Maternal Morbidity and Mortality

The U.S. has unacceptable rates of maternal morbidity and mortality, especially when compared to other developed nations. Women in America continue to experience sickness and death throughout the perinatal period – during pregnancy, birth, and in the postpartum period. 

This activity provides resources and educational stories from National Public Radio (NPR), USA Today, the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN), the March of Dimes, and the Illinois Department of Public Health. Please work through the activities and respond to the prompts after each section directly on this document. Place your responses on this document in a different color ink or font. Submit this assignment to clinical Absences Assignment Dropbox.

Student Name: _________________________________________

1. NPR maternal mortality series (2017): https://www.npr.org/series/543928389/lost-mothers

o WatchTo Keep Women from Dying in Childbirth, Look to California (14:07)

o WatchFocus on Infants During Childbirth Leaves U.S. Moms in Danger (12:11)

o WatchBlack mothers keep dying after giving birth: Shalon Irving’s story explains why (12:11)

o WatchFor every woman who dies in childbirth in the U.S., 70 more come close (10:42)

o ReadRedesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner and More Often (4/23/2018)

o ReadNearly Dying in Childbirth: Why Preventable Complications Are Growing in the U.S. (12/22/2017)

o WatchMany Nurses Lack Knowledge of Health Risks to Mothers After Childbirth (6:54)

o ReadIf You Hemorrhage, Don’t Clean Up: Advice From Mothers Who Almost Died (8/3/2017)

o ReadU.S. has the worst rate of maternal deaths in the developed world (5/12/2017)

Prompt #1: Choose two of the video stories and two of the article stories that captured your attention the most. Provide a brief summaryfor each of the four pieces. Include your reaction, and if anything surprisedyou. Each commentary should be a separate paragraph, 4-5 sentences for each.

2. USA Today videos and stories (2018)

Deadly Deliveries: (9 minutes)

https://www.usatoday.com/in-depth/news/investigations/deadly-deliveries/2018/09/19/maternal-death-rate-state-medical-deadly-deliveries/547050002/

Prompt #2: Briefly summarize Antoinette Pratsinakis, Ali Lowry and YoLanda Mention’s stories. What were their complications? What did the health care team do right? What did they do wrong?

How Hospitals Are Failing New Moms, in Graphics:

https://www.usatoday.com/deadly-deliveries/interactive/how-hospitals-are-failing-new-moms-in-graphics/

Prompt #3: Define maternal mortality. Rank the maternal mortality rate from lowest to highestfor the following developed nations: U.S., Canada, Germany, Japan, France, England. Approximately how many women die in childbirth in America every year? How many suffer severe complications? 

3. AWHONN: Read the article “Saving Women’s Lives” https://awhonnconnections.org/category/post-pregnancy/postpartum-care/

Prompt #4: What does the acronym POSTBIRTH stand for? How can we use this to better educate our new mothers on postpartum risks? 

4. March of Dimes – Read position statement:

https://www.marchofdimes.org/materials/March-of-Dimes-Maternal-Mortality-and-SMM-Position-Statement-FINAL-June-2018.pdf

Prompt #5: According to the CDC, what are “pregnancy-related deaths”? What are the top causes of maternal deaths? What is the role of the March of Dimes in efforts to reduce maternal mortality?

5. Read about House Resolution (HR) 1318: 

https://www.congress.gov/bill/115th-congress/house-bill/1318

Prompt #6: What is the name of HR 1318? In your own words, summarize HR 1318. What and when was the outcome of HR 1318? Do you think this will help to reduce the problem of maternal M&M? Why?

7.  Read article:  Illinois Releases First Maternal Morbidity and Mortality Report

http://www.dph.illinois.gov/news/illinois-releases-first-maternal-morbidity-and-mortality-report

Prompt #7: What were the highlights of what the committee found? Summarize the 6 key recommendations from the report.

8. Final reflection

Prompt #8: 

o What reaction did you have to these resources? What was the most impactful story, article, or new information you learned? Why? 

o What solutions have been suggested to address the growing problem of preventable complications? What is our responsibility, as health care professionals? 

o What do you think are the barriers that nurses face which prevent the delivery of quality care and education?

The article discusses the basis for this quandary, providing examples of the real-world impact it has on diagnosis-seeking and treatment decision-making behaviors and how it might inform implementation of EBM practices.

Siminoff, L (2013).  Incorporating patient and family preferences into evidence-based medicine.  BMC Med Infom Decis Ma 13 (Suppl 3)  S6 doi: 10.1186/1472-6947-13-S3-S6

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029304/

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

• In the Module 4 Discussion, you considered how      professional nurses can become involved in policy-making.
• Review the Resources and reflect on the role of      professional nurses in policy evaluation.

Resources attached and following

https://www.nursingoutlook.org/article/S0029-6554(18)30061-7/fulltext

By Day 3 of Week 9

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

300-350 word with in text citations with at least 3 references from professional sources

Scenario: Family
An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long term care facility but feels she is not able to care for her.

Directions:
Part 1:
• The original post must be at least 200 – 300 words in length
• What is your role in this situation?
• How might you help the daughter with her decision?
• What information would you give the daughter?

Scenario: Family
A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence.

Directions:
Part 1:
• The original post must be at least 200 – 300 words in length
• What housing options would be appropriate for him? Why?
• What advantages would such housing options offer over living alone?

Suicide

Due on: Sunday 10/18, at 11:59 pm

Please watch the video and answer the following questions:

• Did this video change your opinion on suicide?
• What did the video teach you about suicide?
• When completing an initial assessment for a client with suicidal ideation, what are the most important pieces of information that should be captured?

Minimum of 300 words with at least two peer review reference in 7th edition apa style.

Reflect upon the selected practice problem DIABETES and consider the following.

• What are the common barriers to evidence translation in addressing this problem?
• What strategies might you adopt to be aware of new evidence?
• How will you determine which evidence to implement?
• How will you ensure continuation or sustainability of the change?

Complete modules within the QSEN Faculty Learning Modules at https://qsen.org/faculty-resources/courses/learning-modules/. There are 18 modules offered. For each module completed, write a one to two-page reflection of what you learned within the module and how you will use this information as a future MSN-prepared nurse educator in the academic or professional development setting. Include responses to the discussion/self-reflection questions at the end of each module.

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Study 1 & 2 Lyme Disease and Peripheral Vascular Disease 

The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submited in this course are registered and saved in turn it in program.

Turn it in Score must be less than 20% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 20%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

I need a respond to this assignment 

zero plagiarism’

2 references 

Your video would like to add a few points regarding usefulness of family therapy for addiction problems. Family is the heart of societal relationships. A study by Ulas et al. (2019) explored the usefulness of family-based treatment in changing family attitude toward people suffering from addiction. The intervention used in the study was cognitive-behavioral group counseling and the treatment program included different techniques including solution-focused family skill training, community and peer monitoring and parent training. It was found that family therapy helps to improve problem-solving skills and coping skills of individuals suffering from addiction. The idea behind using family in treatment of addicted patients stem from the family disease model (FDM). This model views family as being diseased or dysfunctional (Smock et al., 2011). This model also explains that alcohol and drug addiction does not impact one single person, but they impact the whole family. Thus, family therapy is a useful treatment modality for addiction.

References

Smock, S. A., Froerer, A. S., & Blakeslee, S. E. (2011). Systemic interventions in substance-abuse treatment: Past, present, and future. Journal of Family Psychotherapy, 22(3), 177-192. https://doi.org/10.1080/08975353.2011.602613.

Ulaş, E., & Ekşi, H. (2019). Inclusion of family therapy in rehabilitation program of substance abuse and its efficacious implementation. The Family Journal, 27(4), 443-451. https://doi.org/10.1177/1066480719871968.

Please Note – You will not be submitting your rough draft this week. You will submit confirmation of your draft submission to SmartThinking.

1. Review the results from the Questionnaires Activity to gather the data you need to support your rough draft. 

2. Create a 250-350 word draft essay that includes the following:

• Paragraph 1: Identify your leadership preference(s) and describe why the different aspects appeal to you most. Include specific terms or examples from the resources to identify your preferences.
• Paragraph 2: Describe what experiences you have as a leader, or your experience(s) with other leaders that support your preferences as areas you want to develop as a leader. You may include examples of leaders that have not demonstrated strengths in the areas you noted and how their lack of leadership in that area helped support your decision. (Sometimes we learn how to be a good leader by experiencing bad leadership).
• Paragraph 3: Describe how you will use your strengths and preferences in leadership within at least one setting. You may not be leading a group at this time, but there are opportunities to act as a leader at work, at home, and in classes, so you can apply your understanding of your leadership in any of these settings. 

3. Submit Leadership Preference Reflection paper draft to SmartThinking online tutoring for feedback.

4. SmartThinking will send you a confirmation email noting your submission as received.

5. Upload a screen shot of the email confirmation in the assignment link.

Note:  Within three (3) days, a SmartThinking tutor will return your draft paper with suggested changes and edits.  You are expected to incorporate the suggested feedback into your final draft due Week 4.

KEEP A COPY OF THE FEEDBACK. You will need to upload the SmartThinking feedback with your final draft in Week 4.