$1 Pregnancy Test (Photo credit: JimYounkin)
Jewel (2011), states that differential diagnosis is a method used by doctor and health care professionals to find out the alternatives to particular signs and symptoms and to explain the patient the reason behind it. Jewel (2011), also states that the conclusion of the differential diagnosis can be obtained from the patient’s clinical background, history and the diagnostic tests used to determine the symptoms. The most important strategy for the particular audience (in my opinion) is to first explain them why they have the problem. Simply by representing a presentation will not allure the particular audience to think about their problems and ways to tackle it.
Jewel (2011) refers diagnostic test as one of the gold standard in a particular study. Jewel (2011) also states that diagnostic test will help a physical therapist to focus on a particular examination, to identify the problems and requirements for physician referral and to further assist in the clarifying the problem.
So the most important strategies to help the particular audience to focus on my presentation will include the diagnostic tests and the differential diagnosis criterion to help them understand the background and nature of their problem.
The second most important strategy is to use research studies that have a high amount of validity and credibility. Jewel (2011) states that higher research validity provides greater confidence and helps one to believe and trust upon the research findings.
The third strategy is data collection. Jewel (2011) states that physical therapists can use a likelihood ratio to check the data of a particular study. The content of the likelihood ratio consist of three main aspects a) estimating the prevalence of the condition in a particular population b) the prevalence of the condition and the probability of patient referred to the therapist and c) gut instinct of the probability that patient/client has the problem (Jewel., 2011).
The one main point that I would like to add-on is the mass chance of a particular ethnic group having a disability of postpartum depression (I haven’t still calculated how I will come up with this!).
What are some specific steps or tools you plan to use to make your presentation effective?
Woman at the ninth month of pregnancy. (Photo credit: Wikipedia)
Caple and Schub (2013), states that postpartum depression can be treated early or it can prevented by appropriately timed patient screening, assessment and education. The important plans and steps to avoid postpartum depression is education about the postpartum depression and helping the patient understand the screening methods and assessment (Caple & Scrub, 2012). Caple and Schub (2013) also states that postpartum depression screening is advice through the entire phase of pregnancy. However, if the patient misses the screening than at least 6 weeks of screening after delivery should be done to avoid postpartum depression disorder (Caple & Schub, 2013).
The other most important aspect is the identification of postpartum depression by health care professionals. Tammentie, Paavilainen, Asted-Kurki and Tarkka (2013), provides a very useful case study where a health care nurse helps to prevent postpartum depression in Finland. According to Tammentie et al (2013), states that from the beginning of the pregnancy period, families in Finland visit their public health nurses at least once in a month. Tammentie et al (2013) also states that the visit to the public health nurses continues even after child-birth . Tammentie et al (2013) also states the regular interaction of the public health nurses and the families helped to firm the patient-health care professional relationships and thus helped the families to set up a good rapport. This further helps in conveying their problems and difficulties in an effective way.
The various other aspects that can be used to effectively deliver the message are planned pregnancy, poverty, baby’s gender, type of delivery, educational level, unwanted pregnancies, pediatric problems, poor family relationships and gender preference in Asian countries (Rouhi, Usefi, Hasan & Vizheh, 2012).
When considering the examples given to you for final projects, what are some pitfalls you noted and what are some strategies you saw that you’d like to mirror in your own presentation/project?
The pitfalls that I think I would face during my presentation are negligence in understanding the concept of postpartum depression and the feeling of living with it. I have noted that woman tend to let go the issue of postpartum depression even though they know that they are suffering from depression. I saw another case today. The woman is a 31-year-old female (half Asian half Portuguese). The woman told me that she sometimes takes sleeping pills. She also told me that after delivery she suffered from depression because she was unable to spend more time with her kid and had to work so that she can pay her rent as the earnings of her husband alone could not suffice their daily needs. The woman also told me that when she visited the physician she only reported that she is unable to sleep and did not report about her personal problems, therefore the doctor prescribed her sleeping pills to cure her insomnia.
The other pitfalls that I think I would face is negligence to find the problem secondary to stigma (I am still figuring out the strategies to handle this).
What else do you suggest I should include in my case-study? Do you have any particular strategies to combat the stigma issue in postpartum depressive disorder?
Thanks.
Sweta
Reference:
Jewell, D.V. (2011). Guide to evidence-based physical therapist practice (2nd Ed.). Sudbury, MA: Jones & Bartlett Learning.
Rouhi, M., Usefi, H., Hasan, M., & Vizheh, M. (2012). Ethnicity as a risk factor for postpartum depression. British Journal of Midwifery, 20(6), 419-426.
Tammentie, T., Paavilainen, E., Åstedt-Kurki, P., & Tarkka, M. (2013). Public health nurses in Finland help to prevent postnatal depression. Primary Health Care, 23(1), 26-31.
Caple, C., & Schub, T. (2013). Postpartum Depression: Assessment and Screening.
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