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NUR332 - Aboriginal and Torres Strait Islander Health and Cultural Safety Assignment Sample

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NUR332 - Aboriginal and Torres Strait Islander Health and Cultural Safety

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PPT Slide 1

Poster Title: Gestational Diabetes

1. Introduction

The present case study is based on a client's acute maternal health illness. The case study can help in the examination of the health issues that the childbearing woman is facing (researchgate 2022). It also signifies the health illness of the woman due to “Gestational Diabetes”. The report shows the effect of Gestational diabetes in pregnancy and the respective measures taken by the nurse to meet the consequences of the disease. Cultural Safety in Nursing or Midwifery Practice has been discussed in the present report. The supportive measure of the nurse according to the closing gap campaign has also been discussed in respect of Australian Maternal Health.

2. Case Study Scenario

Figure 1: Number of Gestational Diabetes during pregnancy

(Source: bump2babyandme, 2022)

The present scenario of the case study is about a 25 years old lady d Nancy. The lady was pregnant for 36 weeks and was also suffering from Gestational Diabetes (journals 2022). Nancy was attending the parental visit with her midwife. This was her first pregnancy for Nancy. The pregnancy symptoms seem to be risky due to the diabetes disease she was suffering from. There were some abnormalities in her normal delivery and the if was being suggested to go for C-section. The midwife in their last visit was about to discuss the place of the birth. Therefore, it can be said that as the client was suffering from severe Gestational Diabetes the place should be planned to admit the client in Queensland Health Hospital (springer 2022). Several measures have been taken for the recovery process of Nancy and the child according to the Australian maternal health system of the hospital.

3. Topic Information

Figure 2: Increasing number in Australia

(Source: bmj, 2020)

The case study helps to understand the significance of Gestational Diabetes in a body of a pregnant lady. It represents the level of glucose in the population distribution at its high-end during pregnancy (researchgate 2022). It helps to carry potential risks that are important for the adverse perinatal outcomes with the long-term risk of obesity issue as well as off springs glucose intolerance. After examining the abnormal level of glucose in the client's body, the routine component has been recommended to Nancy the clients with GDM may suffer from hypertensive issues during their pregnancy. In the present case, the lady was pregnant for 36 weeks and was also suffering from Gestational Diabetes and the discussion about the delivery was going on during the last visit with her midwife. As there were some abnormalities in her normal delivery, it was suggested to her go for C-section. 

4. Nursing or Midwifery Interventions and Drug Therapy

Figure 3: Code of conduct of nurses

(Source: Sbs, 2020)

Midwives and nurses have a vital role in the supportive process for the client during pregnancy. Health care including social care refers to the crucible part of the health care team plan (Boateng et al. 2019). The plan for the nursing care or midwifery interventions for the curing of Gestational diabetes Mellitus involves providing information to the clients about the disease conditions and also teaching them about insulin administration as well as evaluating the condition of the present client for the well-being of the fetus. Nursing interventions may be helpful in the process of medication of the clients as well. The Codes of conduct, may include, the back, a definition of Cultural Safety in the glossary which is what has caused the future.

The management of the medication procedure can be improved with the help of nurses of midwifery firstly by providing educational resources”. This may help the patient to understand their present medical situations and diseases. The importance of medication adherence can be explained by the nurses (Nair, 2022). The pocket cost of the medication can be advised by the nurses to their clients as well. Secondly, “the encouragement of honest and open communication” is one of the important roles to be followed by the nurses in their plan. The process of open conversation between the clients and the nurse may help to establish a positive relationship. The nursing plan helps to provide “Positive reinforcement” that may be helpful to take the medicines on times of their patients.

5. Cultural Safety in Nursing or Midwifery Practice

Cultural safety and practices are one of the approaches taken by NMBA taken for the nurses and midwives for providing a culturally safe health system according to the “Australian Nursing And Midwifery Federation”  the Congress of Aboriginal and Torres Strait Islander nurses and midwives need to participate in the each of the stages of the development process and the consultation of the new codes (Doran et al. 2019) According to the Australian nurses association's ethics and cultural importance, there are 5 codes of ethics for nurses and midwifery that are to be followed in the welfare of the patients. They may be considered as nonmaleficence, beneficence, autonomy, justice, and privacy of the patients. “A realistic review” taken for undertaking all the “cultural safety on the programme of education”. This involves all the “initial board search of the literature” systematic search on the literature and also consultation of the research team. It “refinement all the inclusion criteria” which all the analysis of the cultural safety. It approaches form one of the well-known NMBA.

PPT Slide 2


Figure 4: Death womens

(Source: Australiawidefirstaid, 2022)

The research paper is based on the “acute maternal health illness client” based on Gestational diabetes. This case study is about a pregnant lady related to the “aboriginal or Torres Strait islander” (Mensah et al. 2019).  Gestational diabetes refers to the first time diabetes has been diagnosed during pregnancy. This case study is about a lady whose age is 25 years is nancy. This lady is pregnant at about 36 weeks and she was suffering from gestational diabetes. Whereas Nancy attended all the “visitation partially with her midwife”. It has been seen that there were “some abnormalities” at the time of the normal delivery. Where it was suggested for the “C-section operation”. The “primary focus of the midwifery” is on the pregnancy uncomplicated, in some cases, the care of this type of woman is being co-managed. I visited to discuss the “place of the birth” ( ten Ham?Baloyi et al. 2020). This includes all Mellitus diabetes as well as gestational diabetes. The responsibilities and the roles of the nursing team that is related to diabetes include some of the roles. Like preventing advice, techniques of health coaching, and using all the changes of the behavior. The prevalence of gestational diabetes mellitus varies in every country. But it occurred around 15 percent globally among pregnant women. It has been seen that there is an increase in genetic diabetes which includes the increase in the weight of the woman, and even an increase in obesity, especially in the countries of mid-income. Therefore several measures were taken for recovering all the processes regarding nancy health and also child care according to “Australia maternal system of the health of the hospital”.

The “role of midwifery” is for providing all the information relating to the antepartal and also intrapartal care of the women, with all the “collaboration of diabetes”. According to the “standards and the philosophy” of the Australian college of midwives nurse. A specific role is highlighted towards the midwife, which includes the overall focus on the consultation of the medical condition (Matsunaga et al. 2021). It also involves “client care with all the planning”. The care of the nursing includes a plan that involves all the couple and client's permission with all the relevant information. About the condition of diabetes, administration of insulin teaching, maintaining all the normoglycemia, and achieving all the medical conditions. It also helps in evaluating all the “present clients and also the well-being of the fetus”. There was comparing going on the support of the midwife or nursing. The campaign was the “closing gap” that aims in closing all the life and health-related expectancy gaps. That takes place between the “aboriginal and Torres islander” people and even the Australian non-indigenous. Torrents strait islanders are the first nations Australians that come to the island d “Torres Strait” (Timm et al. 2021). This is between Cape York which is in Queensland and also in Papaya New Guinea. They are from the origin of the Melanesian that have all the different identities, traditional cultures, and also the histories of the aboriginal Australians.

Figure 5: Having Diabetes

(Source: swiftdoc 2019)

The case study that has been taken in the research paper helps in understanding the significant role of gestational diabetes. According to North et al. 2022, it tells about a pregnant lady whose is Nancy and represents all the “levels of glucose” in the “distributions of the population” during the pregnancy. It helps in carrying out all the potential risks for the perinatal outcomes within the risk of a long-term basis. That also includes obesity issues and the “offsprings glucose intolerance”. After examining all the results of the levels of glucose that were showing abnormal. According to Wang et al. 2020, then discussing the routine with the bits of help of the results or outcomes that came from the information that was taken and the recommendation given to nancy on the basis of the outcomes. The intervention of nursing is helpful in the mediation process. I manage all the procedures at the time of the mediation. The nursing provides a positive reinforcement that helps in taking all the medicine and also timely mediation art the time of the patients. This helps in understanding all the medical situations presently. Indigenous Australian Child Health or Indigenous Australian Maternal Health

The “Aboriginal Maternal and Child Health” (MCH), program helps provide better health outcomes for Aboriginal and Torres Strait Australian families. It provides chances or choices to access the service of MCH in the local communities. Indigenous death rates have been falling in most age groups over the past 10 years, with the median age at death increasing from 56.5 in 2010 to 61.0 in 2020 (ABS 2021b). In 2020, the leading causes of death among Indigenous Australians were “diabetes”, “coronary heart- disease”, chronic lower respiratory diseases, “lungs cancer”, and “intentional self-harm”, and “bronchus and trachea” (ABS 2021a).


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