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Based on “Case Study: Fetal Abnormality” and the required topic study materials, write a 750-800 word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?
5.  Christian View of the Nature of Human Persons and Compatible Theory of Moral Status 
6.  Determination of Moral Status 
7.  Recommendation for Action 
8.  Personal Response to Case Study 

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

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 Watch To Keep Women from Dying in Childbirth, Look to California (14:07)

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

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

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

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

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

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

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

o Read U.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 summary for each of the four pieces. Include your reaction, and if anything surprised you. 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 highest for 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?

6. March of Dimes – Take this 6-question quiz to test your knowledge: https://quiz.marchofdimes.org/quiz/maternal-health-quiz/?utm_medium=email&utm_source=marchdimes&utm_content=2%20-%20Take%20this%20quiz%20You%20may%20be%20surprised%20by%20s&utm_campaign=20180913_MaternalMortality_quiz_SenderA&source=20180913_MaternalMortality_quiz_SenderA

Take a screen shot of your results and submit with this document.

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?

CASE STUDY 

Individuals and a Family as a Client 

Mila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children’s deceased father. Mila’s older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband’s stroke. 

Use the Neuman systems model as a conceptual framework to respond to the following: 

• Describe the Jefferies family as a client I system using each of the five variables. 

• What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative? 

• What additional nursing assessment data are needed considering Robert’s medical diagnoses? What additional data would be helpful for Susan’s medical diagnoses? What about each of the children? 

• What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family. 

• Identify your nursing priorities if you were providing care to this family. 

Topic: Meaning

It is nursing theory-based practice that differentiates nurses from other healthcare providers and that resonates so meaningfully with the persons, groups, families, and communities served by nurses. One cannot practice or live what one does not know.

Which theory speaks to your advanced nursing practice?

Explain why it speaks directly to your future practice and give specific examples of how you see it fitting into your new role.

Learning Theories & Principles and Quality Health Care

The advanced practice nurse role is a career in which the advanced practice nurse must learn any new theories and principles and apply them to every aspect of their career. Teaching new theories and principles is the main guide for educational systems so that registered nurses and advanced practice nurses can do well when practicing to the fullest extent the career of an advanced practice nurse allows them to. By learning new theories, the advanced practice nurse can use the knowledge more effectively when applying it to different situations that might arise with different individuals (Parvin, n.d.). 

It is important for any career within the health care profession to have the regular use of theories and clear reasoning in educational activities, management, employee training, interactions with clients and patients, especially with the type of health care structure health care professionals work in (Parvin, n.d.). Theories can be classified into three different and general groups (Parvin, n.d.). The first group is behaviorism (Parvin, n.d.). The second group is cognitive (Parvin, n.d.). The third group is constructive (Parvin, n.d.).

The theory of behaviorism is highly evident and is the most dominant approach in psychology research (Parvin, n.d.). When the 20th century first began, behaviorists who took on a more traditional role “believed that learning is a change in observable behavior and it happens when the communication occurs between the two events, a stimulus and a response (Parvin, n.d.).” Basically what this means is that learners with a behavioral reinforcement can have a positive results for a good performance (Parvin, n.d.).

The theory of cognitivism is “believing that learning is a targeted internal process and focus on thinking, understanding, organizing, and consciousness (Parvin, n.d.).“ Cognitive learning theory cannot be observed  directly due to the fact that it is associated with a change in capacity and capability of the individual themself (Parvin, n.d.). Fundamentalists believe that cognitive theories can help students be equipped to questioning skill and problem solving through the exploration and information process (Parvin, n.d.).

The constructive theory has to do with the “objective reality of the outside world transferred from the learner (Parvin, n.d.).” The educational approach must be emphasized on the activity of the learner during the construction of knowledge (Parvin, n.d.).”  When it comes to nursing, this theory can be useful in allowing learners to actively participate in discussions and figure out the best approach (Parvin, n.d.). Doing things like creating a group discussion and and having a person as a coordinator in these types of theory sessions, even while at a patient’s bedside can help to sharpen, shape, and strengthen the cooperation between several individuals (Parvin, n.d.).

I believe that an advanced practice nurse should take all of these into consideration when doing things within their scope of practice. These learning theories and practices that come along with them allows advanced practice nurses to adapt to demands and circumstances that are crucial in health care (Braungart, Gramet, n.d.).

Reference

Aliakbari, F., Parvin, N., Heidari, M., & Haghani, F. (n.d.). Learning theories application in nursing education. Retrieved November 03, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355834/ (Links to an external site.)

Braungart, & Gramet. (n.d.). Retrieved from http://samples.jbpub.com/9781284104448/Sample_CH03_Bastable.pdf

Examine the literature related to case management for clients with HIV/AIDS. In a scholarly submission of 1500 to 2000 words, answer the following questions. Your submission should contain a minimum of three references.

1. What does the evidence indicate overall regarding the effectiveness of case management for this condition and client population?
2. Are there client-or population related factors that influence the effectiveness of case management strategies? How might these factors be modified to promote more effective case management?
3. What health promotion, illness prevention, problem resolution, and health restoration activities might be appropriate in dealing with the problem of HIV/AIDS client population? Which of these activities might you carry out yourself? Which would require collaboration with other community members? Who might these other people be?

 Apply a model of cultural competence to personal practice beliefs. For this assignment:

1. Reflect on the 5 constructs of Campinha-Bacote’s model of The Process of Cultural Competence in the Delivery of Healthcare Services: Cultural desire, Cultural Awareness, Cultural Knowledge, Cultural Skill, and Cultural Encounters. (See Chapter 2)
2. Review the Mission statements and values of St. Thomas University and its Nursing programs.
3. Reflect on your learning during this course.
4. Evidence of reflection on Campinha-Bacote’s cultural competency model and/or STU mission and values.
5. Your personal beliefs.
6. Your philosophy statement(s) related to culturally competent nursing care.
7. Implementing your beliefs.
8. Continuing your journey towards cultural competence

Submission Instructions:

• Your paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be no shorter than 1 pages; nor longer than 2 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).

Nutrition plays an essential role in supporting fitness and exercise. If you increase your level of physical activity, your need for nutrients and calories will also increase. In addition, the foods you eat before and after you exercise will have an impact on your performance during the physical activity and on your recovery afterward.

Perform some library research, and in a 2-3 page paper written in APA format using proper spelling/grammar, address the following:

1. Describe the importance of pre- and post-exercise nutrition choices. Provide examples of foods that are appropriate selections for each category.
2. Explain how foods and nutrients (including fluids and electrolytes) help improve a person’s performance during physical activity and their recovery afterward.
3. Consider your responses to items 1 and 2 above, and suggest an appropriate nutritional plan for a physically active person. Be sure to explain what the person should consume in an average day to support their caloric and nutritional needs.
4. Cite at least 2 credible references and present the resources in APA format on the References page.

 Describe the difference between research and quality improvement. Provide a workplace example where qualitative and quantitative research is applied and how it was used within your organization. When replying to peers, discuss how these research findings might be incorporated into another health care setting. 

 Telework opportunities are increasing in health care as they are in other employment sectors. Describe how members of a team can support each other best when they work on different schedules, in time zones, or on days. Include how principles of servant and values-based leadership enhance the working group and ensure timelines are fairly divided and implemented inside the desired goals. Describe any challenges you predict. Provide supporting references in your response.  PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE