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Mrs. Smith, a primigravid woman of 30 year old pregnant woman develops hypertension at 32 weeks gestation. When the midwife took her blood pressure it was 165/100mmHg.

Assignment Guidelines for Cohort: 09/19L- Stream A and B

Module: Midwifery Pharmacology and Medicines Management-

Module Code:  MWY-5-002

Written essay 2000 words

Write an essay of 2000 words. Identify one of the scenarios given below:

Senarios

  1. Mrs. Smith, a primigravid woman of 30 year old pregnant woman develops hypertension at 32 weeks gestation. When the midwife took her blood pressure it was 165/100mmHg. In-view of the severity of the B/P the obstetrician decides to give her oral anti-hypertensive drugs but Mrs. Smith is rather concerned about taking drugs because of the association of the drugs and its effect on the developing fetus/neonate and regarding the effect it may have on her ability to breastfeed.

Using the NICE guidelines/policy examine 2 of the drugs recommended for the management of this condition by discussing the drugs pharmacokinetics (Study of the way in which drugs move through the body during absorption, distribution, metabolism and excretion) and pharmacodynamics (The effect the drugs have on the body. Also discuss how it interact with body tissues to have a therapeutic effect e.g. combining with molecules, altering membranes and/or interacting with tissues i.e. receptors).

Student are expected to use this pharmacological insight to discuss the roles and responsibilities of the midwife, in relation to the chosen medication and the care and education required for her pregnancy, fetus, neonate and infant feeding choices with regards to the medication. This needs to include aspects pertinent to the midwife from an ethical, legal & medicine management perspective. Information provided should be evidence based to empower Mrs. Smith to make an informed choice regarding her care and how this will impact on her choice of infant feeding.

OR

  1. Mrs. Takkur, a 26 year old pregnant woman who is approaching term attends her antenatal classes and asks the midwife for more information on the various forms of pain relief in labour. When she is made aware the choice of the pharmacological forms of pain relief available, Mrs. Takkur becomes extremely concerned and asks to know more about the effects of the drugs used on herself, her fetus/baby and how this may affect her ability to breastfeed, in order to make an informed choice.

Using the NICE guidelines/policy examine 2 methods of pain relief recommended in the management of pain in labour by discussing the drugs pharmacokinetics (Study of the way in which drugs move through the body during absorption, distribution, metabolism and excretion) and pharmacodynamics (The effect the drugs have on the body. Also discuss how it interact with body tissues to have a therapeutic effect e.g. combining with molecules, altering membranes and/or interacting with tissues i.e. receptors).

Student are expected to use this pharmacological insight to discuss the roles and responsibilities of the midwife, in relation to the chosen medication and the care and education required for her pregnancy, fetus, neonate and infant feeding choices with regards to the medication. This needs to include aspects pertinent to the midwife from an ethical, legal & medicine management perspective. Information provided should be evidence based to empower Mrs. Takkur to make an informed choice regarding her care and how this will impact on her choice of infant feeding.

Completed essays are to be submitted electronically using Moodle on 17th January 2019 by 13.00hrs. (Non-submission by the closing date and time will not be marked and lead to a REFER grade being awarded).

Guidelines:

The essay should have an introduction, a central core/body and a conclusion and include a rationale for choosing those drugs, within the introduction.

The conclusion should draw on and summaries the key elements of the discussion. No new materials should be introduced in the conclusion. (see power-point presentation)

Please remember not to include the name of your trust in the assignment or mention anything confidential as this can lead to marks being deducted, as per university guidelines.

Presentations:

The assignment should be PDF or word document, double spaced with 1 inch left hand margin. Font size 12.

All pages should be numbered with the student number on the footer

Literature cited within the text should be included on a reference list. The reference list should be included at the end of the assignment. The LSBU Harvard system of referencing is available in the library and on the website. Failure to comply with these instructions could affect your grades.

The completed assignment should clearly state the following on the top cover:

London South Bank University

School of Health and Social Care

Student Number:

Course: Pre-Registration BSc (Hons) Midwifery

Cohort: 19L (3 year Programme)

Module Name: Pharmacology and Medicines Management

Module Reference: MWY_5_002

Assignment Title:

Medicines management in Pregnancy induced hypertension

Or

Medicines management in Pain relief in labour

Word Count:

Date of Submission:

Module Co-ordinator: Priti Patel

The student must keep their own electronic copy of the assignment

Tutorial Support:

The module leader will review one A4 page of their assignment draft and offer guidance in order to understand assist students with meeting the criteria/requirements for the assignment. However no further plans or tutorials will be given 2 weeks prior to the assessment submission date.

Arrangements for submission of Assessed course work:

Work submitted within the agreed extended deadline (DDS) will be marked in the normal way and the marks passed to the school office for entry on the student record system (SRS). However, students should be informed that work submitted after the agreed deadline or without an agreed extension will not receive a mark and will be recorded as 0%.

Those students seeking an extension and who appear to have a legitimate problem (see extenuating circumstances policy) should be encouraged to complete an extenuating circumstances form, which will be submitted to the Award and Progression Board.

Arrangements for Re-submission of Referred course work:

Students who have been referred are given the opportunity to re-submit the assignment.  A Re-submission date will be announced following decisions of the Course Board. No additional time for DDS students is given for re-submissions.

LSBU marking grid for level 5 is available on the Moodle site – but to help please see the suggestive guidance table below. 

Suggestive Guidance for the Assignment. 

Presentation of style of work to include referencing:

▪          Clear and logical in progress with an introduction, a central core and conclusion.

▪          Followed the instructions given regarding presentation

▪          Accurate use of the recommended referencing system (Harvard System).

▪          Is within the word limit of 2000 words

Ability to structure material coherently and issues clearly defined:

▪          Able to select and organize materials which include the areas specified in the guidelines of the assignment.

 

Evidence of wide reading:

▪          Demonstrates breadth and depth of understanding of the effects of the chosen drugs.

▪          Explanations are supported by relevant literature and researched evidence.

Range and knowledge displayed on the chosen topic:

▪          An in-depth knowledge of the pharmacokinetics, pharmacodynamics  and pharmacotherapeutics of the chosen drugs is evident

▪          Able to compare and contrast the 2 drugs within the assignment

 

Relating theory to professional practice where relevant:

▪          A clear demonstration of the application of the theoretical knowledge to practice is made – level 5 application

▪          Demonstrate the ability to recognise the importance of the midwife’s role in practice with regards to their responsibilities ethically and legally, and medicine management

▪          Ability to discuss concisely what education the woman requires in line with the pharmacology of the chosen drugs

▪          Demonstrate safety of practice.

Logical appraisal of materials:

▪          Evidence of information being presented logically and sequentially


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