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The Ebola virus
The Ebola virus, and other infectious diseases like it, scare many in the healthcare industry. Some feel called to visit those infected areas to help with the efforts, educate the citizens, and care for the sick. If a loved one were considering taking part in these efforts, what thoughts would run through your mind? Would you be supportive, or would you try to talk him or her out of it? Would you also want to help? Explain your thinking.
Ebola Virus Disease (EVD) is a rare and deadly disease in people and nonhuman primates. The viruses that cause EVD are located mainly in sub-Saharan Africa. People can get EVD through direct contact with an infected animal (bat or nonhuman primate) or a sick or dead person infected with Ebola virus.
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Effective communication in Consumer Health Education
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Effective communication in Consumer Health Education
Order Instructions:
Effective communication in Consumer Health Education
Purpose
The purpose of this assignment is to engage learners in evaluating factors that contribute to effective communication and health literacy in consumer health education materials.
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Effective communication in Consumer Health Education
STEP 2: EVALUATE
Publication Information
Identify the publication title, author(s), year/date of publication, and source location (URL).
Purpose and Intended Audience
In one paragraph, summarize the purpose of the material and the intended audience. Describe the target audience that the authors want to address (e.g., persons who have diabetes, are sexually active, are caregivers to persons with dementia, the general public, etc.).
Effective communication in Consumer Health Education
Category Analysis
Evaluate the material using the 7 categories of the CDC Clear Communication Index: 1) Main Message and Call to Action; 2) Language; 3) Information Design; 4) State of the Science; 5) Behavioral Recommendations; 6) Numbers; and 7) Risk.
This section can be formatted as a list, bullet points, or in paragraph format. Include examples of how clearly the main message is communicated and prominently located within the material, how main ideas and supporting ideas are organized, use of visual cues and headings, language considerations, how graphics, colors reinforce the main message; how or whether scientific evidence or authoritative sources inform the main message or recommendations; how or whether actionable behavioral recommendations are provided; whether and how numbers are used to communicate recommendations or risk, and how the risk associated with the health condition or behavior applies to the target audience or health outcomes.
Strengths and Recommendations for Improvement
In one-to-two paragraphs describe three strengths of the material and at least one recommendation for improvement based on your evaluation.
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Effective communication in Consumer Health Education
STEP 3: SUBMIT
Prepare your evaluation using a word processor such as MS Word. Upload the file to the assignment link as either a Word document or PDF.
Review your work for content quality and depth, organization, and grammar. Use the grading rubric to guide your preparation.
Be sure to include the reference for the resource in APA Style format.
If the material is not available electronically, please scan and upload the document with your analysis.
Effective communication in Consumer Health Education
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Health Literacy Evaluation
Purpose
The purpose of this assignment is to engage learners in evaluating factors that contribute to effective communication and health literacy in consumer health education materials.
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STEP 2: EVALUATE
Publication Information
Identify the publication title, author(s), year/date of publication, and source location (URL).
Purpose and Intended Audience
In one paragraph, summarize the purpose of the material and the intended audience. Describe the target audience that the authors want to address (e.g., persons who have diabetes, are sexually active, are caregivers to persons with dementia, the general public, etc.).
Category Analysis
Evaluate the material using the 7 categories of the CDC Clear Communication Index: 1) Main Message and Call to Action; 2) Language; 3) Information Design; 4) State of the Science; 5) Behavioral Recommendations; 6) Numbers; and 7) Risk.
This section can be formatted as a list, bullet points, or in paragraph format. Include examples of how clearly the main message is communicated and prominently located within the material, how main ideas and supporting ideas are organized, use of visual cues and headings, language considerations, how graphics, colors reinforce the main message; how or whether scientific evidence or authoritative sources inform the main message or recommendations; how or whether actionable behavioral recommendations are provided; whether and how numbers are used to communicate recommendations or risk, and how the risk associated with the health condition or behavior applies to the target audience or health outcomes.
Health Literacy Evaluation: Strengths and Recommendations for Improvement.
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Theory Application in Practice
Discussion Overview
The purpose of this discussion is to assist you in exploring the relevance and value of applying health promotion theories and models within nursing practice.
Discussion Instructions
STEP 1: Initial Post
Review the discussion grading rubric
Select one of the health promotion theories or models presented within the lesson (from the reading or presentation) that you find most relevant to your current practice population or setting.
Locate one scholarly article related to the theory or model that you selected. Describe how the source informed your understanding of the theory/model or expanded your awareness relative to health promotion and nursing practice.
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Bloom Taxonomy
The present health care system dictates that delivery processes integrate various interfaces and patient handoff amid myriad health care practitioners with different levels of educational and professional background. During the timeframe of a four-day hospital stay, a patient might come into contact with 50 different personnel, including doctors, clinicians, technicians, and others. Dynamic clinical practice thus includes many cases where essential information should be correctly communicated.
Team cooperation is critical. When health care specialists are not communicating productively, the safety of a patient is at risk for various reasons: insufficient essential information, mix-up of information, ambiguous orders over the telephone, and ignored adjustments in status. Poor communication leads up to circumstances where medical errors can take place. These mistakes have the capacity to amount in severe injury or surprise patient demise. Medical flaws, particularly those caused by lack of communication, are widespread challenge in today’s health care organizations.
Conventional medical education stresses the significance of a practice that is free from errors, using severe peer pressure to accomplish perfection at the time of diagnosis and treatment. Mistakes are thereby conceived normatively as a harbinger of failure. This situation generates an atmosphere that prohibits the fair, honest assessment of errors needed if organizational learning is to occur.
It is significant to stress that nurturing a team cooperation environment may have problems to solve: extra time, conceived loss of independence, lack of confidence, conflicting ideas, amid others. However, many health care personnel are aware of the poor communication and teamwork, as a consequence of a culture of truncated outcomes that has bloomed in many health care situations (Helmreich and Schaefer, 2009).
Bloom Taxonomy
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According to Irwin, McClelland and Love (2006)communication is the core factor in medical care. In essence communication between physicians and patients is amassing a growing amount of attention with the health care in the U.S. In the last few years descriptive and investigational research has attempted to focus on the communication activities during medical consultations. Nevertheless, the knowledge obtained from these endeavors is restricted. This is likely because amid inter-personal relationships, the physician-patient collaboration is one of the most sophisticated ones.
While advanced technologies could be utilized for medical diagnosis and treatments, interpersonal communication is the key apparatus by which the doctor and the patient trade information (Stiles & Putman, 2007). Particular factors of doctor-patient communication appear to have considerable effect on patients’ attitudes and safety, for instance, contentment with care, positive response to treatment, recall and having knowledge about medical information, dealing with disease, qualify of life, and even condition of health.
Cooperation and communication are particularly essential in the case of a chronic disease, such as a cancer (Fallowfield, Maguire & Baum, 2002). Today, specialists of communication have progressively been focusing on psychological features of cancer. Creating a proper inter-personal cooperation between physicians and patients can be interpreted as a significant function of communication.
Furthermore, proper inter-personal relationship forms the basis for optimum medical care. On the other hand, the significance of a good physician-patient relationship relies on its therapeutic qualities. Another key function of medical communication is supporting the exchange of information between the physician and the patient.
Bloom Taxonomy
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Information can be regarded as a resource brought into the verbal exchange between the two parties. From a medical standpoint, physicians need information to determine the correct diagnosis and treatment strategy. From the patient’s standpoint, two needs have to be accomplished when meeting with the physician: the need to know and understand and the need to experience a sense of being known and understood. To be capable of achieving doctor’s and patient’s needs, both alternate between information-transmission and information- hunting.
Patients have to provide details about their symptoms, physicians’ needs to considerably look out relevant information. At times patients may be inclined to ask for as much information as possible, doctors appear to know patients needs for information. For instance, where cancer is involved, the desire for information is most great. A great number of cancer patients’ discontentment with transmission of information emanates from concordance between views of patients and physicians.
When relaying information to cancer patients about their disease (good or bad), doctors might explain medical information more empirically while patients explain it as a matter of individual relevance. As a consequence, the doctor might experience a satisfying sense that he has offered right and relevant information. The patient conversely might feel he has discovered nothing satisfying. Recent research indicates that about 45 percent of cancer patients have reported that no information has been provided relating to dealing with their disease (Fallowfield et al., 2002), however most patients wanted such information. Doctors must thereby first motivate their clients to exchange their key worries without interruption (Ben-Sira, 2008).
Bloom Taxonomy
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Psychological privacy involves a patient’s capacity to be in charge of active and cognitive inputs and outputs, to think and formulate behaviors, values to establish with whom to share information. Nevertheless, asking delicate questions and divulging confidential information is inevitable if the physician desires to find an effective diagnosis and treatment. The degree to which doctors communicate in a more dynamic, high-regulation style, could be conceived by patients as abuse of their psychological privacy. Physicians’ attitudes during patient examinations are regulated by societal values. It seems that at the time of medical interactions limited privacy is needed.
Constant eye contact, for instance, could be viewed by the patient as excessively intimate for the relationship. Conversely physical privacy can be regarded as a relevant aspect of non-verbal communication and can lead to improved quality of the inter-personal interactions between physicians and patients (Stiles and Putman, 2007). Other result gauges utilized to examine the quality of the physician-patient interaction are patients’ recall and understanding information. As it stands, most patients fail to recall or comprehend what the physician has told them.
Patient compliance is also a broadly utilized result variable and is regarded a measure of the productivity of provider-patient communication. Doctor-patient interaction might have significant outcomes for patient’s health outcomes, thus this relationship can be viewed as a type of social support. Lack of information appears to play a vital function in psychological challenge that can come up during the diagnosis and treatment (Irwin, McClelland & Love, 2006).
Bloom Taxonomy
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References
Ben-Sira.Z. (2008). “Affective and instrumental components in the physician patient relationship: an additional dimension of interaction theory.” Journal of Health Sociological Behavior, 170-185.
Fallowfield. L. J., Hall A., Maguire. G. P. and Baum. M. (2002).“Psychological outcomes of different treatment policies in women with early breast cancer outside a clinical trial.” British Medical Journal, 301- 575.
Irwin W. G., McClelland R. and Love.A. H. G. (2006). “Communication skills training for medical students: an integrated approach.” Medical Education, 387-390.
Stiles. W. B. and Putnam. S. M. (2007).Analysis of verbal and non-verbal behavior in doctor-patient encounters: In Communicating with Medical Patients. Newbury Park, CA: Sage Publications.
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Appendix: Interview
I chose to interview a personal acquaintance of mine who happens to be a screenplay enthusiast. I think it is a fantastic occupation path since it balances creativity and professional writing.
1. What are you pursing as an undergraduate student?
I am studying Journalism.
2. How will your undergraduate studies influence your future career?
I am on track to work in the corporate world, probably as an editor
3. When did you first develop interest in screenplay writing?
I like to think when you first write a screen-play and gets positive comments from people who have been in the production scene for some time, you get interest in that moment. It had never occurred to me that this was something I’d be doing as pastime thing.
4. How much experience with screenplay writing do you have?
None as a matter of fact, but I have always been involved with creative writing on the side (for instance, poems and flash stories).
5. What are some of your objectives for the future?
Finishing my undergraduate, find a job, get a job, and see what fate throws my way. I have come to discover in life that whatever you make plans, the big guy above somehow has a totally different idea.
6. Would say that screenwriting you will be engaged in as a side project rather than a full time career?
I don’t want to find myself restricting myself at all. My undergraduate will put me up in the corporate world, but this might as well turn into an amazing gig in the future.
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Determinants of health and ways they impact persons health
Introduction
To improve the health status of the community, there is need to reduce the health inequalities. This is only achieved by understanding factors that promote as well as protect health of the community, which are commonly referred to as determinants of health (Fane & Ward, 2014). These determinants are categorised into social, cultural and economic factors.
This is important because despite the fact that the USA government is spending fortune in medical care, the health outcomes still remains low than most of the developed countries. In fact, the USA IS ranked the 34th in infant mortality in the world (Potter, Trussell, & Moreau, 2009).
However, it is possible to envision the more promising end of this medical story if number of strategies are employed to understand as well as promoting the health of the community. This is achieved through analysis of health determinants as outlined by logic models (Blanchard et al., 2013).
These models are important because they are oversimplified and approximate, thus helping the identification of complex interplay, which would be important in taking action to improve the health of the population, which are developed by the new framework of health goals for USA, commonly referred to as “ Healthy People 2020 (Fane & Ward, 2014).”
This paper summarizes the main sociocultural and economic determinants of health and ways they impact the health of a person, leading to inequalities. Understanding these determinants is important because it helps improve the health of the community, thereby reducing healthcare inequalities. This aid in the identification of the specific areas for actions, which also facilitates the identification of the most feasible interventions that could aid promote quality care.
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Determinants of health
Evidence based study indicates that certain healthcare behaviours affects personal and community health. These includes behaviours such as smoking, poor nutrition, physical inactiveness, and excessive alcohol consumptions. Similarly, the amount of household income, educational achievement, ethnic background, employment and neighbourhoods also associated with profound effects of health (Perrin, 2013).
To start with, income and wealth determinants impact the health of a person. Research indicates that increased income improves the health outcomes. However, the relationship between health and income is not linear (Potter, Trussell, & Moreau, 2009). This is because money itself does not translate into good health. Instead, wealth is generally considered to give someone position within the society, which makes them, have better access to better economic opportunities (Salt, 2014).
This makes them live in healthy and safe communities, with better equipped facilities. Additionally, they are able to afford health insurance, and thus can access health more easily. Most have great amount of wealth and assets such as savings, low debt and high amount of savings that can be disposed to meet the health demands of the person where necessary (Blanchard et al., 2013).
Conversely, poor people are restricted to these amenities and are often exposed to environments that are health damaging. They lack sufficient amenities such as recreational facilities, grocery stores or even health care facilities (Fane & Ward, 2014). These people will lack social supports or relationships, have poor self-esteem, lack sense of control and are more likely to suffer from chronic diseases and acute stress. This impact is particularly vital in children and infants. Low income is associated with increased infant and childhood mortality.
It is also suggested that the hardship and economic deprivation in childhood significantly affect the adult health (Fane & Ward, 2014). Thus, children in low income households are more likely to suffer from poor nutrition, which results to health complications in their adult life including obesity, cancer, mental health, and cardiovascular diseases. This forms a vicious cycle of poverty and health (Potter, Trussell, & Moreau, 2009).
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The link between socioeconomic factors and health is clearer. However, the communities in which people live also influences their health. Literature indicates that people living in poor neighbourhoods report higher mortality rates, high incidences of chronic diseases and poorer health standards as compared with people living in safer neighbourhoods (Potter, Trussell, & Moreau, 2009). One study conducted in Wake County, North Carolina indicated that people living in poorer neighbourhoods reported higher incidences of pre-term birth, greater levels of depression, high level of teen pregnancy and increased resistance and disorders among the adolescents (Fane & Ward, 2014).
Additionally, different neighbourhoods makes it difficult to access healthy food, availability of parks and sidewalks and open spaces where people can exercise. The proximity of the people to environmental hazards also influences the quality of care (Diaz de León-Castañeda, RamÃrez-Fernández, & Pinzon Florez, 2013).
Housing also influences the health being of an individual. Living in houses that are poorly ventilated, damp, overcrowded or with poor waste disposal strategies are associated with increased diseases, communicable infections and other preventive diseases (Salt, 2014). Housing structures are very important as people spend approximately 90% of their time within their home, and thus poor housing can put people at risk of developing health complications due exposure to environmental hazards (Fane & Ward, 2014).
Additionally, overcrowding increases the risks of transmitting infectious diseases such as tuberculosis as well as other respiratory diseases (Blanchard et al., 2013). It could lead to more healthcare complication in events of pandemics such as virulent influenza. Research estimated that low income households live in overcrowded conditions, where more than 70,000 housing units in USA are overcrowded (Potter, Trussell, & Moreau, 2009). The issue is more complicated with most people facing foreclosures which is associated with the downturn of the economy. This accelerates the risk of sharing housing, and doubling up of people with their families and friends (Cai & McAdam-Marx, 2013).
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Academic achievement is strongly correlated with increased lifespan. Generally, people with less education are associated with more chronic complications and their life expectancies are shorter as compared with people with higher level of education (Blanchard et al., 2013). This is indicated by the healthcare study, where adults who have finished high school are more likely to have better health outcomes as compared with dropouts (Salt, 2014). In the USA, the ager adjusted mortality of people who dropped out of high school is two folds higher than those who completed their education.
These people are more likely to suffer from chronic and acute healthcare complications such as hypertension, stroke, diabetes, asthma, ulcers and emphysema. On average, it is estimated that the college graduates live five years longer as compared to those who failed to complete high school education (Diaz de León-Castañeda, RamÃrez-Fernández, & Pinzon Florez, 2013).
Research indicates that education achievement and health are not only correlated at personal level but also in their future generation. For example, maternal education is associated with better health for the children. Similarly, children born by high school dropout’s parents are two folds likely to suffer from premature death. Educated mothers’ infant mortality rates are considerably lower than uneducated parents. This is because educational achievements, wealth and health are interrelated, and have significant impacts on person’s health.
Another important health determinant is social exclusion, which is often associated with poverty. Social exclusion is associated with huge impacts in health such as premature deaths. Absolute poverty results to lack of basic materials, and is still rampant in developed countries (Salt, 2014). Most of the unemployed people, ethnic groups, refugees, homeless and the disabled are often socially excluded. This denies them the opportunity to access decent living opportunities such as education, housing, transport or even the ability to participate in various activities of the lives that makes them participate fully. This exclusion and being treated as lesser beings leads to health complications (Cai & McAdam-Marx, 2013).
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The social exclusions occurs inform of racism, discrimination, hostility, stigmatization as well as unemployment. These denies people their ability to participate in educative training, prevention programs or even accessing potential beneficial healthcare capacities. These issues are socially as well as psychologically damaging, and can have detrimental effects to these discriminated people (Pegram & Bloomfield, 2013).
The longer these people live in prisons, psychiatric facilities and children’s homes, and the more likelihood of them to suffer from a wide range of disorders. These incidences are also associated with increased risk of divorce, addictions and disabilities. Research indicates that people with strong family relations have better health outcomes. For instance, the highest incidences of mental illness are from single parent families (Pegram & Bloomfield, 2013).
Addiction is a public health issue of concern as it is associated with social breakdown, which worsens the issue of healthcare disparities. Addiction in this context refers to overreliance of drug use such as alcohol and cigarrette smoking. This is associated with increased mortality associated with suicides, injuries and poisoning. Although unclear, cultural values and beliefs tend to influence the quality of care (Salt, 2014).
This includes activities such as religious values that prohibits people from seeking medical assistance. Other determinants includes population based healthcare facilities as well as services. These includes activities such as sewerage and water to ensure that people’s health is maintained. The extent of funding of these activities dictates the level of the maintenance of this infrastructure, their developments and also usages.
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Ways the determinants of health impact people’s health
Most of the social factors mentioned above are described to have both interactive and independent effects. For instance, people with high level of incomes are more likely to have achieved higher education. They are also more likely to have more opportunities to live in safe, standard and healthy environments. Their neighbourhoods are more likely to be secure, thus promoting physical activeness. They are also able to purchase organic food as compared to those with low income households. These people are also more likely to have medical cover, which facilitates access to quality care (Cai & McAdam-Marx, 2013).
Conversely, people living with poverty are more likely to have lower education achievement, indicating that they are most likely unemployed. They will often live in substandard housing, putting them at risk of communicable diseases due to overcrowding effects and poor sanitation (Cai & McAdam-Marx, 2013). These people lack enough resources to purchase quality foods, hence depends mainly with fast food, increasing the risk of obesity. These people are more likely to engage in risky behaviours such as drug abuse and prostitutions, putting them at greater risk. This makes them experience higher levels of stress as compared with their counterparts (Pegram & Bloomfield, 2013).
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Whereas most of these factors are interconnected as described above, there is growing evidence that these factors independently determine the health of the people. For instance, in the USA, the health status of all ethnic communities decreases as income level decreases. It is reported that people with 100% federal poverty guidelines (FPG) reports the worse health as compared to people in other income level (Pegram & Bloomfield, 2013). However, within each income levels, specific communities have worse health outcome as compared with others.
For instance, the African American normally reports poor healthcare outcomes as compares to the Hispanics and non-Hispanics white (Cai & McAdam-Marx, 2013). These marked differences across the ethnic communities are observed in other determinants of health. Therefore, to effectively reduce the increased healthcare disparities, issues such as accessibility of educations, standard housing, safe living as well as working environments, healthcare facilities and all other opportunities that facilitate the healthy living of the community must be addressed (Diaz de León-Castañeda, RamÃrez-Fernández, & Pinzon Florez, 2013).
Conclusion
As indicated, it is evident that there is strong correlation between the health and people’s incomes and way of life including community environment, educational achievement, and ethnicity and housing conditions. It is indicated that those people with higher incomes, higher education achievement and those living in a health as well as safe environments have been associated with longer life expectancies and are associated with better health outcomes. Conversely, people with lower education levels, living below poverty line, substandard housing and those in poor neighbourhoods have poor health outcomes. This is attributable to the fact that these lack sufficient resources to treat even the preventable diseases. This translates to increased health disparities among the various ethnic groups.
References
Blanchard, C., Gibbs, M., Narle, G., & Brookes, C. (2013). Learning from communities in the USA and England to promote equity and address the social determinants of health. Global Health Promotion, 20(4 Suppl), 104-112. http://dx.doi.org/10.1177/1757975913501006
Cai, B., & McAdam-Marx, C. (2013). The determinants of antihypertensive use and expenditure in patients with hypertension in the USA. Journal Of Pharmaceutical Health Services Research, 5(1), 11-18. http://dx.doi.org/10.1111/jphs.12041
Diaz de León-Castañeda, C., RamÃrez-Fernández, D., & Pinzon Florez, C. (2013). Compared Analysis of Inequalities in Health and Influence of Social Determinants of Health in Cuba and USA. Value In Health, 16(7), A711. http://dx.doi.org/10.1016/j.jval.2013.08.2189
Fane, J., & Ward, P. (2014). How can we increase children’s understanding of the social determinants of health? Why charitable drives in schools reinforce individualism, responsibilisation and inequity. Critical Public Health, 1-9. http://dx.doi.org/10.1080/09581596.2014.935703
Pegram, A., & Bloomfield, J. (2013). The importance of measuring blood pressure in mental health care. Mental Health Practice, 16(6), 33-36. http://dx.doi.org/10.7748/mhp2013.03.16.6.33.e849
Potter, J., Trussell, J., & Moreau, C. (2009). Trends and determinants of reproductive health service use among young women in the USA. Human Reproduction, 24(12), 3010-3018. http://dx.doi.org/10.1093/humrep/dep333
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Improving Obstetric Patient Outcomes
Labour complications are the leading cause of long term disabilities, mortalities and morbidity for both the mother and the babies. One of the approaches is to assess the patient obstetrical history to identify if the pregnancy is a high risk or not. Certain maternal risk factors are associated with risk factors and are identified by assess the outcomes of previous pregnancies.
In this context, the patient had suffered from spontaneous abortion during her first pregnancy. This is the main factor that could be associated with the prolonged labour and increased bleeding post-delivery. The excessive may result due to the opened blood vessels during the caesarean delivery (Pillitteri, 2014).
To save the lives of both the child and the mother, it is important to identify emergencies in the obstetric settings early enough. This is because emergencies can lead to the permanent disabilities or even death of the mother, the infant or both. The main approaches identified by the evidence based practice that can be utilized includes, drills, protocols, simulation and vital sign alerts.
Improving Obstetric Patient Outcomes
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In this case study, the best approach that should be used is the protocols. The most strategic approach in this case is use of protocols. Protocols refer to set of rules and procedures that must be followed based on the conventions that have been proven to work in such incidences (Kee, Hayes, & McCuistion, 2015).
The main advantage is that it helps the healthcare provider make the most ethical decision as required by the organization and their professional standards. Secondly, because the information in the protocols are written according to the evidence based research, it provides the most effective remedy to patients irrespective of where or who delivers the care i.e. makes quality care the standard.
The main challenge is the possibility of err in healthcare protocols, because the judgement value made by guideline could be the wrong choice for this particular patient. Secondly, effective use of protocols is determined by the nurse experience and clinical opinions, and thus, for an inexperienced nurse can pick the most inferior options due to misconceptions or misrepresented community norms (Hinkle & Cheever, 2013).
Improving Obstetric Patient Outcomes
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In this context, the protocol of postpartum assessment includes the assessment of patient’s vital signs, the assessment of breasts, bladder, fundus, perineum, lochia, legs as well as any other incision in the body. The patient pain must be assessed including the location, the type of pain, quality and degree of severity. If necessary, pain medications can be administered to reduce the irritation as well as the swelling. From the assessment records, the postpartum condition of the patient was normal. However after one hour, the patient calls for help, as she feels that she is bleeding a lot (Pillitteri, 2014).
The nurse assessment notices the vaginal bleeding, the patient if diaphoretic, pale and her fundus is boggy even with a firm massage. This is an indicator of postpartum haemorrhage, which could be due to uterine atony and trauma. According to the protocols, the patient should be administered oxytocin IV or IM.
If the intravenous oxytocin is unavailable, or the bleeding still continuous, then the following medication should be used, including the intravenous ergometrine, prostaglandin (sublingual misoprostol, 800 µg) or combination of oxytocin-ergometrine is strongly recommended. The approach will reduce the bleeding rate and improve the patients’ quality of life (Kee, Hayes, & McCuistion, 2015).
Kee, J., Hayes, E., & McCuistion, L. (2015). Pharmacology: A nursing process approach (8th ed.). Philadelphia, PA: Elsevier.
Pillitteri, A. (2014). Maternal & child health nursing: Care of the childbearing and childrearing family (7th ed.). Philadelphia: Lippincott, Williams and Wilkins.
Improving Obstetric Patient Outcomes
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Florida International University Herbert Wertheim College of Medicine Personal Statement
Instructions
The Florida International University Herbert Wertheim College of Medicine strives to ensure that its students become respectful physicians who embrace all dimensions of caring for the whole person. Please describe how your personal characteristics or life experiences will contribute to the Florida International University Herbert Wertheim College of Medicine community and bring educational benefits to our student body. (1000 characters)
Is there any further information that you would like the Committee on Admissions to be aware of when reviewing your file that you were not able to notate in another section of this or the AMCAS Application? (1000 characters)
Why have you chosen to apply to the Florida International University Herbert Wertheim College of Medicine and how do you think your education at Florida International University Herbert Wertheim College of Medicine will prepare you to become a physician for the future? (1 page, formatted at your discretion, upload as PDF)
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Health assessment
Whereas adequate pain control is every patient’s fundamental rights, it is important to ensure that pain management medications are not abused. The health care providers ae challenged in dealing with these ethical scenarios of deciding the way to go in pain control versus the risk of abuse and misuse of prescribed medication.
In this context, the healthcare providers must perform health assessment adequately in order to identify the root cause of the chronic pain. Managing the causes of the chronic pain will simultaneously address the pain and consequently, reduce the incidences of potential abuse of narcotics (Wand, O’Connell, Di Pietro & Bulsara, 2011).
In this context, initial evaluation includes physical examination and patient history. The health assessment will help the healthcare provider identify red flags and warning signs of prescription abuse/ narcotics addiction. These include signs such as anxiety, depression, as well as the pain syndromes. Other signs include manipulative attitude and aberrant behaviour such as requesting refills frequently or experiencing withdrawal syndrome (Manchikanti, 2010).
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This helps in categorization of the chronic back pain as a) non-specific back pain; b) back pain associated with spinal stenosis of radiculopathy; c) back pain originating from the non-spinal source and d) back pain due to specific spinal source. For patients whose back pain is categorised as due to radiculopathy, specific spinal source or spinal stenosis; they should undergo Magnetic resonance imaging (MRI) as well as the Computed tomography (CT) to establish the exact diagnosis or the exact cause of the disease; which will facilitate in guiding the specific care plan (Wand, O’Connell, Di Pietro & Bulsara, 2011).
Other evaluations include laboratory assessment which should include complete blood count (CBC), erythrocyte sedimentation rates, and the level of C-reactive protein level. Urinalysis can also be performed to identify suspected infections as well other macronutrients levels such as alkaline phosphatase and the calcium levels. The laboratory findings can help diagnose the root cause of the infection.
For acute low back pain, they should be treated with nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants. I will also encourage non therapeutic interventions such as healthy diets, exercising, behavioural therapy and psychiatry sessions. This will help managing the chronic pain holistically (Manchikanti, 2010).
References
Manchikanti, L. (2010). Evaluation of Lumbar Facet Joint Nerve Blocks in Managing Chronic Low Back Pain: A Randomized, Double-Blind, Controlled Trial with a 2-Year Follow-Up. International Journal Of Medical Sciences, 124. http://dx.doi.org/10.7150/ijms.7.124
Wand, B., O’Connell, N., Di Pietro, F., & Bulsara, M. (2011). Managing Chronic Nonspecific Low Back Pain With a Sensorimotor Retraining Approach: Exploratory Multiple-Baseline Study of 3 Participants. Physical Therapy, 91(4), 535-546. http://dx.doi.org/10.2522/ptj.20100150
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