scholarly journals Personal Loss and Grief Experiences of Healthcare Personnel in Pre- and Perinatal Care: A Review of Literature

2019 ◽  
Vol 8 (1) ◽  
pp. 23
Author(s):  
Éva Zsák ◽  
Teodóra Dömötör ◽  
Katalin Hegedűs
Keyword(s):  
Perinatal Care ◽  
Perinatal Loss ◽  
Healthcare Personnel ◽  
Helping Professionals ◽  
Management Options ◽  
Complex Issue ◽  
Loss And Grief ◽  
Personal Loss ◽  
National Attitudes ◽  
Support Programmes

Pre- and perinatal loss and grief tend to be referred to as complicated grief denoting the experience of ongoing trauma. It is considered a burden for the affected parents, their families and the helping professionals alike. Yet this phenomenon remains an underrepresented field in analytical studies. Our aim is to systematically review the literature that deals with personal grief caused by pre- and perinatal loss - as experienced by healthcare staff. We shall present a comprehensive view of relevant international and national attitudes including existing grief management options. The above-mentioned complex issue deserves greater attention, which should result in the establishment of dynamic, up-to-date support programmes on all professional levels.

scholarly journals Experiences with perinatal loss from the health professionals’ perspective

2011 ◽  
Vol 19 (6) ◽  
pp. 1405-1412 ◽  
Author(s):  
Sonia María Pastor Montero ◽  
José Manuel Romero Sánchez ◽  
César Hueso Montoro ◽  
Manuel Lillo Crespo ◽  
Ana Gema Vacas Jaén ◽  
...  
Keyword(s):  
Health Professionals ◽  
Training Programs ◽  
Perinatal Death ◽  
Perinatal Loss ◽  
Phenomenological Approach ◽  
Knowledge And Skills ◽  
Perinatal Bereavement ◽  
Loss And Grief ◽  
Healthcare Practice ◽  
Action Strategies

The purpose of this paper is to know the experience of health professionals in situations of perinatal death and grief and to describe their action strategies in the management of perinatal loss. A qualitative study with a phenomenological approach was carried out through interviews conducted with 19 professionals. Three thematic categories were identified: Healthcare practice, feelings aroused by perinatal loss and meaning and beliefs about perinatal loss and grief. The results revealed that the lack of knowledge and skills to deal with perinatal loss are identified as the main reason behind unsuitable attitudes that are usually adopted in these situations. This generates anxiety, helplessness and frustration that compromise professional competency. The conclusion reached is that the promotion of training programs to acquire knowledge, skills and abilities in management of perinatal bereavement and the development of a clinical practice guideline for perinatal loss are necessary.

scholarly journals Undiagnosed Patent Foramen Ovale Presenting as Retinal Artery Occlusion—An Emerging Association

2009 ◽  
Vol 2009 ◽  
pp. 1-2 ◽  
Author(s):  
Hiten G. Sheth ◽  
Tania Laverde-Konig ◽  
Jyoti Raina
Keyword(s):  
Patent Foramen Ovale ◽  
Transoesophageal Echocardiography ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Sudden Onset ◽  
Healthcare Personnel ◽  
Foramen Ovale ◽  
Management Options ◽  
Retinal Artery ◽  
Fundus Photographs

Purpose. To report patent foramen ovale (PFO) as the cause of retinal artery occlusion in a young and previously fit male and discuss the appropriate medical and surgical management options.Methods. Interventional case report with serial fundus photographs of an 18-year-old male presenting to the eye casualty with sudden onset left visual loss.Results. Visual acuities were 6/24 left and 6/4 right with a left afferent pupillary defect. Slitlamp examination confirmed a left hemiretinal artery occlusion and subsequent cardiology review with transoesophageal echocardiography revealed patent foramen ovale which was closed surgically.Conclusions. PFO is not uncommon and is often covert but predisposes individuals to embolic events. These events may be ophthalmic with visual sequelae and so ophthalmologists, physicians, and other healthcare personnel should be aware of this important and emerging association.

scholarly journals The Perinatal Loss Care Educational Programme and Its Evaluation

2019 ◽  
Vol 59 (1) ◽  
pp. 1-7
Author(s):  
Kateřina Ratislavová ◽  
Martina Štípková
Keyword(s):  
Healthcare Professionals ◽  
Perinatal Care ◽  
Perinatal Loss ◽  
Educational Programme ◽  
Medical Professional ◽  
Basic Knowledge ◽  
Post Intervention ◽  
Perinatal Bereavement ◽  
Bereaved Parents ◽  
High Level

Abstract Introduction Working with bereaved parents is an immense challenge for professionals in the field of perinatal care and requires a high level of knowledge and skill. This article aims to evaluate the effectiveness of the Perinatal Loss Care blended educational programme. Methods An evaluative assessment was carried out using a scored questionnaire to gather pre- and post-programme data. Participants were medical and healthcare professionals (n=200) who participated in the programme voluntarily (the Medical Professional/Motivated group and the Others group) or were selected by their employer and for whom attendance was mandatory (the Medical Professional/Non/Motivated group). Results Participants’ perception of their own knowledge and understanding of perinatal bereavement care was significantly higher on completion of the educational programme, proving its effectivity. There was a statistically significant effect on overall score in individual groups of respondents, as well as the whole set (p<0.001), with post-intervention scores higher than pre-intervention scores. No statistically significant differences in overall score were detected before participation in the educational programme in individual groups (p=0.204). Participants from the Medical Professional/Non/Motivated group achieved lower post-intervention scores to a significantly greater extent (p<0.05) and more often perceived the educational programme as being “very difficult” (χ2=20.66, df=6, P<0.01) compared to other groups. Conclusions The educational programme was assessed as effective. Care of bereaved parents has its specifics and healthcare professionals should possess a basic knowledge of how to provide sensitive care during this time.

Relationships, Not Boundaries

2020 ◽  
Vol 39 (4) ◽  
pp. 58-71
Author(s):  
Gene Combs ◽  
Jill Freedman
Keyword(s):  
Narrative Approach ◽  
Helping Professionals ◽  
Ethical Practice ◽  
Ethical Practices ◽  
Complex Issue ◽  
Class Culture ◽  
Psychological Issues

The authors find it more useful to pay attention to relationships than to boundaries. By focusing attention on bounded, individual psychological issues, the metaphor of boundaries can distract helping professionals from thinking about inequities of power. It oversimplifies a complex issue, inviting us to ignore discourses around gender, race, class, culture, and the like that support injustice, abuse, and exploitation. Making boundaries a central metaphor for ethical practice can keep us from critically examining the effects of distance, withdrawal, and non-participation. The authors describe how it is possible to examine the practical, moral, and ethical effects of our participation in relationships by focusing on just relationships rather than on boundaries. They give illustrations and clinical examples of relationally-focused ethical practices that derive from a narrative approach to therapy.

Paper Recycling: Definitions and Developments

MRS Bulletin ◽  
1994 ◽  
Vol 19 (2) ◽  
pp. 18-21 ◽  
Author(s):  
Daniel B. Mulligan
Keyword(s):  
Solid Waste ◽  
Waste Reduction ◽  
Waste Paper ◽  
Solid Waste Disposal ◽  
Management Options ◽  
Bottom Line ◽  
Complex Issue ◽  
Chief Operating Officer ◽  
The Public ◽  
Total Integration

With the northeastern United States leading the way, tipping fees paid to landfill owners for solid waste disposal have increased as much as 533% since 1980. Fueled by the rapidly diminishing number of available landfills, these rates are expected to go only higher, adding to the public's frustration. Local, state, and federal officials are seeking solutions to mitigate the problem and the public outcry.In an address at the May 14,1990 Waste-paper I Conference, James B. Malloy, president and chief operating officer of Jefferson Smurfit Corporation and Container Corporation of America, stated: “The bottom line is that our industry, not only in the U.S., but also around the world, must continue to strive for sensible waste reduction at the source as well as total integration of waste management options. In cooperation with, not in conflict with, the public sector we can continue to be positive, constructive participants in the search for workable solutions to the municipal solid waste challenge.”Recycling is part of the solution. Paper, which contributes up to 40% of solid waste, offers an obvious solution (see Figure 1). The focus on recycling must remain high, encouraging the public to collect and sort waste paper as well as purchase recycled material. What follows is a description of some attempts to inject order into this otherwise complex issue.

scholarly journals Reconfiguring the scope and practice of regional anesthesia in a pandemic: the COVID-19 perspective

2020 ◽  
Vol 45 (7) ◽  
pp. 536-543 ◽  
Author(s):  
Balakrishnan Ashokka ◽  
Arunangshu Chakraborty ◽  
Balavenkat J Subramanian ◽  
Manoj Kumar Karmakar ◽  
Vincent Chan
Keyword(s):  
Regional Anesthesia ◽  
Emergency Services ◽  
Close Contact ◽  
Point Of Care ◽  
Anesthetic Management ◽  
Healthcare Personnel ◽  
Professional Activity ◽  
Point Of Care Ultrasound ◽  
Management Options ◽  
Practice Readiness

The COVID-19 outbreak is on the world. While many countries have imposed general lockdown, emergency services are continuing. Healthcare professionals have been infected with the virulent severe acute respiratory syndrome coronavirus-2 (SARS), which spreads by close contact and aerosols. The anesthesiologist is particularly vulnerable to aerosols while performing intubation and other airway related procedures. Regional anesthesia (RA) minimizes the need for airway manipulation and the risks of cross infection to other patients, and the healthcare personnel. In this context, for prioritizing RA over general anesthesia, wherever possible, a structured algorithmic approach is outlined. The role of percentage saturation of hemoglobin with oxygen (oxygen saturation), blood pressure and early use of point-of-care ultrasound in differential diagnosis and specific management is detailed. The perioperative anesthetic implications of multisystem manifestations of COVID-19, anesthetic management options, the scope of RA and considerations for its safe conduct in operating rooms is described. An outline for safe and rapid training of healthcare personnel, with an Entrustable Professional Activity framework for ascertaining the practice readiness among trained residents for RA in COVID-19, is suggested. These are the authors’ experiences gained from the current pandemic and similar SARS, Middle East Respiratory Syndrome and influenza outbreaks in recent past faced by our authors in Singapore, India, Hong Kong and Canada.

Sign in / Sign up

Export Citation Format

Share Document