When the fluid is lost the cord and fetus can be compressed causing decelerations in which the baby must be removed from the womb. For example, last week in clinical there was a 33 gestational week mother with PPROM who was a smoker and tested positive for opioids. The fetal monitor the night before had indicated decelerations throughout the night, one even lasting nearly 8 minutes. The nurse I was assigned to said that â€œshe did not realize how close to delivery she was. If a deceleration cannot be brought up in 10 minutes, they are on their way to the OR to deliver! . As discussed in the article, infection is also a major problem with PPROM. The amniotic fluid creates a seal of sorts that is to protect the mother and infant from infection and other harmful things that could enter into the environment of the growing fetus. Once this is lost, infection is easily contracted. Usually infections associated with PPROM are bacterial. According to the article, these types of infections cause a string of effects that virtually throw the mother into premature labor. Because of the infection, prostaglandins are released. These then cause uterine contractions. However, the metalloproteases that are also released cause the cervix to soften and relax. This is the cause of the membrane rupture according to the article. Race is also thought to play a role in the risk of PPROM. It says that â€œblack and Hispanic women are at a higher risk in comparison to white women [for PPROM]â€. Diagnostic procedures can also cause PPROM. These include carclage and amniocenteses. Because these procedures compromise the integrity of the amniotic sac; the risk for PPROM is increased greatly along with the risk for infection. Management of the PPROM patient depends on gestational age and severity of luid loss. It could be treatment such as medications or it could go as far as full bed rest until delivery. According to the article, 34 weeks ot gestation witn no other complications will often lead to antibiotics and corticosteroids to prolong the pregnancy and decrease the risk for infections. However, in some of the extreme cases that were seen, bed rest or delivery of fetus was seen. In clinical, one of the patients seen was on bed rest until delivery and constant fetal monitoring. In conclusion, infection tends to be the most common effect of PPROM. Smoking nd drug use are viewed as the most common causing risk factors, and fetal complications can range from poor formation of lungs and other physical features, low birth weight, to even fetal death. It is important to educate newly pregnant mothers on risk factors of PPROM, the effects that could occur with PPROM, and educate them on what they can do to prevent this from happening during their pregnancy.
12/26/2019 0 Comments
Mandatory Death Penalty for Nitwits Â When I was in high school, my friend Mike and I earned extra money working after school and on weekends at a drugstore located at the north end of our town. Before we started working in the retail business, we both had a fairly high opinion of humanity. That is to say, we thought that the average person wouldn't try to cheat us, would be at least marginally polite, and would be smart enough to avoid walking in front of a bus. Â As it turned out, we were wrong. Â When we stepped behind the counter of that drugstore, we had to remove the rose-colored glasses and reexamine our cherished ideas about humanity. We found that there were many, many rude people out there and that quite a few would cheat us if they were given half a chance. We also found the average person was much less intelligent than we had thought. On Labor Day, 1995, I started a list of all the irritating and stupid things that people did while we were at work. After a while, other employees began to contribute to the list, although I compiled about 75% of the complaints. By the time I left at the end of May 1996, the list had 567 items on it, and we were referring to some of the customers by number. Â In particular, I remember 337, an older lady who came in early every Saturday morning to buy a candy bar. Sadly, 337 never had the requisite fifty cents, and as she was rummaging through her purse looking for spare change (which sometimes took as long as ten minutes), impatient customers would line up behind her. Finally, she would storm off in a huff. Â Incredibly, 337 would return several times over the course of the day and attempt to purchase the candy bar again. Once more would come the agonizing search through her purse, but (surprisingly enough) the change at the bottom had not bred over the course of the day, and over and over she was forced to leave in defeat and shame. Â Number 337 was hardly unique, or even unusual. Every shift that I worked, I was forced to deal with people nearly as clueless as she was. Mike and I were inevitably led to the conclusion that stupidity should be painful; we thought that if stupidity were painful, people would go to great lengths to educate themselves.
Promoting Diversity and Inclusion in Health and Social Care
Sharon Heather Ferguson-Guy
Promote equality and inclusion in health social care or childrenâ€™s and young peopleâ€™s setting
Outcome 1 â€“ Understand the importance of diversity, equality and inclusion
1:1Â Explain what is meant by:
Diversity â€“ the word diversity means a different and varied. In the United Kingdom you will find people are different and varied in lots of ways. For example, people who have originated from many different countries, people from different ethnic background, people of different genders with different sexual preferences, people with different values and beliefs, people with different interests and people from different economic backgrounds. We must try and create an environment so that everybody feels valued as a person.
Equality â€“ to have equal opportunities means having equal access to things that influence our quality of life and life prospects. To have a fairer society where all that wish too, can participate and have the opportunity to fulfil their wants and needs no matter what disabilities, gender, religion, sexual orientation, beliefs, race and cultural differerences.
Inclusion â€“ when individuals are included they often end up with a quality of life that is better than they would reasonably expect. Inclusion is when everyone gets a chance to participate and be part of the team. It is also to feel and be respected and to take part in activities no matter what disadvantages they may have.
1:2Â Describe the potential effects of discrimination:
The potential effects of discrimination are that individuals often end up with a quality of life for lower than they would reasonably expect. Historically discrimination has sometimes been a matter of life and death. In some countries and cultures some of the effects of discrimination, include individuals being generally treated as outsiders and second class citizens, or being subjected to physical attacks and verbal abuse or individuals could be denied education jobs or opportunities. Discrimination can be that of verbal abuse, humiliation, intimidation, and mistreatment.
The effects of this can make the individual feel stressed, low self esteem, unwanted, angry, which leads to behaviour problems, feeling isolated, unable to cope, feeling depressed, guilty, anxiety, loss of confidence. The physical effects would in turn be that of changes of eating habits, weight loss, weight gain, poor appetite, headaches, and sleeplessness, lack of energy, communication problems, and deterioration of health.
1:3Â Explain how inclusive practice promotes equality and supports diversity:
Inclusive practice promotes equality and supports diversity so individuals often end up with a better quality of life. To promote equality and diversity and ensures that the user is treated as an individual so as not to be excluded so, to value any differences and embrace full potential of their own personal needs and wants. Every user have a personal care plan which has been put together and is all about them, no two care plans are the same so each have their own individual needs. So each user will be treated equally and by recognising their diversity when assessing their care plans.
Outcome 2 â€“ Work in an inclusive way
2:1Â Explain how legislation and codes of practice relating to equality diversity and discrimination apply to your own work role
The codes of practice that relate to my work role are as part of The Person Centred Care Approach. I must respect patients in terms of their religion or sexuality and treat all individuals equally. I am aware to uphold their human rights and make sure they are not being discriminated against.
Below are the legislations that relate to my work role:
The Equality Act 2010 is the law which bans unfair treatment and helps gain equal opportunities in the workplace. The act replaces anti-discrimination laws from before with a single act to make it simpler to rid of any inconsistencies. The act covers nine protected areas about treating people unfairly so it does not happen. They are:
Religion or beliefs
Pregnancy and maternity
Marriage and civil partnership
The Equality Act sets out to prevent unfair treatment in the workplace, the different ways in areas that people are treated unlawfully; it may be direct or indirect victimisation. Unfair treatment should be a thing of the past, but, it still goes on in todayâ€™s society.
This law replaces:
Disability Discrimination Act 1995
Employment Equality (Religion or Beliefs) Regulation 2003
Equal Pay Act 1976
The Race Relations Act 1976
The Sex Discrimination Act 1975
Human rights Act 1998 â€“ this has 16 basic rights that affect the aspects of human rights.
There is also a Code of Practice which relates to my work role which is from the General Social Care Council (GSCC) Codes of Practice â€“ it describes the standards and conduct for social care workers and employers. So I must:
I am to be accountable for the quality of work that I do and to take responsibility for keeping up and improving my knowledge and skills.
Encourage the independence of the patient while protecting them as far as possible from danger or harm.
Protect the rights and promote the interest of patients and fellow colleagues.
Respect the rights and choices of patients whilst making sure that their behaviour does not cause harm to themselves or other people.
Maintain trust and confidence of patients and colleagues.
Have the publics trust and confidence in social care services.
The Care Standards Act 2000 â€“ this regulates independent health and care sector, this is done by health authorities as well as the local authority which has been overtaken by the National Care Standards Commission (NCSC), this became responsible for registering and inspecting all care homes and private healthcare facilities in the UK. April 2004 this was replaced with Commission for Social Care Inspection (CSCI) and Commission for Healthcare Audit and Inspection (CHAI). On 1st April 2009 they were both amalgamated to introduce the Care Quality Commission (CQC), it became responsible for inspecting the quality and monitor care homes in England.
Outcome 3 â€“ Promote diversity equality and inclusion
Describe how to challenge discrimination in a way that promotes change
I would report any discrimination to my manager and also try to point out to the individual in a tactful manner that their actions were not acceptable under current legislation. I would also encourage them to embrace diversity and treat everyone equally and promote a positive outcome.
Write something about yourself. No need to be fancy, just an overview.