Today we remained in our groups and returned to the same health clinics we were at yesterday to perform prenatal assessments and health teachings. Both health clinics are ran by midwifes, they are well known as the experts of maternal care within the community. Each of us were able to perform several prenatal assessments with the midwife and nursing instructor including Leopolds Maneuvers, detection of the fetal heart rate with a stethoscope and doppler, fundal height measurements, and conducted appropriate prenatal teachings. Also, we administered tetanus toxoid vaccines to the mothers. A few characteristics noted of the pregnant mothers was that they were very quiet and receptive to the health care received. Upon discussing pre-natal care with Miss Janelle and the nursing students we discovered that we perceive pain and pain management differently. Further, in our Saskatchewan communities pain management such as analgesia during labour is seen as the norm. However, in the Filipino culture pain is accepted as a normal part of the labour process and is mainly controlled by only natural comfort measures. Button et al. (2005) reports that healthcare systems are created by the culture and ethics of those they serve (as cited in Anonson, 2011). Reflecting upon the differences between Saskatchewan communities in comparison to the Antipolo communities, our cultural values have become more apparent.
In the afternoon we set off into our designated community to continue our home visits with the Filipino students. Using the assessment tool we determined that common health issues existing within the community include stress and hypertension. From the health issues mentioned, we are then able to develop activities and teachings focusing on ways to positively cope with stress, along with interventions to reduce blood pressure, which will be presented to the community.
Anonson, J. (2011). 417.3 Issues in nursing. Retrieved January 12, 2012.