Sunday, February 3, 2008

The Healing Power of Picture Albums

Recently, my mother was confined to bed. She had to stay off her feet to take pressure off her hip and rest for several weeks. She had had surgery on her hip so in order to be sure that the hip will heal properly she had to rest in bed. Everything was going fine but I was very concerned about something. My mother is a very active person. She simply cannot lie in bed all day long. The problem was that she could easily be bored and become depressed while lying in bed. I had to think of something that she could do to amuse herself in order to prevent depression.

I knew that my Mom just needed to do something that would make her think she is still vital. I had to think of something that I needed to be done so she would be proud she was helping me. It came to my mind that I had many photos, which I had just pushed in a drawer. They were still in envelopes. I remembered that I had purchased a number of picture albums over the years. These picture albums were still empty, as I had not had the time to fill the picture albums with pictures. I took the pictures and the picture albums and I brought them to my mothers home.

My mom had troubles with her everyday personal needs so I had hired a nurse to help my mother while she was in bed. When I went to my mothers home, I was astonished to see that the nurse was intending to go. I asked her what was wrong. The nurse shared with me that my mother is getting depressed. My mom had not wanted to do anything. She was not in the mood to talk; she just wanted to lie in the dark and quiet room. She had asked the nurse to keep the curtains closed. My mom didnt even want to read a book or to watch television.

When I entered the room, she saw the box I was carrying. She asked me what is in there. I told her that there were picture albums in the box. I explained her that during the last twenty years, I have collected many pictures but I had not had the time to place them in picture albums. I told her that I needed someone to fill the pictures in the picture albums. At first, she was not very excited with the idea. She shared with me that it would be too difficult for her to spread the photos and the picture albums all over the bed.

I assured her that this was no problem at all. I rolled the bed tray over in front of her. When I helped her to sit up with her pillows, she saw she was sitting very comfortable. My mom told me that she thought I had brought too many pictures. She asked me why I needed so many picture albums.

The truth was that I had been collected these picture albums through the years. The photos were from the last twenty years that I have been married. Mom was not very curious about the picture albums and told me she would give them a look later.

I was almost sure that she would not do anything with the photos. I was very concerned about her condition. I decided to give her a phone call the next day. I was very surprised when a friend of hers picked up the phone and told me that that she was helping my mom with the picture albums. She asked me if I was able to bring more picture album so that they would be able to sort the pictures. I didnt even expect her to organize the picture albums.

A few days later, I visited my mother again. She looked pretty well. She told me that she had organized my picture albums. I was very glad that she had enjoyed herself. I told her that I had to be out of town on business for several days so that I wont be able to see her.

Ten days later when I went to see her, the box with picture albums was waiting for me. She had not only arranged the picture albums but she had had written notes and as many dates as she could on each of the picture albums. She told me that she and her friends were having fun while arranging the picture albums. Surprisingly, she was intending to start arranging picture albums for my sister next week.

Morgan Hamilton offers expert advice and great tips regarding all aspects concerning family. Get the information you are seeking by visiting familyforumsite/family-news--information/family-forum/the-healing-power-of-picture-albums.html.Bipolar Suicide Statistics
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What is ACOG (American College of Obstetricians and Gynecologists) Doing About Shoulder Dystocia?

A shoulder dystocia emergency during birth can have disastrous consequences for the baby if not handled properly. Since the baby's head is already delivered but its shoulders are stuck behind the mother's pelvis, there is a strong possibility of the baby dying from suffocation if too much time elapses and the shoulder dystocia is not resolved.

In fact, even when the dystocia is resolved using one of the many maneuvers for handling shoulder dystocia, very too often the baby suffers from brachial plexus injuries. Such injuries affect the movement of the arm and hands and may even leave the baby's arm paralyzed for life. Although statistics suggest that this happens in only 2-5 babies in a 1000 live births, it is still 2-5 babies too many as far as we are concerned. Fortunately, ACOG (American College of Obstetricians and Gynecologists) has recognized the seriousness of this birthing emergency and is taking many steps to ensure that brachial plexus injuries from shoulder dystocia can be reduced. Here's a look at what ACOG is doing about shoulder dystocia. Training For Doctors For Prevention Of Brachial Plexus Injuries

ACOG has many different training and educational programs for doctors and health care practitioners to help prevent brachial plexus injuries. They routinely conduct clinical seminars on the subject of Managing Shoulder Dystocia', which help to educate doctors on the following topics:

- Is it possible to predict shoulder dystocia?

- Is it possible to prevent shoulder dystocia?

- When the emergency does occur, is it possible to resolve shoulder dystocia without causing any fetal injury or brachial plexus injuries?

- Is excess traction, applied by the doctor, the reason for all brachial plexus injuries?

By taking part in such seminars and completing the training courses, obstetricians and other health care givers are then able to:

- Identify the various risk factors for shoulder dystocia and take measures to prevent it if there is an increased risk of dystocia.

- Resolve shoulder dystocia (if it occurs) in the best possible manner using the various maneuvers for handling dystocia.

- Understand why brachial plexus injuries occur, especially due to the application of excessive traction. With better understanding of these reasons there is higher chance of resolving shoulder dystocia without brachial plexus injuries.

ACOG also has videos on shoulder dystocia that show doctors how to recognize the emergency in the labor room and how they can help reposition mothers so as to widen their birth canal to the maximum and help the baby to be delivered without brachial plexus injuries such as Erb's palsy.

Thus, ACOG is doing its best to educate doctors about shoulder dystocia, its prediction, and prevention. But since shoulder dystocia and resultant brachial plexus injuries are very difficult to predict, ACOG training for doctors also aims to teach doctors how best to resolve shoulder dystocia and prevent fetal injuries.

In addition to the above, ACOG seminars also aim to make doctors aware about the many medico-legal aspects regarding shoulder dystocia and brachial plexus injuries. Shoulder dystocia lawsuits are discussed as well as the various claims that can be made against doctors if fetal injuries do occur. Since doctors are made aware of the huge potential for expensive litigation in the form of brachial plexus injury lawsuit, it does make them try that much harder to prevent shoulder dystocia and conditions such as Erb's palsy.

Information For Parents For Prevention Of Brachial Plexus Injuries

Apart from training doctors and conducting clinical seminars, ACOG is also involved in educating parents about everything related to shoulder dystocia and brachial plexus injuries. By providing relevant information to parents, ACOG is trying to make them more aware of such birthing emergencies and what parents can do to prevent fetal or birth injuries to their babies.

ACOG routinely publishes practice bulletins with the latest shoulder dystocia information for parents. The information contained in these bulletins helps mothers to recognize whether or not they are at an increased risk for shoulder dystocia. If the risk of dystocia and brachial plexus injuries is high, parents are advised as to the best way to reduce such risk and ensure the birth of a healthy baby.

Two main risk factors for shoulder dystocia are maternal diabetes and fetal macrosomia. ACOG has issued practice bulletins on these two topics so that parents can manage gestational diabetes properly and also perhaps opt for a cesarean delivery if the fetus is macrosomic (excessively large). Here are the ACOG guidelines on these two topics:

1. ACOG Guidelines For Fetal Macrosomia: The recommendations are:

- Cesarean delivery is indicated when the weight of the fetus is more than 4500 grams.

- Women who are not diabetic should consider cesarean deliveries if the weight of their fetus is more than 5000 grams. For diabetic women the fetal weight for cesarean consideration is 4500 grams.

2. ACOG Guidelines For Management Of Gestational Diabetes: The recommendations are:

- Mothers should take the laboratory-screening test for gestational diabetes between 24 and 28 weeks of pregnancy.

- If gestational diabetes is present, ask the obstetrician about the best manner in which to manage this condition during pregnancy.

ACOG also recommends that women who have gestational diabetes and whose fetus weighs more than 4500 grams should seriously consider a cesarean delivery as this reduces the risk of brachial plexus injuries greatly.

The training programs, clinical seminars, and practice bulletins issued by ACOG for parents and doctors thus go a long way towards reducing the number of brachial plexus injuries from shoulder dystocia.

Michael Monheit, Esq. is an attorney at Anapol Schwartz. Anapol Schwartz, a member of LegalView, has significant experience in aggressively litigating birth injury and medical malpractice cases. Their lawyers have won millions for clients injured by their doctors' mistakes, including an $800,000 settlement won by partner Alan Schwartz, Esq. the shoulder dystocia lawyer in this case. A resident at the hospital used excessive force on a baby during delivery, causing brachial plexus nerve damage, resulting in an Erb's Palsy Lawsuit. The resulting paralysis and deformity of the child's arm required multiple surgeries.Bipolar Support Groups Houston
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