NMBA Pregnancy-Induced Hypertension Case Study

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Women-centred care is an individual-focused nursing practice. It involves women in all aspects of their care and moves away from medical practice with minimal communication towards open communication. This type of care request healthcare practitioners to involve clients in the process of health care decision, including a thorough explanation of illness to clients and exploration of the client’s feelings, beliefs and expectations (Australian government department of health, 2013). The target of women-centred nursing care aims to respect individual’s cultural diversity, recognize their inherent dignity, promote clients safety, and implement nursing intervention with relevant and specific treatment. Registered nurses must comply with the NMBA …show more content…
Gestational hypertension, mild pre-eclampsia, severe pre-eclampsia and eclampsia are four types of PIH. PIH is diagnosed when blood pressure reading are higher than 140/90 mmHg in a female who had normal blood pressure prior to 20 weeks. Increased blood pressure, rapid weight gain, oedema, blurred vision, nausea and vomiting are common symptoms of pregnancy-induced hypertension. The pathophysiology of gestational hypertension is unknown, and yet some risk factors such as pre-existing hypertension, kidney disease, diabetes and multiple fetuses are at high risk of developing gestational hypertension (Health direct, 2013). Women can be life-threatening if gestational hypertension leaves untreated. As Tiana complains about rapid weight gain, persistent headaches, vomiting and swollen legs, I checked her medical record and found that her blood pressure is about 145/94, and her test result shows excess protein in the urine. She might be developed PIH because elevated blood pressure, proteinuria and abnormal gaining weight during pregnancy indicate postpartum pre-eclampsia. I did a physical examination, monitored her vital signs, measured and recorded urine output, assessed oedema legs, assessed deep tendon reflexes every 4 hours, and weigh her weight daily. To prevent the deterioration of her symptoms, I decided to restrict Tiana’s fluid intake, utilise …show more content…
A woman with a personal history of depression is at high risk of experiencing postpartum depression (PPD) after giving birth. Postpartum depression usually develops gradually over a period of time after a child birth. It has prolonged symptoms of depression that last more than a week or two and interfere with the ability to function on a daily basis with normal routines. Women develop PPD always follow with hormone level changes, physical changes and mood changes, extreme mood swings, concentration difficulty, weight loss, feelings of guilt, excessive concern about the baby or lack of interest in the baby are common symptoms of postpartum depression. Postnatal depression can interfere with the developing relationship between mother and babies after birth and impose overwhelming force on the relationship between the parents, as well as causing distress for mothers themselves (Baby center, 2014). Tiana developed PPD after giving birth, she shows intense mood swings since her babies was sent to special care nursery due to preterm and premature. Her treatment for PPD is consists of a combination of antidepressant medications and interpersonal psychotherapy. Selective serotonin reuptake inhibitors (SSRIs), such as sertraline, paroxetine and citalopram are effective to treat depression, and yet the SSRIs can affect babies’ health while breastfeeding.

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