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Thursday
Jun042009

CPMs, Measuring Large, Compliance and a Few Webinars

Like Certified Professional Midwives? Feel like setting a record? Send your e-mail today!

 

Interesting message board thread about a woman’s concern about her baby “measuring large” in a late term ultrasound and being told she might need a c-section. These come up in my Google Alerts regularly and I’m always glad when people give each other decent advice and gentle words of encouragement.

 

Sad case of an Australian woman who bled to death from a c-section in 2007 has gone to trial.

 

Robin from the About.com Pregnancy and Birth blog gives readers a few ideas for inexpensive labor tools.

 

If you can read this account by Gloria LeMay of Rose’s birth story without cracking a smile, tearing up just a wee bit and feeling all warm and fuzzy inside, check your pulse.

 

Excerpt from today’s New York Times article, “Letting the Patient Call the Shots”:

I think “noncompliance” is a control word, a power word, and we need a slightly different one. “Compliance” means I order and you either do it or not; you obey. Patients live in their bodies and may know more than the person who prescribes or does their procedure. They may know better about what is going on in their body and about the optimization of their own life. I think people who aren’t taking their own medicine are telling us valuable information about their medications and their life, and we need to listen to them.

 

 

Upcoming Webinars:

 

FREE CIMS Webinar on June 19, 1:00 PM - 2:30 PM EDT on Informed Consent and Refusal in Maternity Care.

Reserve your Webinar seat now at: https://www2.gotomeeting.com/register/594055522

Presented by Holly Goldberg, PhD-c, Tabare Depaep, Esq., and Cordelia Hanna-Cheruiyot, MPH, CHES, CCE, CBA

It’s time to put women back in the driver’s seat when it comes to their maternity care decisions. CIMS’ experts have examined how current laws and professional practice guidelines affect patient decision-making in maternity care, and demonstrate in this FREE Webinar how patient access to evidence-based research is particularly important during a time when perinatal mortality and morbidity rates, interventions, and disparities are on the rise in the U.S.

 

Participants will learn:

* The legal and ethical responsibilities that health care professionals have to provide informed consent and refusal

* The components of informed consent and refusal and how to implement them fully during their interactions with patients

* The benefits of informed patient decision making and ways to utilize this knowledge to affect policy change within their institutions.

 

 

Down the road… 

 Lamaze Webinar on Practice variation in maternity care in September presented by Amy Romano. September 15, 12:00 p.m. – 1:00 p.m. (EDT) Sign up to be notified of upcoming Webinars on the Lamaze site.

 

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Reader Comments (8)

Awhile back there was some discussion on whether or not the person who is commonly called a patient could or should be also called a customer. The word customer was in question because it calls to mind someone picking an item out of their grocery isle. Consumer is also a very broad term. Client, however, is an apt term. To have a client means to take a fee for professional service. It also means that the person providing the service has a duty of care for the client. Seems to me that this would be true for the medical realm, and could replace the world patient quite neatly.

June 4, 2009 | Unregistered CommenterAnon

I've had this discussion, too. Client is perfect. Patient is specific to medicine and midwifery is not the practice of medicine, so it's not appropriate for pregnant women seeing midwives, obviously. Consumer and customer were, as I understand it, intended to put more power in the hands of those receiving treatment. It ends up sounding obnoxious because "the customer is always right." What if the customer walks in an demands antibiotics for a virus or one of the medicines they saw advertised on TV? They are not right. Then again, the customer has the right to refuse treatment and send back the proverbial cold soup and leave the restaurant if the service is atrocious.

Client is much better. When I think "client", it conjurs up the feeling of at least some degree of reciprocity and responsibility from both parties. You hire a client to work for/with you; therefore, you are not just a passive recipient of treatment that has no responsibility for the outcome.

June 4, 2009 | Registered CommenterJill

This argument is as old as the hills. I am a nurse, and I have been a patient. I have no problem being called a patient or calling my patients...patients. I generally refer to my patients by their actually names, however.
"To have a client means to take a fee for professional service. It also means that the person providing the service has a duty of care for the client." This sounds soooo impersonal. Health care workers have a much more intimate relationships with our patients than a lawyer has with a client, for example. Most of us are honestly not thinking about fees, and what we do is not just a service. We are dealing with life, and sickness, and psychology, and emotion, and family and death. Not just a service. I agree with Jill that patients must take responsibility for their own health care. This is imperative. Patients, just like restaurant customers, can refuse any and all treatments in regards to their own bodies. They may be bullied into making a choice they feel uncomfortable with, but the certainly can refuse. I have seen women refuse C-sections, forceps, episiotomies, etc. We just document and council that the patient knows the risks.

June 4, 2009 | Unregistered CommenterReality Rounds

My attachment to the word "client" is totally influenced by having heard it so many times in the context of midwives and doulas. I see it as a break from the mindset that pregnancy is an illness and it actually feels less cold to me. "Patient" makes me think of general anesthesia and sitting around in a waiting room waiting on a sick relative. Now that I think about it, if I were a health care provider that spent years lovingly caring for "patients", the word might have a different connotation for me.

Then again, I'm not sure I'd care if someone called me "Frank" as long as they provided me with the appropriate care needed and were respectful.

June 5, 2009 | Unregistered CommenterJill--Unnecesarean

Frank,
I get where your coming from.
RR

June 5, 2009 | Unregistered CommenterReality Rounds

Frank is laughing loudly.

June 5, 2009 | Registered CommenterJill

Awwww! I'm glad you liked Rose's birth story. I made contact with her on FB because I was trying to find her Mom and she asked me about her birth story. She said that all she'd ever heard about her birth was that 'You were born beside the toilet'. Great! Even her Mom liked reading my rendition of the story. Thanks for mentioning it, Jill. I appreciate your work so much.
Love Gloria

September 5, 2009 | Unregistered CommenterGloria Lemay

Thank you so much, Gloria.

September 6, 2009 | Registered CommenterJill
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