The Structure Of This Text Is Based On Gibbs Reflective Cycle

Language is one social and cultural barriers that may have made it difficult for the doctors to communicate with Jessica’s family. It creates the trust that exists between a patient and a doctor and their guardians. When using a translator, meanings may change and the desired communication result may not be achieved. The trust that should exist between the doctor and the patient and the guardians

(1997). The spirit catches you and you fall down: A Hmong child, her American doctors, and the collision of two cultures. New York: Farrar, Straus, and Giroux. Karliner, L. S., Jacobs, E. A., Chen, A. H., & Mutha, S. (2007). Do professional interpreters improve clinical care for patients with limited english proficiency?

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. Thus, a mother has to play a key role in aiding the 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). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).

Consequently, the need for qualified interpreters in the clinical settings is of great essence in the reduction of

For the purpose of this essay, I have selected Gibbs (1988) Reflective Learning Cycle to reflect on an aspect of individual professional practice, which requires development in preparation for my role as a Registered Nurse. Gibbs (1988) Model of Reflection provides a clear description of a situation, analysis of feelings, evaluation of the experience, conclusion, and action plan to make sense of the experience to examine what you would do if the situation happens again.

Carla Keirns dwells upon a problem of unnecessary cesarean deliveries performed only for urgent clinical reasons. As a diabetic expectant mother, she was going to deliver her first

While reading the case, I was shocked that the physician did not call for a medical interpreter during his first encounter with Rico. Though Rico’s son offered to translate the physician’s words to him, it is general practice to avoid using family members as translators; in order

Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally

HPI: YM is a 24 year old G2P1 who presents for New OB Visit at 28 weeks 6 days. Her concerns are the following:

Gathering a maternal history is a significant phase of the first antenatal appointment. This allows discoveries about many aspects of the woman and her life. Information gathered by the midwife will include family health history, maternal and paternal, as many issues connected with the father have now been discovered. () Previous pregnancies, this includes information about miscarriages, ectopic pregnancies, fetal demise after birth, previous caesarian sections, place of previous births, gestation, gender, birth weight, previous multiple pregnancies, labour, birth, and postnatal details. This will give information about how the following pregnancy might develop and

Donation of umbilical cord blood is a trend that has grown in popularity in recent years, and is now offered on site at several NHS trust hospitals (RCOG, 2006). Despite this service being readily available to expectant parents within my placement hospital, it became clear during my second week that the relevant information regarding donation was not being provided soon enough in the antenatal period which would allow for an informed decision to be made as to whether or not

She did not get a chance to choose what she liked, and her son is disable can’t do anything. This experience against safe, effective, and patient-centered. To gain more control, the hospital could keep trying to call both three languages to see if it could find anyone to translate for her. This would help her to ask why she was getting a C - section also, she should have a chance to understand the process and choose to sign them or not. According to Joshi Maulik, patient-centered is the proper future of medicine, and the current focus on quality and safety is a step on the path to excellence. (Maulik S. Joshi, 2014). Patient-centered is very important, especially with the who have problems with language. They need more help from the hospital and other community to make sure they are getting safe treatments, also hospital has the responsibility to make sure patients have right to choose the treatment or deny it. Also, patients understand the advantage and disadvantage of the treatment. Moreover, the patients need to know why they need to be treated, and allow them to ask question regarding the

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.

Postpartum hemorrhage (PPH) is a significantly life-threatening complication that can occur after both vaginal and caesarean births (Ricci & Kyle, 2009). Simpson and Creehan (2008) define PPH as the amount of blood loss after vaginal birth, usually more than 500mL, or after a caesarean birth, normally more than 1000mL. However, the definition is arbitrary, attributed to the fact that loss of blood during birth is intuitive and widely inaccurate (Ricci & Kyle, 2009). In line with this, studies have suggested that health care providers consistently underestimate actual blood loss, thus, an objective definition of PPH would be any amount of bleeding that exposes a mother in hemodynamic jeopardy (Ricci &

During the study, Davidson said that the scarcity of time become the factor of the patient in medical interview. It is because the patients who used interpreter often were left alone for sometimes an hour while they waited for the interpreter to arrive (Baker, 2010 p.160). Moreover, Davidson said that the interpreters are possibly conducted the interview with the patient before the physician arrived (Baker, 2010 p.160). They took a charge of physician’s position by asking questions the patient about the illness before they convey it to the physician. This affects the process of elaborating a Chief Complaint from patient which becomes shorter. Besides, the interpreters also would occasionally go so far as to conduct the initial portions of the interviews itself. According to Davidson in Baker (2010, p.164) the interferences of interpreter in medical interview create harms for the physician. For instance, in