The Family Birthplace : Implementation Of A Discharge Teaching Class

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.

Post Partum care is generally short as the mother and infant are taken care of by the nurse midwife at the birthing center for 24 hours after the birth. In birthing centers, all postpartum care is administered in the patient’s room where the child was also given birth (Fisher 1996). After the child is born, the mother is always eager to begin breastfeeding. A few hours after the birth, when the mother is able, family members and close friends come bearing food and gifts for the mother and child. Gifts of natural herbal remedies and teas are also given to the mother to aid her health. The birth of children is very common in Amish communities with women bearing, on average,

Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.

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

Once the patients arrive to the unit, if the person belongs to either scheduled induction or C-Section, they are provided with a delivery room. If the patient does not belong to previously mentioned categories, and about to deliver, she is moved to a delivery room. One final category is, where patients come in because they feel that they are about to be in labor or the patients that experience various pregnancy related complications. These patients are monitored by the nurse, seen by the physician and put under observation. If any of those observation patients are about to go into labor, they will be moved to delivery room. The rest of the patients will be treated and discharged. A quick registration will be done for all patients as soon as they enter the unit. Additional documentation for triaged patients will be done after they are moved to triage. For patients in labor or C-Section, it will be done earliest of patient’s

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

SSA received a phone call from Verna Goecke-PRPV inquiring if the Bond family was aware of Katlyn’s discharge from the facility. She stated that she had not heard from Mr. Bond regarding the discharge notice and according to Katlyn she had not discussed the discharge arrangements with her parents. SSA shared that two messages had been left on Karen Kohn’s cell phone. We discussed that in the event the family did not arrive to the meeting location this morning, PRPV was willing to transport Katlyn to the family home. Verna asked SSA to email the family’s home address in the even they needed to transport Katlyn to the home.

To help prevent this issue I have created a program for the Fairfax hospital Neonatal Intensive Care Unit (NICU) to facilitate the bond between mother and child while both are recovering and being cared for. The pilot program called “rooming-in” allows mother and child to be on the same private room where other family can also stay. The room will be designed to give maximum support to both mother and baby by having all resources in room as well as a private team of nurses.

The reason this current practice needs to be changed is patients do not have the same learning style, and the literacy level of the patient population varies greatly. In order to increase patient knowledge and satisfaction, this education needs to be meaningful to them as well as easy for them to access at any time they chose. Giving patients different options to receive the needed information will keep them engaged in their care. The prenatal population can vary greatly in age, literacy level, and learning styles that it is the clinics responsibility to ensure their learning needs are met. Because of the advances in technology and the needs of the patients changing this clinic needs to grow and evolve as

I have chosen breastfeeding as my teaching topic for this assignment. The specific clientèle will be the new mother at between 2 and 7 days postpartum, newly discharged from hospital. As a community health nurse working with children and young families, I do initial postpartum visits at home. Breastfeeding is a very complex skill, natural, yet sometimes difficult to do. The client is often overwhelmed with information received in hospital, so sessions must be kept short, and made easy to understand. The area in which I work is multicultural. There is often a language barrier which further complicates

For almost all of the previous 25 years roughly, the knowledge of pregnancy, labor, and delivery has changed little for some women. But change is arriving to the most traditional establishing, the hospital.

As it was previously mentioned, nurses will be the leading members of this project. Administrative tasks such as hiring, budgeting, recording inventory, developing partnerships, and evaluating quality and performance, will be carried by the nurse manager. Delivery of prenatal care will be mainly performed by a team of CNMs and RNs. One CNM will be the primary care provider in charge of the complex cases presenting in the Prenatal Care Mobile. The scope of practice of the CNM allows patients to receive medical diagnoses and prescriptions that otherwise, could not be provided by a RN. A couple of RNs will be delivering most of the care for the uncomplicated patients, while also performing comprehensive assessments, screening or diagnostic tests,

Although the process of giving birth and recovery is different for every woman, the human body must withstand many physical and psychological changes after having a baby. The federal

Patient’s in the NICU are considered to be very tiny and fragile and immunocompromised due to their immature organ systems which can lead to many dangerous medical problems. Patricia W. Stone states “maintaining a safe environment reflects a level of compassion and vigilance for patient welfare that is as important as any other aspect of competent health care” (Stone, 2008). The patient’s safety should always be a top concerned for a nurse because in a health care facility the purpose is to heal the patient and get them on the road to recovery. Nurses must learn from the errors of the past and use their knowledge to improve the quality of nursing to the patients to ensure if errors do happen again that the use of evidence-based practices are put into place to improve their outcomes. According to Higher Quality of Care and Patient Safety, “Registered Nurses (RNs) are instrumental in achieving multiple care goals, including promoting infant health and clinical stability, maintaining the integrity and cleanliness of central catheters, and preparing families for their role in infant care and successful transition it home” (Lake, 2016). Nurses are reasonable for the education of the families of the patients to ensure that the best quality of care for the patient is maintained outside the hospital to ensure the best medical outcome for the infants.

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.