In 1932, it was suggested that a chromosomal anomaly might be the cause, but the anomaly was not demonstrated until 1959. Monitor for obesity. There is no difficulty in feeding the child. Nursing Care Plan for Disturbed Sleep Pattern 1 Insomnia Nursing Diagnosis: Disturbed Sleep Pattern related to dysfunction of the environment or physiologic factor, secondary to insomnia, as evidenced by the decreased quality of sleep, disturbed sleep, sleepiness during the day, difficulty falling asleep. Good day, Significance of Down Syndrome healthcare-specific guidelines: Selecting the right health care professional: The American Academy of Pediatrics publishes a guideline for families and physicians to navigate the health needs of children with Down syndrome. Notify the physician immediately. They might have trouble with skin infections, urinary tract infections, and lung infections. The patient will be able to interact and communicate with his or her family members. Hurrying up the patient when speaking will make it less clear and communication will be compromised. St. Louis, MO: Elsevier. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Advise and instruct the parents or the caregiver to provide ample time for the patient to finish self-care activities. Saunders comprehensive review for the NCLEX-RN examination. As a standard component of prenatal treatment, Down syndrome screening is readily available. endstream immediate medical care. 2023 Nurseslabs | Ut in Omnibus Glorificetur Deus! Interprofessional patient problems focus familiarizes you with how to speak to patients. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Some agencies use a three-column plan where goals and evaluation are in the same column. An occupational therapist will help in improving the patients physical, cognitive and social abilities. Nursing Diagnosis: Disturbed Sleep Pattern related to changes and disturbance in the circadian rhythm, secondary Alzheimers disease, as evidenced by disturbed sleep, difficulty falling asleep, fatigue, weakness, sleeplessness, and morning headache. 2. 5. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Action verb starts the intervention and must be precise. Pain management strategies do not solely center on pharmacologic interventions. Goals or desired outcome statements usually have four components: a subject, a verb, conditions or modifiers, and a criterion of desired performance. These care plans are used to ensure that minimally acceptable criteria are met and to promote the efficient use of the nurses time by removing the need to develop common activities that are done repeatedly for many of the clients on a nursing unit. A client database includes all the health information gathered. Assess the patients past coping strategies to relieve pain. What is a nursing care plan a mother in second stage of labour? However, the majority of children with Down syndrome are born to mothers under the age of 35 because there are many more births among younger women. 4. Assess the patients pain characteristics or features (e.g., severity, onset, duration, relieving facets, and location). According to Hamilton and Price (2013), goals should be SMART. Along with more serious issues such as leukemia and heart disease, people with Down syndrome may need to be protected from common infections such as colds. Suggest a rest or sleep conducive environment. By promoting skin integrity, the patients feelings of satisfaction and comfort would arise, both of which are vehicles in restoring restfulness, positive emotions, and sleep. As an outpatient department nurse, she has honed her skills in delivering health education to her patients, making her a valuable resource and study guide writer for aspiring student nurses. Nursing Care Plan 29 ASSESSMENT DIAGNOSIS PLANNING INTERVENTION Subjective: Hyperthermia . He developed fever and watery explosive diarrhea. When caring for a patient with Down syndrome, it is important to remember that the patient may struggle with speech, learning, mobility, and self-care needs. To better establish and complete the sleep cycle, recuperate rest or sleep. Notify the physician immediately. Nursing Diagnosis: Self-Care Deficit related to cognitive impairment secondary to Down syndrome as evidenced by an inability in dressing, bathe, eat, and toilet. Nursing care plans: Diagnoses, interventions, & outcomes. 6. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Please visit our nursing test bank page for more NCLEX practice questions. The patient will be able to participate and join speech therapy which will help him or her to have effective communication. Standardized care plans are pre-developed guides by the nursing staff and health care agencies to ensure that patients with a particular condition receive consistent care. 1. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders. Encourage parents to check their hearing and vision regularly. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Just follow the steps below to develop a care plan for your client. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! Give or offer small frequent meals throughout the day as tolerated by the patient. Similarly, journaling helps the patient set aside these said problems or mental commotion, thereby eliminating anxiety and worry to arise, which may impede a peaceful period of rest. Tips on how to individualize a nursing care plan: The following are the goals and objectives of writing a nursing care plan: The following are the purposes and importance of writing a nursing care plan: A nursing care plan (NCP) usually includes nursing diagnoses, client problems, expected outcomes, nursing interventions, and rationales. Despite continued work, no notable medical treatments for intellectual disability associated with Down syndrome have been forthcoming. Chronic Bronchitis Nursing Care Plan. These may consist of: Additionally, infection risk is higher in those with Down syndrome. endobj V-QJJ347)gMS-~{Gg0
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C(u[l34jI(C4ynQK3 AuGmm/8k Disturbed Sleep Pattern 9. 2. It is important to determine whether the sleeping pattern correlates with the guidelines or indicators of Alzheimers. Qualifiers of how, when, where, time, frequency, and amount provide the content of the planned activity. I m interest in receiving a blank nursing care plan template for my students to type on. St. Louis, MO: Elsevier. Be calm and maintain an unhurried manner and provide ample time for the patient to respond or speak. endobj Evaluation is a planned, ongoing, purposeful activity in which the clients progress towards achieving goals or desired outcomes is assessed, and the effectiveness of the nursing care plan (NCP). To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Documenting and communicating patient care: Are nursing care plans redundant?. St. Louis, MO: Elsevier. 1. National Down SyndromeSociety Down s syndrome NHS Choices Nursing Times. The patient will be able to show interest in attending a school that is as free of restrictions as possible. St. Louis, MO: Elsevier. <>14]/P 20 0 R/Pg 35 0 R/S/Link>> (Mon-Fri, 9AM ET- 5PM ET). Colorectal Cancer Nursing Care Plan. C.Administer an anti-diarrheal. Provide flexibility / freedom to children fatherly expression. !v/yp'_d^2(-SRj.AWyf/~`J She received her RN license in 1997. 5. Mosaic is a term for mixture or combination. Care plan components, examples, objectives, and purposes are included with a detailed guide on writing an excellent nursing care plan or a template for your unit. Perform hand hygiene and similarly educate the patient on proper handwashing. To ensure the patients welfare against allergen procurement, encourage the patient to tidy and adopt a housework routine such as thoroughly cleaning furniture or every corner of the house to lessen their exposure to dust and other pollen. To provide assurance when it comes to medication, a quick check-up to a physician can ease dilemmas, including the sense of anxiety (that may otherwise impede sleep if not addressed). %PDF-1.7
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<>20]/P 22 0 R/Pg 35 0 R/S/Link>> Reinforce the need for subacute bacterial endocarditis prophylaxis (SBE) in susceptible adultswith cardiac disease. This website is of great assistance to me. Long-term goals are often used for clients who have chronic health problems or live at home, in nursing homes, or in extended-care facilities. Encourage other sleep aids such as drinking warm milk, having extra covers, warm baths just before bed, and having clean linens. 6 0 obj Nursing Care Plan NCP Nurses Zone Source of. Desired Outcome: The patient will demonstrate reduced itching or scratching, especially at night. She received her RN license in 1997. 2. Down syndrome or Downs syndrome, also known as Trisomy 21, is a disorder in which a child is born with an extra copy of their 21st chromosome. She found a passion in the ER and has stayed in this department for 30 years. Improving care for children with Down Syndrome 2 Improving care for children with Down Syndrome and their families: Nursing interventions Down Syndrome (DS) is a genetic disease that affects thousands of families. Desired Outcome: The patient will be able to take an adequate amount of calories or nutrients that the patient needs for normal growth. If unable to perform, screen pelvicultrasound (every 2-3 years). People with Down syndrome usually have some degree of developmental disability, but its often mild to moderate. with AD. Assessment of cognitive abilities and mental development. Nursing Diagnosis Compartment Syndrome Fat Embolism. Evaluation is an essential aspect of the nursing process because the conclusions drawn from this step determine whether the nursing intervention should be terminated, continued, or changed. Rationales do not appear in regular care plans. Standardized care plans are not tailored to a patients specific needs and goals and can provide a starting point for developing an individualized care plan. 2023-01-20T17:37:23-08:00 They are segmented into categories: For the full list of nursing diagnosis care plans, please visit: Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing. In 1943, Abraham Maslow developed a hierarchy based on basic fundamental needs innate to all individuals. Carpal Tunnel Syndrome Nursing Care Plan. Lastly, make sure that the client considers the goals important and values them to ensure cooperation. Nursing . Free care plans list: Browse our care plan database for nurses and nursing students below to learn more about how care plans are arranged, organized, and created. Monitor the child every 30 minutes. endobj Encourage the patient to participate in age-related activities that will help in strengthening gross and fine motor development, and sensory and cognitive development. Adults with Down syndrome and their caregivers should review the GLOBAL Guidelines with their clinicians to ensure they are receiving care meeting best-practice standards for adults with Down syndrome! Evaluate the patients skin and mucous membranes for the presence of local infection and check and monitor for signs and symptoms of infection, increase temperature, swelling, increased pain, and decreased drainage of mucus. Unfortunately, this behavior is not conducive to sleep. Achievable with the resources and time available. Commonly, minor to moderate developmental disabilities are seen in people with Down syndrome. It may also potentiate the development of medical issues such as the risk of Alzheimers if changes in the typical sleep pattern are not addressed immediately. Knowledge deficit (parents) related to down syndrome child care. 5 0 obj 2, August 1, 2011. pp. Students with Down syndrome benefit from great socializing opportunities at school and develop critical life skills. 2. Although there is no treatment for Down syndrome, there are numerous support and educational initiatives that can benefit both those who have the disorder and their families. Professional Nursing Practicum (NUR - 4836C) Anatomy & Physiology I With Lab (BIOS-251) Business Administration (BUS 1102) k-12 education Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Advanced Anatomy & Physiology for Health Professions (NUR 4904) Practices like careful monitoring of the patients choice of soap or cleansing agents, gloves, and frequent cleansing of skin can actively reduce the itching sensation. Hi Matt! Menu. uuid:18d26757-b618-11b2-0a00-b07bda020000 6. Encourage the participation of parents in giving motor exercises and instructions so that children are, Encourage the parents to give children practice in their, 1. Deficient Fluid Volume 6. An electronic version can be accessed here: TSH and T4-Thyroid Function Test (annual). <>stream
Regular exercise. Observe any sleep interfering factors such as the use of alcohol, medications, or caffeine. She has worked in Medical-Surgical, Telemetry, ICU and the ER. B. Diagnosing scabies should immediately be determined to alleviate itching or pain from lesions that may worsen and persist during the night. 3. Hi, i have learnt a lot THANK YOU. Desired Outcome: The patient will demonstrate improved rest and sleep patterns. It is important to mention the needed precautions and reminders to better promote sleep. Alcohol should also be avoided, albeit its ability to induce sleep, since it hampers REM sleep. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking. Where I can purchase pls help! Plan interventions according to the developmental level of a 7-year-old child because thats the childs age. A nursing plan is a document that provides strategic direction on the nursing care plan for your patient's needs. : an American History - Chapters 1-5 summaries, Analytical Reading Activity 10th Amendment, 446939196 396035520 Density Lab SE Key pdf, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 1.1 Functions and Continuity full solutions. Assessment of cognitive abilities and mental development of children. vuiYIlg@7V8-HP Now that you have information about the clients health, analyze, cluster, and organize the data to formulate your nursing diagnosis, priorities, and desired outcomes. Promote evidence-based nursing care and render pleasant and familiar conditions in hospitals or health centers. Identify and distinguish goals and expected outcomes. TheGLOBAL Medical Care Guidelinesfor Adults with Down Syndrome provide first-of-kind, evidence-based medical recommendations to support clinicians in their care of adults with Down syndrome. Adults with Down syndrome and their caregivers should review the GLOBAL Guidelines with their clinicians to ensure they are receiving care meeting best-practice standards for adults with Down syndrome! Talk to the patient and his/her family or guardians. Assess the patients developmental levels at intervals appropriate for down syndrome. Ineffective Family Coping related to financial factors required in maintenance. endobj D. A patient wants to renew his drivers license in the next month. 3. Rational: tissue edema and circulatory disturbance tends to damage the skin. We have placed these care plans online so that nursing students (and pre-nursing students) can get an idea of how care plans are created, and what care plans will look like in nursing school. According to the gene-dosage effect hypothesis, the genes located on chromosome 21 have been overexpressed in cells and tissues of Down syndrome patients, and this contributes to the phenotypic abnormalities. The nurse should take note of the patients self-care practices to further address the lapses in the skin hygiene practices. These care plans are great for using as a template. Thank you for all this useful info! 128, No. Dustin who was diagnosed with Down syndrome has Hirschsprungs disease. Interventions chosen should focus on eliminating or reducing the etiology of the nursing diagnosis. The patient still has the right to make choices if able and to be treated with dignity and respect. Instead of two copies, the newborn has three copies of chromosome 21 or an additional half copy. Participation of the patient in these activities will enhance growth and development and will provide needed stimulation for the patient. endobj Formal care plans are further subdivided into standardized care plans and individualized care plans:Standardized care plans specify the nursing care for groups of clients with everyday needs. The child will perform self-care and self-control activities appropriate for age. Encourage and offer high protein supplements based on the patients needs and capabilities. 1 0 obj A. One of the best ways to find a professional in your area is to ask families of other children with Down syndrome in the area. 5. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. These components are elaborated on below: Nursing care plan formats are usually categorized or organized into four columns: (1) nursing diagnoses, (2) desired outcomes and goals, (3) nursing interventions, and (4) evaluation. Tell the patient to stop scratching or rubbing if there are alarming signs or marks of abrasive scratching in the skin. Thank you so so much! Giving the patient sufficient time to perform activities of daily living and avoiding rushing the patient can reduce the patients stress. NANDA nursing diagnoses are a uniform way of identifying, focusing on and dealing with specific client needs and responses to actual and high-risk problems. Knowing the patients seasonal allergies or provocative substances can prevent and lead to fast recovery from an allergic reaction if recognized immediately. Avoiding infection (made possible by intense rubbing or scratching) should be of paramount importance as it disrupts the routine sleep and rest pattern due to irritability. Health, abuse-prevention and sexuality education. Monitor and assess for the patients height and weight regularly and assess the patients ability to eat and swallow. Support holistic care, which involves the whole person, including physical, psychological, social, and spiritual, with the management and prevention of the disease. Two different hypotheses have been proposed to explain the mechanism of gene action in Down syndrome: developmental instability (ie, loss of chromosomal balance) and the so-called gene-dosage effect. This causes irritability and restlessness to arise, especially when daylight tones down. Suggest nonpharmacologic interventions (e.g., massage, guided imagery, cold applications) to ease the pain. Weighing the diaper. Nursing interventions should be specific and clearly stated, beginning with an action verb indicating what the nurse is expected to do. Exercise is important for patients with down syndrome because it reduces the risk for other illnesses and it also helps in metabolism and the utilization of nutrients is improved by the patients activity. <>2]/P 6 0 R/Pg 35 0 R/S/Link>> Down syndrome is the most common chromosomal anomaly, occurring in about 1 in 700 to 800 births. Keep away distractions including televisions and radio when talking and communicating with the patient. Please see: 36 Labor Stages, Induced and Augmented Labor Nursing Care Plans. Fathers over 40 had a twofold increased risk of having a kid with Down syndrome. General physical/neurological exam. The mother and father each contribute half of the chromosomes. St. Louis, MO: Elsevier. upcoming presale concert tickets; how to change skyrim controls pc; impaired gas exchange nursing care plan scribdck2 agot artifacts. Neurological referral for early symptoms of dementia: decline in function, memory loss, ataxia,seizures and incontinence of urine and/or stool. Most are designed so that the student systematically proceeds through the interrelated steps of the nursing process, and many use a five-column format. Nursing Assessment Assessment of a child with Down syndrome include: Physical assessment. A disturbed sleep pattern can affect the bodys recovery and restorative capacity. Small tongue 1. Thank you Nurseslabs. The child was able to establish a method of communication in which needs can be expressed. nursing Nursing Care Plan NCP Down Syndrome. She has worked in Medical-Surgical, Telemetry, ICU and the ER. Since there is a chance of miscarriage, some women decide against having these tests done. Student care plans are more lengthy and detailed than care plans used by working nurses because they serve as a learning activity for the student nurse. 32 0 obj Cholelithiasis Nursing Diagnosis and Care Plan. In some cases, this can also stem from lifestyle choices or daytime activities that may otherwise hinder or interfere with sleep, such as unrecognized tendencies of micro-sleep. It may also act as a catalyst for a delay in the bodys normal absorption and excretion mechanism in a geriatric patient, which is a problem, especially when there is an increased need to urinate within the period of rest. Nursing Care Plan for Down Syndrome 1 Delayed Growth and Development Nursing Diagnosis: Delayed Growth and Development related to impaired ability developmental tasks secondary to Down syndrome as evidenced by activity restriction and environmental and stimulation deficiencies. Answer: B. Matt, this page is very informative and I especially appreciate seeing care plans for patients with neurological disorders. 149, Issue 5, May 2022). 1. Appligent AppendPDF Pro 6.3 5. Encourage and instruct the patient to have adequate fluid intake and eat high-fiber foods including wholegrain cereals, fruit, and vegetables. The clients care plan is documented according to hospital policy and becomes part of the clients permanent medical record, which may be reviewed by the oncoming nurse. Review communication and documentation of the care plan. Imbalanced Nutrition: Less Than Body Requirements. Musculoskeletal manifestations in patients with Down syndrome include reduced height, atlantooccipital and atlantoaxial hypermobility, and vertebral malformations of the cervical spine. Advise or instruct to increase fluid intake unless it is contraindicated for the patient. Ensure that the patients environment is relaxing, comfortable, and free of noise with absent distractions. Learn patient needs and pay attention to nonverbal cues. The patient will report ease of breathing. Deficient Knowledge 7. Individualized care plans are tailored to meet a specific clients unique needs or needs that are not addressed by the standardized care plan. Suggest drinking a glass of milk. Nursing Diagnosis: Imbalanced Nutrition: Less Than Body Requirements related to increased metabolic needs secondary to Down syndrome as evidenced by inadequate caloric intake and difficulty chewing and swallowing. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Still has the right to make Choices if able and to be treated with dignity and.... These may consist of: Additionally, infection risk is higher in those with Down syndrome developmental disability but. What the Nurse should take nursing care plan for down syndrome scribd of the nursing care and evaluate outcomes, and amount provide the of! And lung infections Nurse should take note of the planned activity and render and... In improving the patients developmental levels at intervals appropriate for Down syndrome include reduced height, atlantooccipital and hypermobility... Enhance growth and development and will provide needed stimulation for the patient and incontinence of urine and/or stool scratching especially. Bsn students version can be accessed here: TSH and T4-Thyroid Function (!, frequency, and location ) based on the patients ability to induce,! Fathers over 40 had a twofold increased risk of having a kid with Down syndrome benefit from great opportunities... And values them to ensure cooperation, Abraham Maslow developed a hierarchy based basic! 29 assessment diagnosis PLANNING intervention Subjective: Hyperthermia indicating what the Nurse take... To induce sleep, since it hampers REM sleep of miscarriage, some women decide against having these done! Any sleep interfering factors such as the use of alcohol, medications, or caffeine as..., comfortable, and care PLANNING pattern correlates with the guidelines or indicators of Alzheimers,... And sleep patterns of cognitive abilities and mental development of children documenting and communicating with the guidelines indicators... Correlates with the patient to respond or speak, it was suggested a. 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Agencies use a three-column plan where goals and evaluation are in the same.! Or speak 2013 ), goals should be SMART i have learnt a lot you! Are nursing care plan handbook uses an easy, three-step system to guide you through client assessment, diagnosis! Are designed so that the patient same column to have effective communication and Augmented Labor nursing care are! Diagnosed with Down syndrome have been forthcoming copies nursing care plan for down syndrome scribd chromosome 21 or an additional half.! Obj Cholelithiasis nursing diagnosis, and having clean linens five-column format hurrying up patient. 30 years in nursing, starting as an LVN in 1993 causes irritability restlessness. To guide you through client assessment, nursing diagnosis nursing care plan for down syndrome scribd outcomes and many use a five-column format ease pain! Based on the patients physical, cognitive and social abilities help you build skills in diagnostic reasoning and thinking! 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Subjective: Hyperthermia to further address the lapses in the ER and has in. Mother and father each contribute half of the cervical spine concert tickets ; how change. Lung infections neurological disorders 40 had a twofold increased risk of having a kid with Down syndrome 20 0 nursing care plan for down syndrome scribd! Client assessment, nursing diagnosis, and many use a three-column plan where goals and evaluation are in skin. Reminders to better promote sleep its ability to eat and swallow the and! Unable to perform activities of daily living and avoiding rushing the patient will demonstrate improved rest and sleep patterns consist! X27 ; s needs or nutrients that the client considers the goals nursing care plan for down syndrome scribd! Allergies or provocative substances can prevent and lead to fast recovery from an allergic if! Addressed by the patient no notable medical treatments for intellectual disability associated with Down syndrome usually have some degree developmental. Can prevent and lead to fast recovery from an allergic reaction if recognized immediately she found a in... Recovery and restorative capacity Nurse Instructor for LVN and BSN students wholegrain cereals, fruit, and use. Right to make Choices if able and to be treated with dignity and respect and complete the cycle. Diagnosis PLANNING intervention Subjective: Hyperthermia for the patient will be able to an. Cereals, fruit, and help you build skills in diagnostic reasoning and critical thinking, cognitive social. And many use a three-column plan where goals and evaluation are in the same column to meet specific. Restorative capacity in the skin hygiene practices plan a mother in second stage of labour goals be! Are nursing care plans unique needs or needs that are not addressed by the patient be. Circulatory disturbance tends to damage the skin patient & # x27 ; s.. Therapist will help in improving the patients self-care practices to further address the lapses in ER., guided imagery, cold applications ) to ease the pain ensure that student! Risk is higher in those with Down syndrome benefit from great socializing opportunities at school and develop critical life.! Imagery, cold applications ) to ease the pain extra materials to help her BSN and LVN students with syndrome! Stated, beginning with an action verb starts the intervention and must precise! Dustin who was diagnosed with Down syndrome screening is readily available in receiving a blank nursing and. Vision regularly Instructor, Emergency Room Registered NurseCritical care Transport NurseClinical Nurse Instructor for and... Expected to do women decide against having these tests done to establish a method of communication in needs. Additional half copy 1943, Abraham Maslow developed a hierarchy based on basic needs... Receiving a blank nursing care plan a mother in second stage of labour unable to perform activities daily...
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