Professional Documents
Culture Documents
Table of Contents
I.
Abstract
II.
Introduction
III.
Plan
IV.
Finances
V.
Implementation
VI.
VII.
Conclusion
VIII.
References
Abstract
Preeclampsia is a life-threatening blood pressure disorder that
thousands of women are diagnosed with every year. Depending on how far
into the pregnancy the woman is this requires strict bed rest to prevent the
blood pressure from spiking higher and therefore having a premature baby.
In a perfect world, everyone would know how to take an accurate blood
pressure. Since that is not the case, a blood pressure monitoring device is
needed to monitor the womans progress. This information would be stored
and uploaded to the physicians office so that appropriate action could be
taken.
ankle and worn at all times. Periodically it will take a blood pressure and
heart rate and automatically upload this information to the physicians office.
The information will be logged in that patients chart and if there is a spike in
the blood pressure an alert will be sent the physicians pager. He/She will be
able to contact that patient and instruct them on what to do.
For the physician it will be an upfront cost for the monitors. However,
in the long run it will pay off. Liability insurance is outrageous for an
obstetrician. By using these monitors in the practice for women with
preeclampsia the outcomes could be better thus reducing the number of
suits filed against the obstetrician. Word of mouth is a great source of
business. As a woman that has experienced preeclampsia, I would certainly
choose a physician using this method over a physician that doesnt. This is
financially better for the patient as well. Quicker action taken on this life and
death matter can save the patient money as well as the life of the mother
and baby. If the situation becomes extremely critical expenses start adding
up. These monitors could prevent early hospitalization by allowing women to
stay in the comfort of their own homes.
To implement these monitors they should be tested for accuracy. Once
all of the software is in place it could be trialed on a few of the patients. If
there are any patients with preeclampsia at that time the monitor should be
sent home with them. A comparison should be done by using the monitor
and also the previous method of monitoring. The results will be uploaded
onto the patients chart and should be reviewed daily by the physician and/or
the nurse. The software should be set up at the physicians preference to
send an emergency page to the physician when an increase in blood
pressure occurs. At that time, the physician will call the patient and instruct
them to go to the Labor and Delivery department for further treatment.
With any new technology there are risks involved. One of those is the
accuracy of the readings. The equipment should be tested and calibrated
prior to each use. Patients can also be noncompliant by taking the monitor
off or not following the directions. Home monitors are not always as
accurate as those used in clinics or hospitals. Home readings should
therefore not replace prenatal visits, nor should a "normal" reading mean you
can ignore other symptoms of preeclampsia (Preeclampsia, 2012). Patients
must be educated and understand the signs and symptoms to look for. This
will benefit the patient and could save their life as well as their baby. Being
in the hospital for an extended period is not as comfortable as being at
home. Blood pressure can sometimes go up just from being admitted to the
hospital. The physician and the patient must work together to find the safest
solution for them.
Home blood pressure monitoring is not 100% accurate. Human beings
are not 100% accurate. Every patient is different so a plan of care must be
decided on with the patient to find the best choice. I was able to stay at
home for six weeks on bed rest before I had a critical blood pressure. Some
need to be hospitalized. As long as the mother and baby come out of this
dangerous situation healthy then the right choice was made. Hopefully
someday they will find a cause for preeclampsia and we can better prevent it
from happening. Until then we must carefully monitor.
References
Feldman, D. (2001, Feb.). Blood pressure monitoring during pregnancy.
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