The purpose of the literature review was to find documentation regarding the impact of education on PAP therapy adherence. To create an accurate picture of this one must look at all steps of adherence. The literature review starts with reasons for non-adherence, then reviews different types of educational intervention and finally concludes with a review of different measurement tools utilized in measuring adherence. Reasons for nonadherence: To understand nonadherence to PAP therapy, it is important to first understand patient reasoning for not using as prescribed. A study completed by Brostrom et al (2010) completed a qualitative content analysis of barriers for adherence to PAP therapy. This study was completed in Sweden, data was collected
The Russell-Uflad Company developed the RU-486 pill in France in 1980. The women of France greatly hailed the development of this pill. It was said to be safer, easier, and more private since the pill can be taken at home, or in a doctor's office instead of a hospital. The pill has proven to be very effective and has found its way to the United States, but is only tentatively approved. Why should it not be approved if it could be an easier, more private way to have an abortion? Over half a million women in France have used the RU-486 pill and there have been very few cases reported with serious side effects. (Banwell 82) The side effects have only occurred in 4 percent of the women who have already used the pill. The side effects have been so minor that most of the women did not need medical attention.
The most common conflicts that cause a woman to get an abortion are based on their own personal responsibilities. Sixteen percent of women, who get abortions, believe that their life would be changed too much to acquire a child. Twenty-one percent of expectant mothers feel that they are not ready for the responsibility to care for an adolescent. Few as twelve percent have complications with relationships or are unmarried. One perecent have been raped and/or incested. Twenty-one percent have financial disputes. Eight percent currently bare children and have all they wish for. Three percent have discovered that the baby in the womb has health issues. Four perecent of the abortions are other reasons. Lastly, the abortion pill used to minimize the fetus, does not work, therefore the woman receives an
Simonds, W., & Ellertson, C. (2004). Emergency contraception and morality: reflections of health care workers and clients. Social Science & Medicine, 58(7), 1285-1297.
The article discloses the benefits of the NuvaRing and supports the author’s recommendations. Every medication, including contraceptives, is subject to side effects. The nursing practice needs to educate patients and provide enough information for patients to decide if this method of contraception is right for them and if the benefits outweigh the risks. This will improve the practice of nurses who work in OB/GYN and dermatologist offices. Improved training for the nurses will lead to better patient care.
The debate concerning abortion still exists and is causing a lot of controversy. One of the biggest is an issue concerning mother’s who are experiencing health compilations during p...
Concluding the research “Overall, 3% of women reported that a clinician had discussed emergency contraception with them in the past year, and 4% of those who had ever had sex with a man reported having used the method. Only 4% of those who had seen a gynecologist in the past year reported having received counseling. Women's likelihood of having received counseling was reduced if they were 30 or older (odds ratio, 0.2), and was elevated if they were Hispanic (4.1), black (2.6) or ever-married (2.4). Receipt of counseling in the last 12 months was the strongest predictor of eve...
The method used to study the hypothesis was by having 328 women completed five surveys up to 72 hours postpartum. They were between the ages of 18-42. Out of the group 68.6% were married or living with a partner and 43.3% had a job. The average number of years the women spent in school was 8.8yrs. More than half (59.2%), did not complete high school and only 2% (6) completed higher education. From the group, 19.2% of them had a miscarriage before. More than half (51.5%) had already had a baby before, and 22.1% had a high risk pregnancy. These surveys included the peritraumatic dissociative experience questionnaire (PDEQ), the socio-demographic and obstetrical questionnaire, the pain numeric rating scale, the Trauma History Questionnaire, and the SCID-I for traumatic events. The female participants were recruited from two maternity facilities which were located in Recife, Brazil. Participation for this experiment was voluntary and the participants were informed that if they did not wish to take part in the experiment their future care would not be affected. Out of the women asked to participated 30 refused and 328 took part in the examination. The requirements for women to participate were: 18yrs or older, up to 72 hours postpartum, and the baby was alive at the time of the interview. Women who were under treatment for a psychiatric disorder were excluded. Between July 2010 and November 2010, data was collected.
For a large part of my younger years I was indifferent to the cost of birth control, as it wasn 't something that I ever really had to pay any mind to. At the time, I was not knowledgeable of the vast number of benefits that they provide for so a wide variety of women with differing medical needs. However, my entire viewpoint on the matter had changed after a consultation with my doctor, resulting in a recommendation to consider taking oral contraception in order to soothe medical issues of my own. The medical consultation opened my eyes to the medical benefits, resulting in a drastic change of my personal views on contraceptive use. After having seen the difference that taking a small pill made on my daily life, I began to contemplate the influence that it can have on other women with similar or even far more extreme medical conditions than my own. While reading about the many different kinds of contraception and their uses, I also began to think about overall cost. Personally, my insurance covers the entire cost of the pills with no additional copay. Many other women on the other hand are not quite as fortunate to have insurance provide them with such a controversial
Being a mother is a lifelong job that requires copious time, energy, and money. There are myriad different reasons in which a woman would consider getting an abortion. The decision is often tragic and painful for the mother. It is one of the biggest choices a woman will make. Many people have strong beliefs about abortion, and if a mother makes a decision that they do not agree with they sometimes turn against the mother, and enkindle egregious feelings about their decision for the rest of their life. Indeed a woman may not get an abortion for selfish reasons or out of convenience, but out of a desire to protect certain important values such as her own health or a decent standard of living for the other members of the family. Additional intentions for having abortion include rape, financial difficulties, obligation by family members, or danger to the baby’s health (Roleff
van Bogaert, K. D., & Ga, O. (2014, February). Ethical issues in family practice: Medical futility--the debate. Retrieved from South African Family Practice: http://www.safpj.co.za/index.php/safpj/article/viewFile/20/20
While most people associate birth control as a way to prevent pregnancy, there are also many other positive medical benefits of birth control that are used for comfort and for life threatening medical issues. In a recent study put out by The Washington Post reported that out of the 58% of women who take birth control for reasons other than just family planning 73% of those women go on birth contr...
The topic of abortion has been discussed in many ways including positive and negative ways in the United States, an understanding of why women seek abortion has been missing from the discussion. Approximately 1.21 million women per year have abortions, individuals do not publicly talk about their abortion experiences
This handout is to explain and provide information regarding patient centred care and informed choices, clarifying exactly what they mean to you. It also enables you to gain a thorough understanding of both aspects, identify how they are used in practice and just how you can benefit from them.
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
In the second article Julie Cantor and Ken Baum explains that individual right and public health boundaries remain unclear and want to offer a balance solution for this complex problem. The conclude that no the pharmacist should not reject and or reject the dispensing of the drugs due to the have an obligation to meet the needs of their customers by referring them elsewhere. They argue in this article “The Limits of Conscientious Objection- May Pharmacists Refuse to Fill Prescriptions for Emergency Contraception?” regarding pharmacists as professional and with their code of ethics that is seems inappropriate to question their right. However, even the courts have agreed that pharmacists have a duty of care. Professionals are expected to place the interests of their clients above their own immediate needs. They believe that a pharmacist understand their fiduciary obligations when they choose their profession (Baum, 2004). Next they argue that emergency contraception is not an abortifacient. They next objecting medications can affect a patient’s health and even place a heavy burden on a person who has no means for another option. Refusal has potential for abuse and discrimination. Final argument is if refusal is the choice then it is unacceptable to leave a patient to fend for themselves. The offer the solution of may have the right to object but, not to