Question

Discussion Topic: What are the responsibilities of nurses and the nursing profession to ensure that the timing of discharge is appropriate and safe for each postpartum woman and her baby?

Discussion Topic: How does the nurse play a critical role in promoting the safety of women who participate in an early-discharge program and plan to return home within 12 to 24 hours after their vaginal birth?

Discussion Topic: What are the different treatment options and nursing instructions for superficial venous thrombosis versus acute pulmonary embolus?

Answer 1

Answer 1. The nurses should know when is the correct time to discharge both the mother and the baby. For mothers, depending upon the delivery type and the postpartum changes running inside her body suggest the discharge time. For the baby, its health, weight and futuristic plans like immunisation, etc are considered before discharge. In normal cases mothers and the baby can be discharged after 24 hours but if they want to leave early, their parents or other family members are taught or guided for taking full care of both. Generally the first 24 hours are very critical for both mothers and babies. For making discharge sheets, the nurses need to ensure their physical health's, detect early possible problems, assist in feeding times, helps in starting a relation of mother and her baby and to check their pshcyosocial stresses. After such major checking a nurse can make the discharge sheet for them.

Answer 2. Normally the minimum stay recommended for the mother and the baby after vaginal delivery is 24 hours. But if for any reason they wanted to leave early, they firstly have to mention it to their doctors. They have to come back to the doctor to see them the baby's health. Generally, it is hard to take similar kind of care at home that would have been provided at hospi2to both mother and baby, but nurses have to make sure that intense care by their families by educating them should be done. Babies should not be bathed before 24 hours, mother and baby to be kept in same room, full rest and medications of both to be taken care of, bringing them both back to hospital for checkups is must on ensure list to get early discharge.

Answer 3. In superficial veinous thrombosis,  the nurses apply heat procedures to the painful area, helps adjusting and elevating the affected leg. They administer an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) to the patient and make them possibly wear compression stockings. The condition of such patients usually improves on its own.h

And in case of Acute pulmonary embolus, the first step is to provide provide oxygen therapy, then giving anticoagulant medications, such as heparin, enoxaparin, or warfarin are usually given to help thin the blood and prevent further clotting are the next steps to be taken by the nurses. The patients should also be educated for including physical activities , a healthy diet, and giving up or avoiding smoking tobacco, so as to avoid such condition in future again.