New advances are constantly becoming standardized treatment for disorders in all fields. Nurses, as well as others,  must incorporate these findings into interventions when delivering care. As an example, the Joint Commission has described an initiative addressing the fact that the United States ranks 65th among industrialized nations in terms of maternal death because of poor outcomes, The Joint Commission evaluated expert literature to determine what areas held the most potential impact. The literature review revealed that prevention, early recognition, and timely treatment for maternal hemorrhage and severe hypertension/preeclampsia had the most impact on decreasing complications. The Joint Commission has instituted 13 new elements of performance that will be required of accredited hospitals.

Read the evidence reports that are presented in one of the articles listed below about either pre-eclampsia or obstetric hemorrhage. For the complication that you select, identify three findings that expand the information beyond your textbook.  

Anderson, C. M., & Schmella, M. J. (2017). CE: Preeclampsia: Current Approaches to Nursing Management. (Links to an external site.) The American Journal of Nursing, 117(11), 30–38

Discussion Guidelines

Posts need to be written in a professional manner. The content should have a clear beginning, middle, and end. Professionals communicate using correct grammar and spelling. It is acceptable to use a grammar or spelling editor prior to submitting your post. Language that is disrespectful or discourteous is not acceptable. Your posts should be of sufficient length to answer the question, but information that is extraneous or irrelevant will not strengthen your post.

The purpose of the discussion is to explore topics and to share information. Your original thought about the question is important. It is acceptable to use personal experiences from a professional standpoint. Your information and opinions should have support from the textbooks, professional position statements, and journals. It is not acceptable to copy and paste information from outside sources without using direct quotes. It is preferable to paraphrase information. When you restate the information in your own words by paraphrasing, you demonstrate that you have read about the topic and that it has meaning to you. You are showing that you can apply the information.

Evaluation

Your work in the discussion will be assessed using the AD Discussion Rubric. All discussions combined are worth 25% of your grade; each individual discussion is worth 3.57%.

References

OutcomesRubric

Textbook Readings

Silbert-Flagg, J. & Pillitteri, A. (2018). Maternal and child health nursing. Care of the childbearing and childrearing family (8th ed.) Philadelphia, PA: Wolters Kluwer.

  • Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness (pp. 489-521)
  • Chapter 21: Nursing Care of a Family Experiencing a Sudden Pregnancy Complication (pp. 524-562)
  • Chapter 22: Nursing Care of a Pregnant Family with Special Needs (pp. 565-594)

Burchum, J. R., & Rosenthal, L.D. (2018). Lehne’s pharmacology for nursing care (10th ed.). St Louis, MO: Elsevier. 

  • Chapter 64: Drugs that Affect Uterine Function (beginning of chapter until the section on Drugs for Postpartum Hemorrhage, pp. 778-784)

Web Resources

Anderson, C. M., & Schmella, M. J. (2017). CE: Preeclampsia: Current Approaches to Nursing Management. (Links to an external site.) The American Journal of Nursing, 117(11), 30–38.

Dillard, A. C. (2017). Obstetric hemorrhage in the rural emergency department: Rapid response. (Links to an external site.) Journal of Emergency Nursing, 43(1), 15–20.

References

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