Patient, family, population problem solution: educating the patient, family and population on the signs and symptoms of postpartum depression

Patient, family, population problem solution: educating the patient, family and population on the signs and symptoms of postpartum depression

Patient, family, population problem solution: educating the patient, family and population on the signs and symptoms of postpartum depression

Patient, Family, Population Problem Solution

The identified patient problem was postpartum depression (PPD), a common depressive disorder among women in the reproductive age bracket. PPD is associated with risk factors such as stressful life events, inadequate social support, a history of mood/anxiety disorders, and marital challenges (Moore Simas et al., 2019). I selected PPD because PPD can result in adverse outcomes for the mother, the child, and the family if inadequately managed. Women with PPD often have high non-compliance rates to postpartum care, risk of substance abuse and suicide, and their families experience financial losses.  Besides, children of mothers with PPD are at high risk for emotional maladjustment, impaired cognitive functioning, externalizing disorders, behavioral inhibition, and medical and psychiatric disorders in adolescence.

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PPD is relevant to my professional practice since many women are left untreated, resulting in chronic depression and poor physical and mental health outcomes. It is also relevant to the patient since it increases a woman’s likelihood of having suicidal thoughts, ideations, and suicidality, towards her and the baby, putting their safety at risk (Moore Simas et al., 2019). My proposed solution to addressing PPD is educating new mothers and their families on the signs and symptoms of PPD. This paper will discuss how leadership, change management, and governmental policies guided the proposed intervention and how the intervention will better the quality of care, patient safety and minimize costs in healthcare.

The Role of Leadership and Change Management in Addressing the Problem

Leadership influenced me to identify interventions that will help address the PPD issue and engage the patients so that they can feel in control of their care. Leaders serve a major role in promoting the health and well-being of the population through measures on health promotion and disease prevention (Vincenza et al., 2019). Consequently, the role influenced me to identify a solution that will help prevent the adverse outcomes of PPD. Furthermore, change management strategies influenced me to identify a sustainable, evidence-based intervention that will promote change in the care of postpartum women to prevent PPD or ensure early treatment interventions. Kendig et al. (2017) assert that early patient education on the signs and prevalence of PPD helps reduce PPD stigma and empowers patients to get treatment.

Nursing ethical principles of autonomy, beneficence, and nonmaleficence informed the proposed intervention on patient education. Autonomy influenced me to choose an intervention that will engage patients and empower them to take charge of their health. Besides, beneficence and nonmaleficence informed me to develop an intervention to promote better health outcomes for postpartum mothers and lower the risk of having unrecognized and untreated PPD.

Strategies for Communicating and Collaborating With the Patient, Family, or Group to Improve Outcomes Associated With the Problem

The target population for the health education intervention includes postpartum mothers and their families. It is essential to obtain input from patients and their families on improving care related to PPD to promote high engagement in the proposed intervention. Bombard et al. (2019) explain that engaging patients in delivering and improving patient care services can result in decreased hospital admissions, enhanced efficiency, effectiveness, and quality of health services, and improved quality of life (QoL). Therefore, gaining patients’ input on improving care related to PPD can help reduce the number of women hospitalized from PPD, improve the QoL of mothers, and increase their adherence to health education.

Effective communication strategies with patients are essential for quality patient care. Effective communication with patients helps create a rapport, engage the patient in decisions, alleviate anxiety, and increase their cooperation, adherence, and satisfaction. Hashim (2017) discusses the best-practice strategies for effective communication and collaboration. Communication skills such as drawing out the patient’s agenda using open-ended questions, avoiding interrupting the patient, and applying focused active listening promote patient-centered care resulting in improved outcomes (Hashim, 2017). In addition, understanding a patient’s view of their health condition and conveying empathy are key elements of effective patient-centered communication and collaboration.

How State Board Nursing Practice Standards and/or Organizational or Governmental Policies Guided the Development of the Proposed Intervention

Governmental policies that impose education mandates and mass campaigns guided the proposed intervention. The education mandates state that a mother or family member must be offered education regarding PPD (Rowan et al., 2017). Another government policy mandates healthcare providers to conduct PPD awareness mandate campaigns targeting the general population. The policies guided me in identifying patient education on signs and symptoms of PPD as the most suitable approach to address PPD. According to Rowan et al. (2017), the education mandates have increased the number of postpartum mothers with symptoms of PPD who accept and make a mental health referral. As a result, the policy has reduced the cases of unrecognized and untreated PPD, which improves health outcomes and patient safety. Besides, the education mandates have reduced stigma associated with depression leading to increased numbers of women with PPD who receive mental health care. The policy mandating mass education campaigns has increased access to mental care to low-income women, thus improving health outcomes for this population.

How the Proposed Intervention Will Improve the Quality of Care, Enhance Patient Safety, and Reduce Costs to the System and Individual

The proposed intervention on educating new mothers and their families on the signs and symptoms of PPD seeks to better the quality of care, safety of patients, and minimize costs. Educating new mothers and their families on symptoms of PPD will promote early recognition, diagnosis, and prompt treatment. The morbidity and mortality associated with PPD result from patients’ ignorance about the symptoms and lack of treatment (Kendig et al., 2017). Empowering mothers and their families will promote early diagnosis of PPD and referral to a mental care provider for appropriate treatment. Early diagnosis and treatment will also better the quality of care for the infant since babies of PPD mothers often do not receive the appropriate prenatal care (Kendig et al., 2017).  The intervention will help lower the risk of the child developing impaired cognitive functioning, behavioral inhibition, emotional maladjustment, and externalizing disorders.

Early diagnosis and treatment will help identify mothers at risk of suicide, infanticide, or having ill –feelings towards the infant. As a result, health providers will deliver the appropriate treatment interventions to promote the safety of the mother and the child. Besides, it will reduce the risk of the mother engaging in excessive alcohol consumption and substance abuse, which risks the health and life of the mother and infant (Kendig et al., 2017). Early diagnosis and treatment of PPD from timely recognition of symptoms will prevent the progression of PPD to chronic depression and other adverse mental disorders. PPD increases healthcare costs to the patient and the healthcare system from treatment costs. The patient education intervention will prevent the progression of early symptoms of PPD, thus reducing the costs spent on long-term pharmacotherapy and psychotherapy (Kendig et al., 2017).  Besides, resources often used in managing PPD will be directed to managing other mental health conditions.

How Technology, Care Coordination, and the Utilization of Community Resources Can Be Used In Addressing the Problem

Technologies such as Telehealth and eHealth can be utilized to address PPD. Telehealth can be used to provide health education on symptoms of PPD and assess patients for the same from their homes. It can benefit mothers who cannot access a care facility due to distance and commitments taking care of their newborns (Hanach et al., 2021). eHealth can be used to avail health education and treatment resources on PPD to mothers, thus empowering them to be more involved in their care.  Care coordination will be used in PPD by sharing health information among providers and coordinating a patient’s treatment (Hammarberg et al., 2019). A woman’s depression status can be assessed and monitored through care coordination, and her treatment preferences, barriers to care, and treatment progress identified and addressed. Furthermore, community resources can address PPD by increasing awareness of PPD to women and reducing the stigma surrounding PPD (Bjørlykhaug et al., 2021). For example, community support groups can be used to educate women about PPD and encourage those diagnosed with PPD.

Conclusion

Health education on signs and symptoms of PPD to mothers and their families was identified as the most suitable disease prevention and health promotion approach. It will empower women and their families to take timely action when early symptoms of PPD transpire, thus preventing the worsening of PPD. The families have been involved since they need to understand manifestations of PPD so that they easily recognize them in the new mother. The intervention will improve the mother and child’s quality of care and safety and reduce healthcare PPD treatment costs.

References

Bjørlykhaug, K. I., Karlsson, B., Hesook, S. K., & Kleppe, L. C. (2021). Social support and recovery from mental health problems: a scoping review. Nordic Social Work Research, 1-32. https://doi.org/10.1080/2156857X.2020.1868553

Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., & Casalino, S. & Pomey, MP (2018). Engaging patients to improve quality of care: a systematic review. Implementation Science, 13(1), 98. https://doi.org/10.1186/s13012-018-0784-z

Hammarberg, S., Hange, D., André, M., Udo, C., Svenningsson, I., Björkelund, C., Petersson, E. L., & Westman, J. (2019). Care managers can be useful for patients with depression, but their role must be clear: a qualitative study of GPs’ experiences. Scandinavian journal of primary health care, 37(3), 273–282. https://doi.org/10.1080/02813432.2019.1639897

Hanach, N., de Vries, N., Radwan, H., & Bissani, N. (2021). The effectiveness of telemedicine interventions, delivered exclusively during the postnatal period, on postpartum depression in mothers without history or existing mental disorders: A systematic review and meta-analysis. Midwifery, 94, 102906. https://doi.org/10.1016/j.midw.2020.102906

Hashim, M. J. (2017). Patient-centered communication: basic skills. American family physician, 95(1), 29-34.

Kendig, S., Keats, J. P., Hoffman, M. C., Kay, L. B., Miller, E. S., Moore Simas, T. A., Frieder, A., Hackley, B., Indman, P., Raines, C., Semenuk, K., Wisner, K. L., & Lemieux, L. A. (2017). Consensus Bundle on Maternal Mental Health: Perinatal Depression and Anxiety. Obstetrics and gynecology, 129(3), 422–430. https://doi.org/10.1097/AOG.0000000000001902

Moore Simas, T. A., Huang, M. Y., Patton, C., Reinhart, M., Chawla, A. J., Clemson, C., & Eldar-Lissai, A. (2019). The humanistic burden of postpartum depression: a systematic literature review. Current medical research and opinion, 35(3), 383-393.

Vincenza, G., Federica, B., Gola, M., Sveva, M., Carpagnano, L. F., Colucci, M. E., … & Carlo, S. (2019). Leadership in Public Health: Opportunities for Young Generations Within Scientific Associations and the Experience of the “Academy of Young Leaders.” https://doi.org/10.3389/fpubh.2019.00378

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If writer 1165 does this it is an extension of last 2 assessments and some of the same Information can be used as long as it relates to the intervention of the problem which is educating on signs and symptoms of postpartum depression to patient, family and population.
I will upload all grading criteria. Each area must be addressed