Applying Theory to a Practice Problem: Part 2 Tammeda Griggs Grand Canyon University Nursing 502 April 30th, 2018 Introduction You hear all the time, about the changes in medicine and how the practice of medicine is evolving to improve care. But what if some of changes are not for the greater good of the patient, but rather more of a convenience of the physician? Questions are being raised, regarding the number of babies being delivered by elective induction of labor. Because, physician have the authority, they are now offering patients the option to be induced for reason that are convenient for them or the patient. Induction of labor comes with many risks. According to Moore & Low (2012), when patients opt to induce their labor, …show more content…
Using Peplau’s theory, to address inappropriate induction of labor orders, would be appropriate for this problem. The areas of focus in this theory is safety, advocate and educator. From the time of admission until delivery, the nurse is at the bedside supporting and laboring with the patient. So, when the patient comes in with induction orders, the nurse must follow the doctor’s orders, if it is safe to do so. Some of the orders written by the doctor’s, are not appropriate at the time of admission. The nurse must assess the patient and check the status of her cervix before initiating the orders. After the cervical exam is complete and the nurse finds that the cervix is closed and thick, the nurse must than make sure, that the induction medication ordered, is appropriate. So, if the doctor sends over an order for induction of labor by Pitocin, and patient cervix is closed, the nurse can apply Peplau theory of nurse advocacy and patient safety. The nurse must call the doctor and inform them of the cervical exam status and suggest the use of a cervical ripening first. According to ACOG (2017), the cervix should be soft, ripen and dilated at least 2 centimeters before starting a low dose oxytocin. Because oxytocin is used to cause uterine contractions, it would not be good for the baby, if the uterus is contracting every 2-3 minutes against a closed cervix. If that happen, the baby could soon show signs of distress by way of an increase (above 150) or a decrease (below 110) in the fetal heart rate. By following Peplau’s theory, the risk associated with inappropriate orders of induction of labor, can be decreased. The physician, and the nurse must have one goal in mind, that is a safe delivery for mom and
Karla Homolka is a prime example of a person who has committed a violent crime. The story of who Karla Homolka is and what she had done is very well known, not just in Canada but all over North America. After hearing the story of what her and Paul Bernardo did many people would wonder why, why and how could two people commit such violent acts. There are many theories that criminologists could use to try and explain the reasoning behind the actions of Karla Homolka, one would like to believe that there are reasons and not just that she was an evil person.
The Consequence Argument is an argument that concludes a hypothesis to be true or false based on whether the premise leads to desirable or undesirable consequences. This is based on an appeal to emotion, or a manipulation of one’s emotion in order to win an argument, especially in the absence of factual evidence. There are two sides in the Consequence Argument, compatibilism and determinism. Free will is the ability to either perform or restrain from actions based upon one’s decision. In the free will debate, Peter van Inwagen, a professor of philosophy at the University of Notre Dame, takes on a compatibilist view by establishing that freedom can be present or absent in situations for any reasons, and that if determinism is true than one’s
When pregnant, many expecting mothers are faced with a very tough decision, the decision to have an epidural during labor or to have a natural birth. Both methods have negative and positive aspects. This topic has such conflicting views that about 50% of women decide to get an epidural when going into labor and the other 50% of women choose the alternative: natural childbirth. It is important for an expecting mother to look into both options thoroughly to ensure they make the best choice for both themselves and for their child. With all of the speculations circulating about both options, it is hard for mothers to see the truth about both epidurals and natural childbirth.
Cord clamping takes place after birth, during the third stage of pregnancy. Once the infant is born , the umbilical cord, which is still supplying nutrient rich blood to the fetus from the mother, must be clamped and cut. This is followed by the delivery of the placenta, which completes the third stage of pregnancy, and thus the cycle is complete. Time is something that can be argued by health professionals all around . Neither physicians nor midwives can scientifically say what is the optimal time for cord clamping because each pregnancy and thus each birth is different and unique . Universal protocol does not necessarily apply during the birthing process. However, majority is something that can be considered and is what this study will look at. Taking a look at the comparisons of delayed cord clamping and the historically accepted practice of quick c...
"7 Tips For Having A Natural Childbirth." Fit Pregnancy. N.p., n.d. Web. 25 Nov. 2013. .
An analysis of Polyeucte by Pierre Corneille reveals that the presence of God’s grace is evidently alive and can be seen in the character’s actions and choices throughout the play. At the beginning of the play, the main character Polyeucte is immediately thrown into a dilemma, to be baptized or not to be baptized. On one hand he fears his wife, who is a non-Christian will become angry with him for going through with the baptism. On the other hand, his friend Nearchus urges him to become a Christian as soon as possible. The question then becomes how the role of grace affects not only Polyeucte’s actions but all the main characters in the play. Grace is defined by the Merriam Webster Dictionary, as “unmerited divine assistance given humans for their regeneration or sanctification”. This leads us to trying to figure out where grace is present in the play.
You did an excellent job of explaining all the aspects of the Toulmin argument, which gives me and the rest of your audience total clarity. Where you go into depth of what each paragraph is for and entails, which is very helpful. In which I totally agree with all of your explanation of what is supposed to be included in the Toulmin argument, when writing an essay. Therefore, the depth that you write about the Toulmin argument is useful, along with being valuable to your audience. However, with your explanation of the example, I thought that it could be more specific. Since the example you choose is a more hypothetical one, rather than an example from modern day politicians or one from an actual company. In addition, I think it would be more
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
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
In the text, "The Book of Margery Kempe”, transcribed by an anonymous priest and translated by Lynn Staley, Margery Kempe incited a notion that she was a part of something greater than herself through the transformation of her identify by her performance after her first childbirth, how she dealt with the scared through her crying performances, and how she taught and persuaded those around her to follow God through her religious performances. Firstly, Kempe’s identity transformed after the birth of her first child, representing that she was a part of something greater than herself because of her ability to transform herself into a devote woman of God. Kempe had found herself attacked by illness after her first child was conceived, and the devil began to appear in her life and convinced her to betray her devotion to religion. She was able to transform this mindset, however, after she had a vision of Jesus.
Cesarean delivery in a past pregnancy continues to generate a critical problem in decision making for both women and their caregivers. For women who have had a previous cesarean section, have three possibilities for their next method of birth. They can go into labor and have a vaginal birth, which is known as (VBAC), or they can go into labor and unfortunately need another cesarean. The other option is an elective repeat cesarean (ERC). Choosing the method of birth is an important and a very personal decision, therefore it should be discussed with family and with the health care provider who can help you learn what the risks may be. The health care provider has to take into account many factors in their decision-making process. Trial of labor after cesarean (TOLAC) should be a possibility for most women with a prior cesarean but regardless of the approach to delivery, a
Between five to ten percent of all infants are born more than two weeks before their due date due to several factors that include infections, illness, poor nutrition, or complications during the pregnancy. Fetal monitors are used in the cases of C-sections because there is a much higher risk of detecting the infant’s distress and therefore can go in more quickly to remove the baby from the uterus. When the mother is under general anesthesia, which is rare in the United States, the mother is not aware of any kind of pain or even the birth of her child. When the mother has spinal anesthesia she has no feeling from the waist down. Sometimes, the best indication that the baby is in distress is the mother- an unfamiliar pain occurs or something else could be a sign of problems.
Before inducing labor, your health care provider will consider a number of factors, including the following:
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.
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 deliver after a cesarean delivery, as well as the risks and benefits if it. Delivering a child by a c-section also has a few advantages and disadvantages for both the mother and child; this will also be discussed in more depth a bit later.