The purpose of this paper is to analyze a specific case study in this Troy University School of Nursing student’s clinical experience with the application of the Synergy Model. Both patient characteristics exhibited and nursing characteristics necessary for optimal care and synergy to occur in this specific case study will be discussed.
This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks gestation. Ultrasound revealed no fetal cardiac activity upon arrival.
Despite having undergone a previous cesarean section with her first child, physicians collaborated with each other and with the patient, and decision was made to induce labor chemically and attempt a vaginal birth after cesarean (VBAC). When no cervical change had begun and the patient began bleeding moderately, the decision for a cesarean section was necessary.
Upon arrival to the postpartum unit, the patient’s physician instructed to observe the patient carefully for she had increased potential for developing disseminated intravascular coagulation (DIC), “a life-threatening secondary complication of a number of varied disease states” (Plaut, 2011, p. 24). DIC “typically overwhelms compensatory anticoagulation mechanisms resulting in depletion of factors and laboratory derangement” (Plaut, 2011, p. 26). The patient’s hemoglobin and hematocrit had dropped from 14gm/dL and 38% to 10gm/dL and 26%, respectively. No significant d...
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...(Hardin & Kaplow, 2005). This Troy University School of Nursing student’s experience in this case study has only strengthened the student’s continued utilization of this model.
References
Hardin, S.R. & Kaplow, R. (2005). Synergy for clinical excellence: The aacn synergy model for patient care. Sudbury, MA: Jones and Bartlett Publishers
Lindell, D., Reimer, A., Swickard, S., Swickard, W., & Winkelman, C. (2014). Adaptation of the aacn synergy model for patient care to critical care transport. Critical Care Nurse, 34(1), 16-29. doi:10.4037/ccn2014573
Plaut, D. (2011). The laboratory's role in disseminated intravascular coagulation. Journal of
Continuing Education Topics & Issues, 13(1), 24-28.
Stadtlander, L. M. (2012). The grief of caring: Self care in helping grieving parents of stillbirth. International Journal of Childbirth Education, 27(2), 10-13.
Patient A.B. was a 26 year old female who had delivered her baby girl at 0502, approximately two hours before I assumed care of the patient with my preceptor. This was her third pregnancy and all were a cesarean delivery. Gestational age at time of delivery was forty weeks and one day. Mom was group B strep negative and required no antibiotics, blood loss was approximately 400ml and baby had Apgar score of eight and nine. The patient had a very detailed birth plan which included some details such as; staying with her baby, breastfeeding, and providing
The opportunity to bring life into the world is a priceless moment, and for that to be threatened by a disease; such as Placenta Previa, is heartbreaking. Placenta previa is commonly described as the imbedding of the placenta over or close to the cervix. According to the Permanente Medical Group, during a normal pregnancy the placenta forms at the top part of the uterus far from the cervix. However in placenta previa, the placenta tends to attach to the lower section of the uterus either covering or partially over the cervix, making it almost impossible for a normal delivery (vaginal birth) to take place (Placenta Previa). Placenta previa complicates about 1 in every 200 deliveries and is one of the top leading causes of vaginal bleedings for the second and third trimester (Getahun). It is also related with the escalation of risks of maternal and infant illness and death (Getahun). Instead of there being a specific or many solutions over the years, doctors have come to agreement with different treatments for placenta previa. The obvious solution to placenta previa is to reduce your risks by avoiding cigarettes and any type of drugs, try to reduce your use of abortions an cesarean section, meaning no elective C-sections (The Bump). However, because the reduction in the things above is unlikely due to the mind-frame and unawareness of today’s women, the medical board has to think of alternative treatments to placenta previa, such as bed rest, constant monitoring through-out the pregnancy, and cesarean section. In this essay, I will evaluate the above listed treatments, which stage the doctor will suggest the treatment and explain which I believe is best.
The model consists of four concepts: humans in relationship, relationship-centered professional encounters, feeling cared for, and self-advancing systems. In addition to the four concepts, Dr. Duffy also defined the role of a nurse and emphasized a nurse’s responsibilities: (1) continuously attain advance knowledge and expertise, (2) initiate, cultivate, and sustain
As defined by Lowdermilk, Perry and Cashion, preterm labor is “cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy”. Preterm birth is a dramatic event causing distress for both the child and parents. There is a significant amount of information available on the risk factors related to preterm labor. Seeing the ineffectiveness of interventions directed towards known risk factors emphasizes the lack of maternal understanding of possible underlying pathways.
Inappropriate delivery treatment and services, posing serious health risks or causing death to the baby and/or mother
173, para 2). Working together as a team, nurses and other health care providers tend to communicate and collaborate effectively thus complementing and compensating each other’s strengths and weakness to endeavor even in the most adverse times.
In my previous role as a Licensed vocational nurse, I worked in the outpatient setting, Perinatology, where there are high-risk pregnant patients. The patient I helped take care of, was early in her pregnancy, approximately 29 weeks, and was a patient who had been seen in this clinical office
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
Nursing is a unique system that requires good collaboration with others and working together to reach the goal of providing good quality care based on evidence-based-practice. “The role of a colleague is a vital one in any profession. The status of colleague within the care generates pictures of nurses, doctors, pharmacists discussing, on an equal basis, problems and concerns related to healthcare” (Zerwekh & Zerwekh Garneau, 2015, p.144). If nurses can’t get along with other healthcare providers that will jeopardize the patient’s recovery and can take a huge turning point and guide nurses away from providing high quality
Intro- Collaboration with the interdisciplinary team plays a big part in the care of a patient.
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
Postpartum hemorrhage is the leading cause of maternal mortality in the world, according to the World Health Organization. Postpartum hemorrhage (PPH) is generally defined as a blood loss of more than 500 mL after a vaginal birth, more than 1000 mL after a cesarean section, and a ten percent decrease in hematocrit levels from pre to post birth measurements (Ward & Hisley, 2011). An early hemorrhage occurs within 24 hours of birth, with the greatest risk in the first four hours. A late hemorrhage happens after 24 hours of birth but less than six weeks after birth. Uterine atony—failure for the uterine myometrium to contract—is the most common postpartum hemorrhage (Venes, Ed.).(2013). Other etiologies include lower genital tract lacerations, uterine inversion, retained products of conception and bleeding disorders (Kawamura, Kondoh, Hamanishi, Kawasaki, & Fujita, (2014).
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
The demands on health care providers to provide the best quality care for patients is increasing. With added responsibilities and demands on our health care workers, it is hard not become overwhelmed and forget the reason and purpose of our profession. However, there is a way where all professionals can meet and come together for a common cause, which is the patient. A new approach in patient care is coming of age. This approach allows all health care professionals to collaborate and explore the roles of other professions in the hope of creating a successful health care team. This approach is referred to as the Interprofessional Collaboration Practice (IPC). To become an effective leader and follower, each professions will need to work together
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.