Sunday, February 24, 2019

Healthy Emotional Transition for Mothers, First Week Post-Partum Essay

Emotional is an important aspect of life. We populate joy, anger, and sadness in e actu exclusivelyy twenty-four hours life. When we do non tend to our sense quests, psychological complications may occur (Burger & Goddard, 2010). According to health Canada (2009), 16% of women in Canada volition baffle major low gear in the course of their lives. Women experience increased risk for psychological dis sites in postnatal period (Raines, Campbell, &Hall, 2010).The closely common psychological disorders be postnatal patricians, postnatal depression (PPD), and postnatal psychosis (Raines, Campbell, &Hall, 2010). 75% of women experience postpartum blues, but the symptom is normally easy and locoweed usually improve without professional help (Raines, Campbell, &Hall, 2010). A more than serious condition is called postpartum depression. Postpartum depression is a aesculapian condition that affects about 10% of m opposites (Raines, Campbell, &Hall, 2010). In this obligate, I will analyse the postpartum depression in relation to the healthy emotional transition.This offspring is important because the postpartum depression is more serious and cannister usually last for months (Raines, Campbell, &Hall, 2010), and because postpartum depression can usually be notice and prevented (Donaldson-Myles, 2011) (Wojcicki & Heyman 2011) (Garabedian et al. , 2011). The purpose of this paper is to provide the knowledge to prevent PPD. In order to meet the purpose of this paper, I will examine 3 articles that I pick out chosen from CINAHL and write critical study and relate the selective tuition from the article to my own nursing experience. Synthesis These articles offer great in-depth on how to prevent PPD.Wojcicki and Heyman (2011) grow reviewed 10 articles and made conclusion that although more studies are needed, lofty dosage of omega-3 fatty sultry sebaceous acid can exhaust down the risk of PPD. Donaldson-Myles (2011) reviewed on the evidence of go down oning and PPD and has found a strong opposite link between the two. Garabedian et al. (2011) has found that women who are victim of violence in adulthood are more liable(predicate) to acquire from PPD. These 3 articles feed contributed to additional information on PPD to what is learned from the textbook. They provide insight on when PPD will likely happen and how to reduce the likeliness.Based on the information on these articles, prevention of PPD would be the top priority in my nursing practice. For example, although it is known from the class that 10% of women will suffer from PPD (Raines, Campbell, &Hall, 2010), it is provided explained that women suffer multiple evils should be expected to have higher risk of PPD (Garabedian et al. , 2011). In the future nursing practice, I will obstructor for signs of injury and the affable state of the lymph gland as well as those of her partners to choose veritable that the client does not suffer from violence.I will include absorbing and high dosage of omega-3 fatty acid workaday as part of my health teaching to reduce the risk of PPD (Donaldson-Myles, 2011) (Wojcicki & Heyman 2011). The points that have emerged from this assignment are many. One question is that even though there are ways to reduce the risks of PPD, what is the sure way of preventing it? Another question is that Wojcicki & Heyman (2011) has found that high dosage of omega-3 fatty acid can reduce the risk of PPD, does taking too much omega-3 have any side effects? Thirdly, what should I do to reduce PPD if the client refuses to breastfeed?The depression 4 weeks of this course has provided me with foundation of caring for postpartum mothers. I learned the basic cares and assessments for postpartum mothers. Those 3 literatures provide me with further knowledge of psychological aspect postpartum mother and made me sort for signs of trouble. For example, Garabedian et al. (2011) has found that single mothers, smokers, and wom en of young age are more likely to experience violence, hence more likelihood of PPD. During my first week of practicum, the first mother that I examined was recently single, had to go out to smoke during my cry and was 26 years old.At that time, she looked perfectly fine and well serene and was reading her self-help book. I thought that she was going to be fine with her postpartum life. If I possessed this piece of knowledge back then, I would bed her has high-risk for postpartum depression and offer her additional information on how to deal with psychological changes. During the week of my health teaching, I had the privilege of witnessing childbearing and caring for the mother and the child for the day. I apply Watsons caritas surgical execute 3, which is developing and sustaining a helping trusting authentic caring consanguinity (Jesse, 2010).From the moment I walked into the delivery room, I kept reminding myself that helping the unhurried was my first priority, and th at anything that I could learn was just a bonus and should not interfere with the charrs needs. Therefore, after I introduced myself, I used the technique of using silence and avoid looking at the womans exposed body parts because I thought it would pee-pee more tension for the woman (Burger & Goddard, 2010). I kept quiet bank the family finally thought that I was trustworthy.During the teaching, I used Watsons caritas process 7, which is Engaging in genuine teaching-learning experience that attends to unity of being and meaning, attempting to occlusion within others frame of reference (Jesse, 2010). Since the family looked very educated, I shared my note on their knowledge to help communicate (Burger & Goddard, 2010). I used call such as you might already know this to make myself little lecturing. My patient was very willing to listen to what I had to say because I was very helpful in their delivery and they knew that my teaching was an assignment for school.They asked me a few questions regarding to how to deal with postpartum blues and appeared genuinely interested in my presences. I thought my teaching was effective because firstly I was very nice and humble towards them. Secondly, I received feedback from them in term of questions (Burger & Goddard, 2010). efficient communication involves dialogues in both directions (Burger & Goddard, 2010). Conclusion Postpartum period is a difficult time for a woman (Evans, 2010). The body has to undergo physiological and psychological changes (Evans, 2010).Several factors influence the psychological changes. From my reading of the articles, it is learned that breastfeeding and high intake of omega-3 fatty acid reduces the risk of PPD (Donaldson-Myles, 2011) (Wojcicki & Heyman 2011), and that violence victim have higher risk of PPD (Garabedian et al. , 2011). As a nurse, one has to stopover vigilant on clients behavior, diet, and environment and reduce the likelihood of PPD by informing the patient the benefi t of breastfeeding, the benefit of omega-3 fatty acid, and by assessing the patients living environment.Reviews The key points of this article is that women who breastfeed are less likely to suffer from postpartum depression just the old inquiryes proving otherwise and that breastfeeding provides defense that lasts up to 3 month (Donaldson-Myles, 2011).. The mean audiences of this article are midwives (Donaldson-Myles, 2011). The limitations of this study is the delineate the postpartum depression and defining breastfeeding. In both(prenominal) of the study, some people are mixed feeding, which can confuse the result (Donaldson-Myles, 2011).There is also no clear, universally define method on how to breastfeed in all the studies (Donaldson-Myles, 2011). The definition of postpartum depression is also unclear (Donaldson-Myles, 2011). Although most studies use the Edinburgh depression scale, some of the depression symptom may be just due to lack of sleep or religious factors ( Donaldson-Myles, 2011). The cut-off point for depression is also not the selfsame(prenominal) across all the studies, with some using the cut-off point of 13 for depression and some using 12 as cut-off point (Donaldson-Myles, 2011).This seek is done in Britain (Donaldson-Myles, 2011). It applies to Canadian nursing because both countries share the same culture and customs. The implication of this article for nursing practice is that as nurses, we need to advocate on breastfeeding in our patient care. Since breastfeeding can offer protection from postpartum depression up to 3 month (Donaldson-Myles,2011), we need to make sure that the clients know the benefit of breastfeeding and make sure that they can breastfeed properly.The key points of this article are that taking high dose omega-3 fatty acid supplement reduce the risk for postpartum depression (Wojcicki & Heyman 2011) and that moderate amount shows no effect (Wojcicki & Heyman 2011) . The intended audience of the article is f or the researchers who intend to do more research on the correlation omega-3 and postpartum health (Wojcicki & Heyman 2011). The limitation of this research is that it is a review of other journals. Thus the author does not have raw data from the research (Wojcicki & Heyman 2011).This research is done department of pediatrics, university of California, San Francisco, California, USA (Wojcicki & Heyman 2011). This research applies to Canadian heart because of the proximity of two countries. One limitation of this research is that it is a review of other articles (Wojcicki & Heyman 2011). The author does not have the primary data from all the studies. Another limitation of this research is that the dosage of omega-3 fatty acid is not the same in all the studies. Some studies take 100mg daily, others take 500 mg daily and there are also recommendations for 2g/day (Wojcicki & Heyman 2011).The key points of this article is that women who are the victim of violence are more likely to sel f-report postpartum depression (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011) and that the more types of violence experience, the more likelihood of self-reported postpartum depression (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011), and that the likelihood of postpartum depression strongly correlates to the race, married status, education, and the usage of drugs (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011).The intended audiences of the article are for the medical professionals who are check depression for postpartum women. The limitation of this study is that this is composed of mostly online questionnaires (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011) therefore, sullen data can appear in the data collection. For example, postpartum blue can be mistaken as postpartum depression (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011).Secondly, this is come has a difficult time distinguishing disciplinary act ion and child disgust (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011). For example, any hit from the guardian could be considered as child abuse in this survey (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011). This research is done in Kentucky, USA (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011). It applies to Canadian nursing practice because 5%-50% of women experience abuse in their lifetime (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011). The implication of this article for nursing practice is that as nurses, we need to check for evidence of abuse as part of nursing assessment. For example, suspicious bruises should be reported. Since violence is strongly correlated to postpartum depression, we need to make sure that the clients with history of abuse can get help in the postpartum period (Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011) .

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