Routine Vaginal Examination in Labour Essay Example | Topics and Well Written Essays - 3000 words

Routine Vaginal Examination in Labour - Essay Example Vaginal exams have become routine during pregnancy in most parts of the United States. Interpreting labour progress is complex and requires experience, knowledge, and judgment, which are aided by continuity of care from a midwife to the pregnant woman (Dixon & Foureur, 2010). In this essay we will be focusing on the vaginal examination in labour. It has been observed that vaginal examinations in labour are used as a procedure through which the healthcare professionals demonstrate the progress of labour and the condition of labouring women. Vaginal examination helps and guides the doctors and midwives to estimate the time left in labour. The care and importance that a woman experiences during her pregnancy always has a great influence on her (Beech & Phipps, 2004). The regular examination of vagina to evaluate the progress of labour is one such care. The woman through this examination can assess the length, strength, position, and intensity required to take it to the end. Vaginal exam ination is not just a routine practice; rather it is undertaken to get variety of information for the well being of a mother and her child. The information that the healthcare professionals get from it are the fetal presentation, information on cervical effacement, consistency and dilatation of cervix, head movement of the fetal, and position of the nuchal cord. The doctors and midwives get to know what is happening to the patient and her labour with regard to the intensity of contraction (Thorpe & Anderson, 2006). They can identify the length of cervix dilatation and the time remaining for the labour. Vaginal examinations remain the most traditional and acknowledged method of measuring progress in... This report stresses that the resistance from the leaders and the key people is logical while implementing the change. Resistance is also made from the individuals and groups in terms of emotions, and social ties, etc. The resistance that is valuable for leadership and organization in terms of rules, and structure of change is fairly reasonable. The building relationship of trust between supervisor and those who are working with them is also necessary. The midwives cannot adopt a change until they have seen the supervisor practicing it. For this purpose, the supervisors and leaders have to provide them with support and guidance. This paper makes a conclusion that the midwives’ practice and role is accounted as the most major during this process, even more vital than a doctor. It all depends on midwives whether they feel the need for a vaginal examination or not. Mostly, they are so experienced that they can anticipate about the progress of labour through the breathing and condition of a patient. Vaginal examination is considered to be an essential clinical assessment tool through which the progress of labour is determined. Before introducing a change, the supervisors and the key people have to make plans for its implementation and a strategy through which the midwives can easily adopt the change. For this the supervisors have to prepare themselves for the meetings, research the ways through which they can convince the midwives, and prioritize the actions. Bringing a change is not easy, and to implement a change, the change has to be valid and have proper consents.

Hispanic American Diversity Essay Example | Topics and Well Written Essays - 1250 words - 1

Hispanic American Diversity - Essay Example People of Mexican origin are Mexicans either for the reason they are born in Mexico or of Mexican heritage. "The majority of Mexican Americans live in urban areas which comprise the three agricultural migrant streams that flow from the south to the north across the country, often twice annually. Historically, Mexican Americans have been both an urban and rural population. Since the 1600s, Mexicans were the first Americans to establish homesteads in the territories that became Arizona, California, Colorado, New Mexico, and Texas. Since before the turn of the century, Mexican Americans literally built the great southwestern cities of Los Angeles, San Diego, Tucson, Albuquerque, Dallas, and San Antonio" (2006b) Mexican culture is influenced by folk art, which exhibits in major American museums, and "the great Mexican muralists like Rivera, Siquieros, and Orozco were invited to paint frescoes on the walls of American institutional sites such as universities and even within such edifices of capitalism as Rockefeller Center in New York" (Limon, 1998, p. 26) Local Mexican cultural life involves the participation of ranches, they used to gather for parties and seasonal balls and dutifully attend Sunday gatherings. With respect to linguistics, "Mexican America... Others, speaking perfect English, have completely forsaken the tongue of their ancestors". (Gonzalez, 1969, p. 16) A few, usually among the more educated intellectual class, have made a point of learning to speak both English and Spanish well, but they are, very rare. It has been found that the majority of the members of this population still learn English as a second language, however Spanish-American leaders recognize that in order for individuals to raise their socioeconomic level they must speak English well. Puerto Ricans The cultural heritage of Puerto Rico is among the richest in the world. Traditionally, the Puerto Rican people speak Spanish; it is their language of loyalty, romance, passion, patriotism, business, negotiation, and defiance-it is their cultural language. Their ancestors inherited this language from the Spaniards through conquest, and yet it is not the language that the Spaniards spoke when Puerto Rico was under Spanish colonial rule, and it is not the Spanish that Spaniards speak today. In addition, for those who are fully bilingual in Spanish and English, a linguistic phenomenon called "Spanglish" has arisen. The Spanish conquest of Puerto Rico, and the rest of Latin America, for the most part guaranteed that the people would become Roman Catholic. Under colonial rule, it was forbidden to practice any religion but Catholicism. "In Puerto Rico there seems to be a combination of the practices of Santeria and Spiritism, and there are times when the people themselves are not certain o f the origin of a particular custom; they practice it because their ancestors did, not because they are active followers of Santeria or Spiritism". (Perez, 2000, p. 17) Politically, "Puerto Ricans have always received lower levels of Federal