, p. 18). Implementing a community assessment allows for observations, issues to be brought forward and interventions to take place (Stamler & Yiu, 2008, pg. 216). Public health nurses need to continually observe communities, reflect on observations and implement strategies to improve the health conditions within the allotted community. Specifically, in the Hillside-Quadra area there is a lack of support for new mothers. Providing a new mothers walking group will help vulnerable individuals with support, advice and coping strategies. The intent of this paper is to advocate for the well-being of new mothers by implementing a new mothers walking group in the Hillside-Quadra area.

When public health nurses collaborate with individuals, the focus is on promoting awareness, behaviors, and values that maintain and improve health, with the ultimate goal being of bettering the overall health of the population. These actions are also essential when interacting with families and communities, where the aim is in promoting family and community standards, attitudes, knowledge, and behaviors that improve their overall health. So in order to have positive outcomes the public health nurses need to also consider how essential it is to work with clients as equal partners. (p Book 8). The public health nurse’s actions must enhance understanding and the need for widespread health planning in collaboration with communities and populations, focused upon the perceptions, priorities, and values of the population.

While there are current programs in place to help young mothers and infants, many are not aimed for the interventions these high risk populations face. One way to help this group is by designing a program or appropriate services that would help resolve some of the impediments mothers and infants face. This proposed program is called The New Pathways. The New Pathways For Mothers and Infants (TNPM) this a program that is set up to offer community level involvements to vulnerable mothers and children with multi-faceted problems such as social, financial, and cultural aspects. The goal is to meet the needs of young pregnant mothers who are unlikely to succeed in future goals because of the community standards in which they live. This program would propose outreach workers such as volunteer counselors, teachers, health care workers and previous participants. Through a community improvement approach The New Pathways For Mothers and Infants aim is to enhance a higher success rate for young mothers to receive proper prenatal care through

In summarizing this last and final article it concludes the history, results, and outcome for nurse home visitations, with prenatal visits. It also indicates how the Nurse-Family Partnership (NFP) helps first time mothers and families improve health, education, and soci-ecomonic status. The first nurse visits started in 1888 with regular prenatal visits in Philadelphia. The Philadelphia visiting nurses association instituted a nurse home visiting program for prenatal to improve health throughout pregnancy to decrease extended hospital stays. (Dawley, K., Beam, R., 2005) Visiting nurses goal is to improve pregnancy, childbirth and parenting through education. The nurse home visits to pregnant women and their families have showed time and

The purpose of this paper is to explore the relationship between the role of the labor and delivery nurse to the “maternal role attainment - becoming a mother” model. The model (MRA) was proposed by nursing theorist Ramona T. Mercer in 1991 to guide nurses in implementing the nursing process while providing care to the non-traditional mother. Revised in 1995 to “Becoming a Mother”, this model soon proved useful for nurses to access, concentrate on, and attend to the needs of all new mothers. New mothers experience various stressors such as an ill infant, their own health, financial strains, and postpartum depression. This model is evidenced- based and incorporates the four global nursing concepts into it. The importance of this model is the provisions it makes for mother-infant bonding that affects the health and development of individuals and families throughout the lifespan (Role Attainment, 2005). For the professional nurse in labor and delivery, the model has significant use aiding the impact that labor and delivery nurses have on new mothers perceiving and attaining their maternal role.

Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily

The role of the community health nurse in the participating family’s community is to focus on the health needs of the aggregate or group. Community health nursing refers to a systematic, comprehensive focus on wellness, health protection, and disease, and injury prevention for the population residing in a specific area. The nurse functions as advocate, case manager, consultant, health care provider, educator, and collaborator with other agencies for healthy outcomes of the entire community. Nurses involved in the health of a specific community such as the family participating will assess the members living in the demographic

Through this study three hundred thirty three pregnant women were enrolled with mean age 26.5±5.6 ranged from 15 up to 43, near 60% of participants were rural. More than half of the studied sample (68.5%) had formal education at or beyond secondary school, and majority of them were not working (93.7%). Among husbands, nearly 71.5% of them were educated at or beyond secondary school, and 45.4% had no regular employment (table 1). More than half participants (55.3%) had more than one child.