critical incident in public health

Topics: Pregnancy, Health care, Childbirth Pages: 7 (1907 words) Published: May 13, 2014
This script is an analysis of a critical incident which occurred during a home visit in one of the suburbs of Cape Coast Metropolis. A brief description of the incident will be given including the interventions that were given and recommendations for future occurrence. I will apply the Gibbs (1988) reflective model to identify strengths and weaknesses observed in the analysis and how they may be enhanced. In conclusion, the lessons gathered from the incident will be stated. Pseudonyms will be used here to maintain confidentiality. NMC (2000) Critical incidents are defined as extreme behavior either outstandingly effective or ineffective with respect to attaining the general aims of the activity. The procedure has considerable efficiency because of the use of only the extremes of behavior. It is well known that the extreme incidents can be more accurately identified than behavior which is more nearly average in character. Flanagan (1954). If we were to add the critical incident to Creswell’s (1998) list of qualitative traditions, we would describe its distinctive features as the following; a) Focus is on critical events, experience of a specific situation or event. b) Discipline origin is from individual trial and organizational psychology. c) Data collection is primarily through interviews either in person or on telephone.

During a home visit exercise to one of the communities within the catchment area of the public health unit, we went to a house to see the clients who visit our facility for child welfare clinic. On this visit, we seized the opportunity to address the health needs of the house hold members as it was observed to have problems with environmental hygiene. This was when one member of the house told us about a pregnant woman who abuses alcohol. I was alarmed to hear that, so this got me curious to learn more. Substance abuse, also known as drug abuse is a patterned use of a substance (drug) in which the user consumes the substance in amounts or the methods which are themselves harmful. Some of the drugs often associated with this term includes; alcohol, barbiturates, substituted amphetamines, cocaine and opiods. Mosby’s Medical Nursing and Allied Health dictionary (2002). Public health practitioners have attempted to look at substance use from a broader perspective than the individual, emphasizing the role of society, culture and availability. A study done in 2010 asked drug-harm experts to rank various illegal and legal drugs. Alcohol was found to be the most dangerous by far. Behave Madam AA is a 24 year old woman who co habits with a blind man, her boyfriend. The man takes care of her especially all her financial needs but she has one particular problem which according her is the cause of her recent drinking habit. According to madam AA, she wished her boyfriend had performed the necessary marriage rite so that she can also be addressed as a “Mrs.” Earlier on, Madam AA admitted that, she used to drink alcohol occasionally but the trend has now increased to drinking alcohol every day, an act her boyfriend and siblings abhors very much. Upon further questioning, she admitted that she has defaulted from Antenatal Care (ANC) services because the Tablet Fersolate she takes changes the color of her stools to green which is unpleasant to her. The public health nurse educated Madam AA on some of the benefits that one can get from attending ANC services. A colleague also promised her to substitute the Tablet Fersolate with Tablet Vitafol which she agreed to. Madam AA’s sister added that her drinking habit is so bad that she normally trips over the abdomen. I spoke to Madam AA about the danger she is exposing her unborn child and that of her own life to. I encouraged her to try and stay away from friends who normally go out with her to drink alcohol. I also encouraged her sister to be a “watch woman” for her in order to prevent any accident in the future. Traditional pediatric care is...
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