Vulnerable Populations Flashcards

1
Q

Post-Natal Depression
Contributing Factors (11)

A
  1. Fertility issues and prior miscarriage
  2. Pregnancy complications
  3. Traumatic birth and birth disappointment
  4. Role adaption and identity shift
  5. Relationship stress and changes
  6. Career changes
  7. Financial difficulties
  8. History of anxiety and depression
  9. Family violence
  10. History of abuse and trauma
  11. Limited social support
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2
Q

Post-Natal Depression
Signs/Symptoms

A
  1. Changes in mood - panic attacks, worry/fear, sadness, hopelessness, mood swings, shame/guilt.
  2. Changes in cognition - poor focus, concentration, memory, racing or intrusive thoughts, suicidal/self-harm ideation.
  3. Changes in behaviour - poor energy/fatigue, appetite changes, poor sleep, decreased libido, risk-taking, self-harm, compulsive behaviours.
  4. Changes to relationships - social withdrawal, arguments/tension, decreased interest in daily activities.
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3
Q

Post-Natal Depression
Practice

A
  1. Early screening and detection of perinatal mental health challenges
  2. Build trust/rapport and respond with empathy
  3. Address barriers to disclosure
  4. Involve partner/support person
  5. Link to resources and services - e.g. counselling, mothers groups.
  6. Provide crisis care/helpline contacts - e.g. Lifeline, PANDA.
  7. Monitor risk to mother and infant
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4
Q

Women with Disability
Care Considerations

A
  1. Ask about the disability
  2. Support confidence in becoming a mother
  3. Establish best method of communication and providing information
  4. Discuss NDIS support
  5. Formulate a birth plan
  6. Involve multiple support people
  7. Involve MDT - psychologist, social worker, GP, OT/physio, support worker.
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5
Q

Women with Disability
Communication

A
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6
Q

Women with Disability
Birth Plan

A
  1. Setting
  2. Delivery method
  3. People present
  4. Analgesia
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7
Q

Women with Disability
NDIS services

A
  1. Group or individual parenting and child development courses/sessions
  2. Practical in-home support with child care activities
  3. Practical support for children’s learning
  4. Counselling
  5. Family planning
  6. Foster, shared or respite care
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8
Q

Women with Disability
Challenges in Parenting

A
  1. Employment and income difficulties
  2. Mental and physical health problems
  3. Lack of family or social support
  4. Difficulty understanding health information and advice
  5. Difficulty accessing parenting services and supports
  6. Physical limitations/restrictions
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9
Q

Children with Disability

A
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10
Q

ATSI Mothers
General Care (8)

A
  1. Understand woman’s context - socioeconomic, health and lifestyle factors
  2. Provide culturally safe care
  3. Take an individualised approach
  4. Take systems-based and family-based approaches to address social and lifestyle factors
  5. Provide information and support for decision-making
  6. Involve Aboriginal health/community workers - e.g. AMGPP
  7. Birthing on country
  8. Recognise risk factors and specific needs
  9. Incorporate cultural knowledge and practices
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11
Q

ATSI Mothers
Barriers to Care

A
  1. Health literacy
  2. Discrimination and cultural incompetence
  3. Socio-economic disadvantage
  4. Rural/remoteness
  5. Inflexibility of healthcare systems
  6. Lack of continuity of carer
  7. Incarceration
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12
Q

ATSI Mothers
Risks Factors

A
  1. Health conditions - CVS disease, diabetes, overweight/obesity, CKD, communicable infections, STIs.
  2. Lifestyle factors - diet, physical activity, alcohol, smoking.
  3. Family and domestic violence
  4. Teenage pregnancy
  5. Low attendence and compliance
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13
Q

ATSI Mothers
Pregnancy Complications

A
  1. Preterm birth
  2. LBW
  3. Miscarriage or stillbirth
  4. FASD
  5. SIDS
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14
Q

ATSI Mothers
Individualised Approach

A
  1. Comfortable/welcoming environment
  2. Rapport/trust
  3. Continuity of carer
  4. Privacy and confidentiality
  5. Involve partner/father
  6. Knowledge about community
  7. Flexible schedule of appointments
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15
Q

FDV
Support and Refer

A

Risk of harm - local FDV, DV helplines, social/financial support services
+ written information
+ safety planning

High-risk of serious harm - police, crisis care, social admission to hospital.

Children involved - CPU (PCH), police, Department of Communities, child-at-risk alert.

Recent sexual assault - Sexual Assault Resource Centre.

Suicide risk - mental health assessment.

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16
Q

FDV
Responses

A
  1. Identify
    - Risk factors for abuse
    - Signs of abuse
    - Mandatory or indicated screening
    - Disclosure
  2. Assess
    - Protective factors - e.g. home, social supports.
    - Client’s assessment of level of risk
    - Additional factors - e.g. substance use, CALD.
    - Presence of children
  3. Support and refer
    - Discuss options
    - Make referrals
    - Consider non-consensual release of info (s28B CCSA)
    - Provide written info
    - Schedule follow-up
    - Consult line manager
  4. Document
    - Disclosures
    - Evidence
    - Plan
17
Q

FDV
Risk Factors

A
  1. Vulnerable women - pregnant, disabled, young, migrants, ATSI.
  2. History of FDV, intimate partner sexual violence, stalking, controlling behaviour or threats.
  3. Substance abuse
  4. Recent separation/divorce or family proceedings
  5. Financial difficulties
  6. Access to weapons/firearms
  7. Isolation and lack of social supports