Surgery At Christus Spohn Hospital Essay

On November 23, 1993, Doe was seen by an obstetrician, Dr. James Meserow, at the St. Joseph’s Hospital in Chicago. This was the first time Doe was seen by Dr. Meserow, but she had been receiving regular prenatal care throughout her pregnancy. Upon giving Doe the usual check-up, he determined from a series of tests that the baby was under duress due to an issue with the placenta. At this point, it is important to recognize that Doe is a mentally competent woman carrying her first child, and the fetus is currently around 35 weeks. It also important to recognize that Dr. Meserow is a board-certified obstetrician/gynecologist. Dr. Meserow informs both Doe and her husband of the diagnosis and highly recommends either an immediate cesarean section or to induce labor in order to prevent any further potential damage to the fetus due to the lack of oxygen from the compromised placenta. Doe refuses both of the recommendations based on her religious convictions that God will heal her child and keep it safe from any harm, and will, therefore, wait to have a natural childbirth.

Even though I did not see or hear the nurse bring up an issue about the patient’s safety before, during or after the procedure, I am sure she was actively monitoring the patient and the surrounding situation for harm. As a future nurse, I have been made aware of the need to identify and correct unsafe practices or procedures in order to improve the patient’s experience and prevent unnecessary harm.

It is important to understand the process of medicalization and how childbirth has undergone that process. According to Riessman in the medicalization article, he defined medicalization as a process in which ‘medical practice becomes a vehicle for eliminating or controlling problematic experiences that are defined as deviant, for the purpose of securing adherence to social norms’ (Brubaker and Dillaway 2009). This meaning that medical intervention becomes an instrumental tool to control what is seen as deviant experiences with the intention of creating a norm for society. The professionalization of medicine and science shows a history of efforts in attempting to control populations and solve what was thought to be social problems (Brubaker and Dillaway 2009). Therefore,

“Out of desperation, they [women] may seek help from unqualified, unregulated providers who work in unsanitary conditions and provide no post-surgical care. Equally dangerous, women may attempt to induce

Through collecting the description from these women, the clinical encounters when the examination detects defects in the fetus are reappeared. Some examples demonstrate the significance of responses from sonographers affecting the experience of pregnant women. Sara was told that the fetus lacked several organs vital for a life. She asked to see more of the profile, which leads to detailed explanation. This case indicates that the time dimension and patience of the medical personnel therefore became very important. While Sara embraced the fact about the fetus, a totally different case was also reported. Reidun whose fetus was defective similarly rejected it deliberately and perceived it as a serious burden. Listening to the sonographer for her was not consolation, but torture. “We knew there wasn’t much hope. He has five fingers and five toes. And forget about that, it’s not important.”. In Reidun’s case, the sonographer increased the vulnerability for Reidun. These evidence reveal immediate effects of sonographers on pregnant

Evidence-Based Practice (EBP) is an evolutionary step in the nursing model of excellence in professional practice. A healthcare culture focused on excellence and world-class patient care requires that nursing research and EBP are integrated into the professional practice model and nursing care delivery. (Promoting Evidence-Based Practice and Translational Research, July-September, 2010)

Beginning in the 1900’s, pregnancy and childbirth have become increasingly medicalized (Mullin, 2005). In her book, Reconceiving Pregnancy and Childcare, Amy Mullin states the medicalization of birth

Beginning in the 1900’s, pregnancy and childbirth have become increasingly medicalized (Mullin, 2005). In her book, Reconceiving Pregnancy and Childcare, Amy Mullin states the medicalization of birth

In the early 20th century, situational blindness was again a key factor for postponing success in modern medicine when it came to childbirth. In New York City alone, the New York Academy of Medicine’s records showed that 2,041 women died during childbirth in 1933 as recalled in an essay in Dr. Atul Gawande’s book, Better: A Surgeon 's Notes on Performance (Gawande 179). This number has been shocking since in the 19th century, doctors and scientists discovered through works lead by Ignac Semmelweis and

I thought my greatest and overwhelming nightmare that tormented me unremittingly throughout the duration of my pregnancy had become a horrible reality. It was 9:00 on a Tuesday morning, when I experienced the initial intense labor contraction. Without hesitation, I instantaneously grabbed my cell phone to communicate with my loving husband, but to my surprise it went straight to the most dreaded voicemail. Unfortunately, I had no viable means of reaching him, because Shaw Air Force Base was partaking in a quarterly, scheduled, week long war readiness exercise. Thus, my severely distressed mind had to nippily acknowledge the reality that my magnificent bundle of joy was making his long anticipated entrance into the world eight days early, according to the estimated due date. This delightful narrative will take the reader on a breathtaking, yet frightful journey through pre-labor, active labor and the delivery of my son, Dorian Josiah Heffner.

Women are now tasked with trying to maintain a balance between a natural and medical childbirth, all while losing and reclaiming control. As Walsh (2010) describes, this type of struggle or rather, ‘dichotomized thinking,’ concerning natural and medical childbirth, leads women feeling a sense of uncertainty and stress. Specifically, within western society, women are losing trust in the birthing process and losing their expectations of experiencing a natural birth (Reiger: 2006). The medical model, popular culture, media, and social influences from family or friends, have instilled a belief in which birth is a process to be feared. The fear of birth is perpetuated by medical professionals questioning women’s abilities to give birth on their

The medical system has changed tremendously in retrospective to women and childbirth. It was interesting to compare in the article how the birthing process was hundreds of years ago and how much it has evolved. Centuries ago C-section were performed on women as a last resort. Often they were already dead when the surgeries were performed in unsanitary conditions. If the woman was still alive the risk on infection made C-sections not progressive during that era. C-sections today are regarded as a surgical procedure that often have success for the mother and the child. In addition to the birthing process, women have gained great strides in the medical system. They now occupy positions of nurses, doctors, surgeons and specialists. Before, women

The parking lot was covered with puddles from the lingering rain drops and the smell of wet concrete was dominant in the outside aroma as both Rhonda and her husband came near the entrance of the white colored hospital with countless amounts of square windows. After the quick thirty second walk to the hospital from their car passing many evergreen colored trees, Rhonda and her husband approached the main hospital sliding doors which swished open as they came near letting all of the chilled Seattle air flood lobby. After the hospital doors closed shut, Rhonda released her grip from her husband’s hand and wobbled over to the check-in desk where they both were greeted by a female receptionist in her mid-thirties with long brown hair pulled back into a tight ponytail with deep brown eyes. “Hello! How may I help you today?”, the nurse asked in an upbeat manner. “Hi! My name is Rhonda Crane and I am here to check into my appointment with Dr.Harvey at 9 o’clock who will be delivering my baby. I received a phone call from the nurse this morning and she told me that Dr.Harvey requested that I come in today to have my baby

Even though I didn’t speak a word of Spanish and the patient didn’t speak a word of English, his moans were clear enough. He was in agony and all I could do was try and hold his massive gash closed long enough for someone to inject pain medication. “I’m sorry. I’m so sorry.” I kept reassuring, not knowing if he understood what I was saying. After what seemed like an eternity that went by in a flash, more people filled the room and the man was wheeled under the surgical light reserved for those with serious injuries. A doctor turned to me and said, “Can you please take off my watch?” I jumped to the command like a seasoned pro and changed my gloves to help with the next procedure.

When Sims saw Mrs. Merrill in great pain, he instantly went to work. With no prior experience in the field of gynecology, Sims proceeded to place the patient on her knees and elbows and covered her with a large sheet, then placed his middle and index fingers into the vagina, immediately coming into contact with the uterus, and began, with great force, pushing his palm upward, then downward, until he couldn’t feel anything at all. Sims described it as “if I had put my two fingers into a hat, and worked them around, without touching the substance of it”( Sims 233). The patient suddenly felt relieved, so Sims removed his hand, causing air to escape from the vagina. When Sims had begun to push with his palms, he created enough pressure to force the vagina to its greatest extent. When he removed his hand, the air rushed out, returning the retroverted uterus to its normal