Critical incident in public health Essay

This script is an analysis of a comminuted happening which occurred during a category visit in ace of the suburbs of Cape margin Metropolis. A brief description of the incident will be granted including the interventions that were given and recommendations for future occurrence. I will apply the Gibbs (1988) reflective seat to identify strengths and weaknesses observed in the analysis and how they may be enhanced. In conclusion, the lessons gathered from the incident will be stated. Pseudonyms will be use here to maintain confidentiality. NMC (2000) Critical incidents ar defined as essential demeanour either outstandingly effective or ineffective with follow to attaining the general aims of the activity. The procedure has considerable efficiency be set close to of the use of only the extremes of behavior. It is wholesome known that the extreme incidents jakes be more accurately identify than behavior which is more nearly average in character. Flanagan (1954). If we were to add the critical incident to Cres come ups (1998) list of qualitative traditions, we would describe its distinctive features as the next a) Focus is on critical events, experience of a peculiar(prenominal) situation or event. b) Discipline origin is from individual trial and organizational psychology. c) Data collection is primarily through interviews either in soul or on telephone.During a home visit exercise to one of the communities within the catchment area of the public health unit, we went to a house to identify the clients who visit our facility for child welfare clinic. On this visit, we seized the opportunity to deal the health needs of the house hold members as it was observed to name problems with milieual hygiene. This was when one member of the house told us about a pregnant cleaning lady who insults alcohol. I was alarmed to hear that, so this got me homophile(a) to learn more. Substance abuse, also known as drug abuse is a patterned use of a contente dness (drug) in which the user consumes the substance in amounts or the methods which are themselves harmful. Some of the drugs often associated with this line includes alcohol, barbiturates, substituted amphetamines, cocaine and opiods. Mosbys Medical Nursing and Allied wellness dictionary (2002). Public health practitioners suck attempted to look at substance use from a broader perspective than the individual, emphasizing the role of society, cultureand availability.A study done in 2010 asked drug-harm experts to rank various il effectual and legal drugs. Alcohol was found to be the approximately dangerous by far. represent net.com. gentle fair sex AA is a 24 year old woman who co habits with a blind man, her boyfriend. The man takes tending of her especi all in ally all her pecuniary needs barely she has one particular problem which according her is the cause of her recent boozinging habit. harmonise to madam AA, she wished her boyfriend had performed the necessary w edding party rite so that she can also be addressed as a Mrs. Earlier on, Madam AA admitted that, she used to plight alcohol at times tho the trend has now increased to drinking alcohol all day, an act her boyfriend and siblings abhors very much. Upon nonwithstanding questioning, she admitted that she has defaulted from Antenatal Care (ANC) serve because the launching pad Fersolate she takes changes the color of her stools to green which is unpleasant to her. The public health prevail improve Madam AA on some of the benefits that one can learn from attending ANC services.A colleague also promised her to substitute the Tablet Fersolate with Tablet Vitafol which she concur to. Madam AAs sister added that her drinking habit is so bad that she normally trips over the abdomen. I spoke to Madam AA about the danger she is exposing her unborn child and that of her own life to. I promote her to try and stay away from friends who normally go out with her to drink alcohol. I also e ncouraged her sister to be a reckon woman for her in order to prevent any accident in the future. Traditional pediatric negociate is often based on the surmisal that parents have the basic knowledge and resources to provide a nurturing, safe environment and to provide for the emotional, physical, developmental, and health care needs of their infants and girlish children. Unfortunately, many families have insufficient knowledge of parenting skills and an inadequate support system of friends, extended family, or professionals to help with these vital tasks. Home-visitation programs offer an effective mechanism to ensure current parental education, social support, and linkage with public and private community services()The chase day, we visited drip AA at home. On this day, unlike the previous one when we met Miss AA drunk and unkempt, she really appeared neat. She had seen to her personal hygiene needs, did non have the intoxicant breath smell and was assisting a neighbor in preparation of fodder for anaming ceremony later in the afternoon. We advised her to give up down any alcoholic beverage she may be served with, which she agreed to. The Vitafol pills were then handed over to her as promised and she was congratulated for staying away from alcohol.My feelings about Madam AAs drinking habit reminded me of what we have been taken through on the subject of substance abuse e surplusly alcohol being the most dangerous of these substances. I was but astonished to see a young woman who was so careless with her life. In fact, immediately I see Madam AA, for the first time, I was prejudiced. I thought for a endorsement that she may be suffering from one form of psychosis or the new(prenominal). This was when I realized that, keeping this woman at home was non the surpass of options for her. I right judged her in my heart without thinking professionally. She actually postulate care in the psychiatric hospital. She needs to see a psychologist for sessi ons. existence on admission for monitoring would have been the best of alternative for her but all I could do was judge her.On evaluation, a underage but growing body of research has supported the effectiveness of home-visitation programs. The following benefits have been found as an issuance of some, but not all home visitor programs. Olds DL, Kitzman H. retrospect of research on home see for pregnant women and parents of young children. future tense Child. 199335392 According to Olds DL, Henderson CR Jr, Tatelbaum R, Chamberlin R.,(1993) in the journal, Improving the delivery of prenatal care and outcomes of pregnancy a randomized trial of nurse home visitation. Pediatrics. prenatal benefits of home see includes Increased use of prenatal care, increased birth weight, reduced preterm labor and increased length of gestation, increased use of health and other community resources (eg, prenatal visits, well-child visits, family, planning programs for women, infants, and childr en WIC, and immunizations, improved nutrition during pregnancy, fewer urinary tract infections during pregnancy, increased attendance at childbirth classes and decrease in maternal smoking and alcohol intake.The bad aspect of Madam AAs situation was, she was prone to falls and normally topples over her abdomen but that never deter her from drinking thenext day. In increment to her accidents, she had also defaulted from her ANC attendance so there was very little to learn from the pull ahead of her pregnancy. That is, the present state of her fetus and that of her own health was unknown. In a report by the National Survey on Drug implement and Health (NSDUH) released on September 9, 2013, it stated that women who drink alcohol magic spell pregnant increase the pretend that their infants will have physical, learning, and/or behavior problems, including Fetal Alcohol Spectrum Disorder (FASD).These problems are caused by alcohol and can be permanent. Alcohol can disrupt fetal devel opment at any stage during a pregnancy, even before a woman knows she is pregnant. If a woman is pregnant, there is no known amount or type of alcohol that is safe for her to drink. To prevent problems like FASD, a woman who is pregnant or likely to become pregnant should not drink alcohol. However, the good aspect of the situation was our meeting with Madam AA was very well-timed so we gave the necessary education on the importance of attending ANC service. We apprised her that this will help assess her condition and that of the unborn child. In addition we spoke to her on the need to abstain from alcohol so it however not surprising that we met her the next day in a emend condition than the previous day.,In analysis, public health nurses have been viewed as advocates of the poor, the disadvantaged, minorities, and any population groups in need of community-based, prevention-oriented health care services. As early as 1859, with the founding of the first district nursing associat ion, nurses were viewed not as mere attendants of the sick, but as social reformers. Public Health Reports nurses were strategically located to become responsive to their communities unmet needs. (Gardner, M. S. Public health nursing. The Macmillan Company, wise York, 1917.) In this incident, I realized that the public health nurses do well to visit the various homes but their intervention to problem encountered is very minimal.For instance, in Miss AAs case, it can clearly be seen that we should have do the appropriate referral for further management but that could not be done. We just counseled her and left her to her own fate. I therefore recommend that, the public health nurses will make contacts with other institutions for either curative or reconstructive purposes. This will help in the proper referraland further management of cases that are identified in the communities. I also recommend that certain special cases identified in the communities should be followed up on to kn ow the outcome of the visit. Again, logistics such as easy means of transportation for the nurses to their various catchment areas should be provided. This will help in transporting any emergencies encountered in the communities to the appropriate facilities so that lives can be saved.In conclusion, theres much to be gained from effective home visit such as identifying high risk persons and offering the appropriate intervention. In using the component of nursing service, sagacity of Miss AA led us to the root cause of her drinking alcohol, she was educated and counseled but continuous support and arrangement for referral to the appropriate facility for further management was not done. Despite the intuitive appeal of deploying health care professionals whose target of care is the whole community, public health nursing has not been firmly institutionalized in the nations health care system. Indeed, in many metropolitan areas, PHN services are facing singular budget cutbacks and staf fing reductions.List of references1. Schieber GJ, Poullier JP, Greenwald LM. Health care systems in twenty four countries. Health Aff (Millwood). 1991102238 2. Kamerman SB, Kahn AJ. Home health visiting in Europe. Future Child. 199333952 3. Buhler-Wilkerson K. Public health nursing in sickness or in health? Am J Public Health. 19857511551161 4. Weiss HB. Home visits necessary but not sufficient. Future Child. 1993 3113128 5. Baker JP. Women and the invention of well child care. Pediatrics. 1994 94527531 6. Chapman J, Siegel E, Cross A. Home visitors and child health analysis of selected programs. Pediatrics. 19908510591068 7. . Olds DL, Kitzman H. Review of research on home visiting for pregnant women and parents of young children. Future Child. 199335392 8. Olds DL, Henderson CR Jr, Tatelbaum R, Chamberlin R. Improving the delivery of prenatal care and outcomes of pregnancy a randomized trial of nurse home. Downloaded from pediatrics.aappublications.org at GhanaAAP Sponsored on Ap ril 2, 2014