Transcript: Newly delivered mother in recovery from either vaginal or cesarean birth and their baby. A RN is in charge of vital assessments of both mom and baby, pain med distribution, and encouraging bonding between mother and baby. Health Care Team During my time on this unit I shadowed some very experienced nurses which really helped my experience. It was exactly what I thought it would be. I was able to witness caring for mothers with post-partum and mothers that were extremely involved and over joyed. Patients were surrounded by family and others required a lot more assistance from the nurses because they were there by themselves. I could definitely see myself as a mother baby nurse. It's a goal that i would like to work towards. On this unit you will find... Obstetrician - certified in maternal/fetal medicine and provides medical supervision for the medical care of patients Pediatrician - certified in neonatal medicine and provides medical direction for newborn nursery Lactation Consultant - educates/supports women about breast feeding and human lactation Among these you will also find... RN, LPN, PCT, SA, and various counselors to help mothers showing signs of post-partum depression. As a nurse you will care for patients of all cultures and elasticities. With these it is important to respect their customs especially when it comes to motherhood. Communication is very important, language barriers are always a difficult obstacle, with help from translators information can be communicated easily. With the amount of health care professionals on this unit, many job descriptions over lap. It is important to communicate with your co-workers and with the patient to keep them up to date. Typical Patient Common Tests Many tests are performed on a newborn with its first 48 hours of life such as... Newborn Metabolic Screening - blood test that screens for 50 metabolic diseases, genetic disorders, and anemia (done once 24 hours old and has had at least 1 feeding) Bilirubin Test - performed on all babies within 36-40 hours, light is placed on forehead of baby ( premature babies are monitored more often) Baby Hearing Screening - happens day after birth, soft ear pieces are placed over baby's ears, sensors measure brain's response to sound. Many babies fail the first time. For a new parent, the amount of equipment used can be a bit overwhelming... here's some of the basics Bili-lights - bright blue fluorescent lights placed over a baby's incubator used to treat jaundice Breast pumps - used to stimulate breast milk production while baby is recovering and unable to feed Diaper scale - to measure baby's intake and output while baby's are in special nursery This unit specializes in the care of newly delivered mothers and their stable babies. The health care team of this unit works together to support and educate new parents on basic skills and next steps. Everyday Equipment Mother-Baby
Transcript: Career Brides Maids Dresses - 1000 THE END. BABY NAMES -6,950,000. House Ring - 780 Guadalupe Family Tree KARELLY ELIZONDO 31,000 a month. Food - 7000 Music - 10,000 Wedding. Spouse -Tall. -Handsome. -Smart. -Blue eyes. -cowboy. Jewelery - 1000 Things I Value College Rancho EL Charco -15,000 Physical Therapist Assistant helps a physical therapist in the goal of treating patients who suffers from injury or physical disability. ME. Physical Therapist Assistant Limo - 300 -Money. -Laptop. -Music. -My Car. -God. -Earrings. -Water. -Food. -Grandma. -Joanna. Estimated cost, approximately 28,000! Buchanas - 500 Adalia -Visit Europe -Take a picture with Luke Bryan -Go to Cancun -Jump of a cliff -Go diving -Ride a Hot Air Ballon -Buy my parents a house and cars -Go horse back riding -Addopt an Animal -Have 6 kids Dress - 3,000 Joseffina Edsemanny Baby Powerpoint -Family. -Aracely. -My house. -Parents. -Education. -Car. -Clothes. -Shoes. -My Closet. -IPhone. -Hard Working. -Loves kids. -Funny. -Guero. -Loves to dance. Jose Uriel 80,000 a year Bucket List. Center Pieces - 2500
Transcript: Constitution Act, 1982 Section 7 52. (1) The Constitution of Canada is the supreme law of Canada, and any law that is inconsistent with the provisions of the Constitution is, to the extent of the inconsistency, of no force or effect.* The plaintiffs state that they were discriminated against based on their sex The defendants state that the claim does not relate to "benefits and burdens of the law" and that the plaintiffs are asking for special treatment outside the scope of Section 15 Defendants conceded that the Mother-Baby program allowed protections afforded by the CFCS Act and that this cancellation caused separation of mother and baby Judge rules that defense arguments are invalid History of the Mother-Baby Program 12. Everyone has the right not to be subjected to any cruel and unusual treatment or punishment.* Saving Grace? - Section 1 Expert Evidence The Plaintiffs - Alouette Correctional Center for Women opened in 2004 (medium/open security) - First baby arrived in 2005 - Women deliver their babies at the Fur Square Unit at BC Women's Hospital - Mothers/babies housed in Alder Unit - Nursing staff present 7am to 10pm daily - Correctional staff present 24 hours a day - Babies were seen by a doctor and public health nurses on a regular basis - Program was officially canceled in 2009 by Brent Merchant Pains of Re-Entry Dr. Michael Elterman clinical and forensic psychologist with a particular expertise in the evaluation of the best interests of the child in the context of child custody, child protection and parent-child attachment provided an expert report in rebuttal to the report of Dr. Martin. the central theme of his report is that there is no general answer to the question of the best interests of children determination must be made on a case-by-case basis Section 1 Not Contentious - Women constitute a small percentage of the provincially incarcerated prison population, and are significantly less violent than male offenders. - Women offenders are a vulnerable population: substance abuse issues, mental health issues, been victims of abuse, and overall require greater medical care than male prisoners. - Many inmates are mothers of dependent children, and are normally single parents as they are the only parent providing for their child or children. - Aboriginal women are significantly overrepresented compared to other women in the provincial prison population. 2010/2011: Aboriginal women accounted for 42% of sentenced admissions and 29% of remand admissions while only accounting for 4.8% of the general population (pg. 59) *Canadian Charter of Rights and Freedoms http://laws-lois.justice.gc.ca/eng/const/page-15.html Corrections has statutory jurisdiction to run ACCW and to provide programs for inmates starting point with respect to the legislative context is the Correction Act. The power to make regulations is provided to the Lieutenant Governor in Council by s. 33.” - The authority to run the Mother Baby Program is found in ss. 1, 38(1) and (2) of the Regulation, which provide: (1) The person in charge must establish programs for inmates, including religious and recreation programs. (2) As far as practicable, the person in charge must establish programs designed to assist inmates to (a) improve their education or training, and (b) reduce the risk they present to the community. - The Mother Baby Program was established originally, by Ms. Tole in accordance with her statutory duty and authority (under s. 38 of the Regulation.), but the The Mother Baby Program was terminated by Ms. Anderson at the direction of the Provincial Director, Mr. Merchant, in accordance to the same statutory authority. - Chief Justice McLachlin confirmed that an exercise of discretion taken in accordance to a statute must conform with the Charter. (66) Statement of Philosophy 1. The significance of gender should be acknowledged in the design and operation of all facilities, services and programs. 2. The experiences and needs of men and women offenders are different. One important difference is that most women offenders have experienced victimization or exploitation, most often by men, and they continue to be vulnerable. 3. Facilities, programs and services must recognize these distinctive factors and provide an environment that is respectful, safe and constructive for both women offenders and the staff who work with them. Because privacy and dignity are fundamental for women in the custodial environment, living units are staffed by women officers only. 4. To most effectively address criminogenic needs in custody and community settings, techniques and materials which are demonstrated to support women’ s learning and behaviour change should be incorporated in supervision, case management and programming. 5. All staff providing direct service to women offenders should understand the significance of gender in their work, including the experience and perception of authority by women, and the dynamics of cross-gender supervision and
Transcript: - how nurses chart and get medication - two different types of circ. procedures ? - what can I do for you? - held babies - measuring intake and output ? 55.5 hours ? ? Questions - Can I watch this? Advice BOY OR GIRL? ? Kathy Buhler - hearing tests for baby ? ? ? - about ectopic pregnancies - how to set up for circumcisions - how to set up a room ? Mother Baby Unit ? - hand washing and gloves Presentation by Haley Urdahl - brought patients linens, fluids, and things needed - about rhogam ? Ask a lot of questions! - took temperatures of babies What did I Learn? - took an IV out ? ? ? ? ? What skills did I apply? ? - is there anything different I can do today? Is there a completely different set of nurses for the night shift? - made a bed - about treatment for high bilirubin - listened to a baby's heart and found the bpm ? Kaiser Permanente - meconium diapers are hard to change ? Something I Saw - babies can have blood in their throw up
Transcript: Example of a Jeopardy Template By: Laken Feeser and Rachel Chapman When creating without a template... http://www.edtechnetwork.com/powerpoint.html https://www.thebalance.com/free-family-feud-powerpoint-templates-1358184 Example of a Deal or No Deal Template PowerPoint Game Templates There are free templates for games such as jeopardy, wheel of fortune, and cash cab that can be downloaded online. However, some templates may cost more money depending on the complexity of the game. Classroom Games that Make Test Review and Memorization Fun! (n.d.). Retrieved February 17, 2017, from http://people.uncw.edu/ertzbergerj/msgames.htm Fisher, S. (n.d.). Customize a PowerPoint Game for Your Class with These Free Templates. Retrieved February 17, 2017, from https://www.thebalance.com/free-powerpoint-games-for-teachers-1358169 1. Users will begin with a lot of slides all with the same basic graphic design. 2. The, decide and create a series of questions that are to be asked during the game. 3. By hyper linking certain answers to different slides, the game jumps from slide to slide while playing the game. 4. This kind of setup is normally seen as a simple quiz show game. Example of a Wheel of Fortune Template https://www.teacherspayteachers.com/Product/Wheel-of-Riches-PowerPoint-Template-Plays-Just-Like-Wheel-of-Fortune-383606 Games can be made in order to make a fun and easy way to learn. Popular game templates include: Family Feud Millionaire Jeopardy and other quiz shows. http://www.free-power-point-templates.com/deal-powerpoint-template/ Quick video on template "Millionaire" PowerPoint Games Some games are easier to make compared to others If users are unsure whether or not downloading certain templates is safe, you can actually make your own game by just simply using PowerPoint. add logo here References Example of a Family Feud Template PowerPoint Games are a great way to introduce new concepts and ideas You can create a fun, competitive atmosphere with the use of different templates You can change and rearrange information to correlate with the topic or idea being discussed. Great with students, workers, family, etc. For example: With games like Jeopardy and Family Feud, players can pick practically any answers. The person who is running the game will have to have all of the answers in order to determine if players are correct or not. However, with a game like Who Wants to be a Millionaire, the players only have a choice between answers, A, B, C, or D. Therefore, when the player decides their answer, the person running the game clicks it, and the game will tell them whether they are right or wrong.
Transcript: . Location: Radford, Va Cost: Average VA Residents Honors Tuition/Room/Board/Fees $28,744 $28,744 $28,744 The salary for a mother/baby nurse as of January 2014 is 67,000 dollars. Mother/Baby nurses have to complete their master's degree or they can have a Doctor of Nursing Practice Degree in Neonatal Nursing. What is it? A nurse that takes care of the mom and the baby after the baby is born. They show the mom things like, how to feed the baby and change the babies diaper. The nurse also keeps check on the mom. Virginia Commonwealth University Liberty University: Job openings in Virginia: Cost: Semester total and Year totals In-State Tuition Semester: $3,400 Year: $6,800 Mandatory Technology Fee Semester: $27 Year: $54 Mandatory Comprehensive Fee Semester: $1,445 Year: $2,890 Total In-State Semester: $4,872 Year: $9,744 Cost: Category Va resident Non-Va resident Tuition and fees: $12,002.28 $29,473.14 Room: $5,454 $5,454 Board: $3,628 $3,628 Total: $21,084.28 $38,555.14 Virginia Commonwealth University Radford University Liberty University Base Salary Reston, Va: Reston Hospital Center https://hca.taleo.net/careersection/0hca/jobdetail.ftl?job=1544658&src=JB-11444 Fredericksburg, Va :Spotsylvania Regional Medical Center https://hca.taleo.net/careersection/0hca/jobdetail.ftl?job=1550824&src=JB-11444 Mother/Baby Nurse Location: Richmond, Va Location: Lynchburg, Va Kaylee Browning A4 Degree or Certificate? Radford University Places to go to school...
Transcript: Substance Abuse DSS Involvement Mental Health Information: Alcohol Abuse and Treatment Center (ADACT) Women's Recovery Mary Benson House What I learned... Interventions Neonatal Abstinence Syndrome (NAS) Early Intervention Care Coordination for Children Postpartum Depression Photos like comment share like comment share References Barth, J., Munder, T., Gerger, H., Nuesch, E., Trelle, S., Znoj, H., Juni, P., & Cuijpers, P. (2013). Comparative efficacy of seven psychotherapeutic interventions for patients with depression: A network meta-analysis. Plos Medicine, 10(5), 1-17. doi:10.1371/journal.pmed.1001454 Butler, A.C., Chapman, J.E., Forman, E. M., & Beck, A.T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31. doi:10.1016/j.cpr.2005.07.003 Cognitive behavioral therapy (2016). PubMedHealth. Retrieved from https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072481/#i2136. howdoescognitivebeha Hepworth, D.H., Rooney, R.H., Rooney, G.D., & Strom-Gottfried, K. (2013). Direct social work practice: Theory and skills. (9th ed.). Belmont, CA : Brooks/Cole. O’Hare, T. (2015). Evidence-based practices for social workers. An interdisciplinary approach. (2nd ed.). Chicago, IL: Lyceum Books. Tolin, D.F. (2010). Is cognitive-behavioral therapy more effective than other therapies?: A meta-analytic review. Clinical Psychology Review, 30(6), 710-720. doi:10.1016/j.cpr.2010.05.003 Westra, H.A. (2004). Managing resistance in cognitive behavioral therapy: The application of motivational interviewing in mixed anxiety and depression. Cognitive Behavior Therapy, 33(4), 161-175. doi:10.1080/16506070410026426 Windsor, L.C., Jemal, A., & Alessi, E. (2015). Cognitive behavioral therapy: A meta-analysis of race and substance use outcomes. Cultural Diversity & Ethnic Minority Psychology, 21(2), 300-313. doi.10.1037/a0037929 Client Information CBT Motivational Interviewing Interpersonal Psychotherapy (IPT) Behavioral Activation Therapy (BAT) Psychodynamic Therapy Mother-Baby Unit like comment share Education Resources: Review of Literature
Transcript: Mother-Child Interaction: How ACEs can affect it and its results on child's socio-emotional development ACEs ACEs Definition Overview Examples Consequences Inter-generational Transmission of Trauma Definition The Holocaust Consequences ITT (F0) – directly exposed individual; (F1) – first affected generation; (F2) – second affected generation; Quality of Mother-Child Interaction Definition Outcomes QMII When the mother shares the baby's affection, attention and temporal sequence so that the interaction is contingent (the baby acts and the mother responds) and by pausing to allow the baby to respond, they, the baby, can advance in all aspects of development. The ability to be responsive, sensitive and engaged with the infant depends on a sophisticated and coordinated behavioral response from the mother. Definition Maternal Components Sensitivity Intrusiveness Limit Setting MOTHER Child Components Social Engagement Withdrawal Compliance Negative Emotionality CHILD Dyadic Components Reciprocity Negative States DYAD Socio-emotional Development SED Definition Milestones Social Engagement Hypothesis HYPOTHESIS Direct Effect Model 1 ACEs SED Recruitment (2nd to 3rd gestational trimester) Child Social Engagement (CIB) 6 months Mediated Effect Model 3 ACEs SED QMCI MD EPDS (up to 7 days before MS evaluation) Mediated Effect Model 2 ACEs SED QMCI Maternal Sensitivity (MS) (newborn) What do we have so far? NOW 110 mother-baby videos (newborns) 23 CIB micro-coded (expecting to have 37 by the end of May) 76 6-month old babies videos 30 coded with CIB global system 7 14 month old videos RESULTS Preliminary results Pilot Results Children´s mean age: 38 +/- 0.5 Mother´s mean age: 30 +/- 5.4 ACEs mean score: 4.7 +/- 2.6 GAD-7 mean score: 12 +/- 5.6 PHQ-9 mean scoe: 11.4 +/- 7 No direct effect of ACEs on MS and MI No mediated effect of ACEs on MS and MI (either via GAD-7 or PHQ-9) 36 M HM preliminary results Total analyzed subjects: 30 No mediated effect of ACEs on MS MI, either via PHQ-9 or GAD-7 Direct effect of ACEs on MI (p=0.017) HM 6 M Next steps CIB Global System reliability CIB micro-coding reliability Upload videos to SharePoint Code videos for preliminary results (deadline?) Qualification International fellowship NEXT
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