Controlled Substance Monitoring Database; 2017 Report to the 110th Tennessee General Assembly

https://digitalcommons.memphis.edu/govpubs-tn-dept-health-controlled-substance-monitoring-database-annual-report/1005/thumbnail.jp

Having an Elective Cesarean Section: Doing What\u27s Best

The purpose of this study was to discover a theory on how women decide to deliver their babies by cesarean section instead of experiencing a trial of labor and expected vaginal delivery when it is appropriate. The specific goals are to answer the research questions: What is the decision-making process by which healthy, low-risk women choose to deliver their babies by cesarean delivery in the absence of medical indications? What antecedents occur to influence a pregant woman\u27s decision to undergo a maternal request cesaren section? Seven women from the surrounding Knoxville area underwent in-depth interviews. To qualify for the study, the women had to be healthy and low-risk, had an elective cesarean section within the last two years, be 18 years or older and reside in the East Tennessee area. Symbolic interactionism and feminism were utilized to provide a theoretical framework for the study. The grounded theory methodology by Strauss and Corbin (1990) was used to develop the core category, context, antecedents, intervening factors and consequences. From the data, a substantive theory was identified, Having an elective c-section: Doing what\u27s best. The antecedents of the women\u27s decision were being scared and perceiving a cesarean section as an easier way to give birth. Women made this choice after gathering information and seeking support from health care providers, friends and family within the context of progressing through the pregnancy. Once the decision was made and the cesarean section was performed, the women voiced happiness with their decision and in having a good outcome. The findings of this study may assist office nurses, public health nurses, midwives, advanced practice nurses, childbirth educators and other women\u27s health nurses to educate women on their childbirth options and hopefully to reduce the rate of maternal request cesarean deliveries

Focal Spot, Spring 1999

https://digitalcommons.wustl.edu/focal_spot_archives/1081/thumbnail.jp

M-health for maternal health- bridging the gaps!!

This article reviews significance, potential and principles to consider when setting up a telemedicine (TM) program to provide care to women in the field of obstetrics and gynecology, essentially deploying mobile technology. There are various benefits of such TM clinical applications. The consensus among patients and health care providers is that this technology is convenient to provide needed subspecialty medical care, even when it is not available locally. Such innovations are clinically successful, but economic and cost-effectiveness data are lacking

Preventing Neonatal Abstinence Syndrome within the Opioid Epidemic: A Uniform Facilitative Policy

The United States is currently in the midst of an opioid epidemic that has hit states in the southern New England regions particularly hard — with Massachusetts as one primary example. One of the many unfortunate results of the epidemic is a dramatic upsurge in cases of opioid dependency by expectant women that result in children born with Neonatal Abstinence Syndrome (NAS). NAS is a clinical syndrome that occurs when a newborn suffers withdrawal symptoms as a consequence of abrupt discontinuation of prenatal substance exposure. The expenses of treating and rehabilitating these drug-dependent newborns, predominantly shouldered by state taxpayers, are extremely costly, with a mean cost per stay of $93,400 for pharmacologically-treated cases. This Article illustrates a policy, grounded in facilitative principles, designed to reduce incidents of NAS. Key components to the solution’s success should rely on early identification of opioid abuse or dependence during pregnancy, as well as adherence to a standardized protocol implemented uniformly throughout public hospitals state-wide. The Article concludes by reemphasizing the importance of acting promptly and assertively to protect society’s most vulnerable members from the tragic epidemic

Public Health Nutrition Field Experience with the Chattanooga-Hamilton County, Tennessee, Health Department in 1973

This thesis describes and analyzes the student\u27s seven weeks of field training within the Nutrition Service of the Chattanooga-Hamilton County Health Department. This experience provided the student with appropriate background experience for her future role as a public health nutritionist. The field experience gives the student in public health nutrition an opportunity to work with allied health personnel under supervision and to apply the theories and principles of public health learned during the academic year to the practice of public health nutrition in the community. The experience was designed to strengthen the student\u27s philosophy and practical understanding of public health by introducing her to the practice of public health in the official health agency and the community. It provides a better understanding of the role of nutrition in the health agency, with a practical application to individuals and families. Experiences in a consultant capacity with other agencies was also offered. The student was given the opportunity to develop both her professional and personal abilities in carrying out applied nutrition programs in the health agency with community groups. Assignment to a specific area of the county provided responsibility similar to that of a new nutrition staff member in a county setting

Focal Spot, Spring 2007

https://digitalcommons.wustl.edu/focal_spot_archives/1105/thumbnail.jp

Focal Spot, Winter 1978

https://digitalcommons.wustl.edu/focal_spot_archives/1022/thumbnail.jp