However, the way she thinks about the problem and works to solve it can serve any midwife for any health problem. We list all the steps he takes so you can take the same steps. 1. Start with doubt. In other words, start by acknowledging what you don’t know. Think of all the possible causes. Most discomfort can be caused by many different problems. Discover the signs to find the probable cause.
Health problems have symptoms. Signs are noticeable in how a person feels and how the body looks and behaves. Some symptoms can be detected by medical tests and follow-up tests. Decide what is the most likely cause. Create a plan for what you’re going to do. The Plan can involve changing a person’s habits, changing something in or around their home or giving them medicine. 6. Watch the results. See if the treatment works.
Discover the signs to find the probable cause
If not, repeat all of these steps. 14 Chapter 2: How to treat health problems 2. Think of all the possible causes. Celestine knew that fatigue could be caused by many things. Illness, hard work, insufficient sleep, tension and anaemia are among the most common causes.
Discover the signs to find the probable cause. Celestine asks Elena questions to find out more about her fatigue. Celestine also asked Elena what she usually eats. Elena tells him that she eats almost nothing but corn and beans every day. In fact, it’s almost just corn. Elena complained about how expensive it is to buy meat. Celestine checked Elena’s physical signs. Elena had pale eyelids and gums, a weak and fast pulse. All are signs of anemia. I work hard, but no more than usual. The steps Celestine took to find the reasons 1. Start with doubt.
A young pregnant woman named Elena went to her midwife Celestine to take care of the pregnancy. During the check-up, Elena mentioned that she was tired all the time. The first thing Celestine did was admit she didn’t know why Elena was tired. Did you sleep less? Are you sick? I’ve slept a lot and I don’t feel bad. Have you worked harder than usual? The 2013 book for midwives finding the causes of health problems 15 These 6 steps will help you solve most health problems. Watch the results.
Did you sleep less? Are you sick?
When Elena returned for her next checkup, Celestine again tested her for signs of anemia. Elena seemed to be recovering, thanks to her eating better. If Elena did not recover, Celestine would advise her to take iron and folic acid tablets. Create a plan for what you’re going to do. Celestine explained to Elena that the anemia causes fatigue and makes it difficult for the mother to recover after giving birth, especially if the mother is bleeding severely.
He explained to Elena that the anemia was a lack of iron in the blood. It is usually treated by eating foods rich in iron and protein or taking iron tablets. Decide what is the most likely cause. Celestine couldn’t get a blood test to be sure because there was no laboratory in her area, but all other signs indicated Elena was likely to have anemia if there was not enough money to buy beef or RAM, eat cheaper iron-rich meals.
Eat liver, eggs, sweet potatoes and green leafy vegetables. Note: many health workers find it hard to “start with a doubt.” Many of them are afraid to admit that they do not have an answer. But, in order to analyze a problem well and treat it correctly, we need to admit what we do not know.
A book for midwives 2013 16 Chapter 2: treating health problems choosing the best treatment to treat a health problem, such as anemia, a delivery that lasts too long or heavy bleeding, you need to find the treatment that has the greatest benefits and the least risk of causing harm.
A benefit is the good effect a measure
Benefits and risks whenever you are making a decision about medical treatment, you should consider the risks and benefits. A benefit is the good effect a measure or treatment could have. The risk is the damage it could cause. Each time you make a decision, try to choose the treatment that has the most benefit and the least risk. Think again about Elena and Celestina: what would have happened if Elena had not been removed from anemia despite eating foods rich in iron and taking iron pills? She and Celestina would have had to make a difficult decision.
Celestina knows that a woman with severe anemia is probably better off giving birth in a well-equipped hospital than at home. So, if you have a bleeding, you can get a blood transfusion right away. Without that kind of care, Elena could become very weak after childbirth. Weakness will make her more vulnerable to infection. It will cost you a lot of work taking care of yourself and your family. And if you can’t take good care of your baby, he too may be in danger. On the other hand, most women in the village have anemia. And most of them will not have serious problems after delivery.
The trip to the hospital takes a whole day and the hospital is very expensive. In order for Elena to give birth there, her family would have to spend all, or almost all, her money. Each option has risks and benefits. What would you do: stay home or go to the hospital? Medicines, in particular, have risks and benefits. A medicine that serves very well to treat a health problem can be dangerous or have side effects.
In this book there are very risky medicines and procedures. We include them in the book because, when they are truly necessary, they can save lives. But before you give a medicine or do an aggressive procedure (inside the body), you will have to decide whether the benefit is greater than the risk. You will have to make that decision when it comes to an emergency procedure, such as removing the placenta by hand (page 230) or emptying the mother with AMEU.
When the benefits of an action outweigh the risks, that action is worth it.