Everything you are going to need is in the attachment with all the instructions and don’t forget to do as it asks. Topic “Breastfeeding.”
I need five slides of PowerPoint on numbers 4 and 5. Introduction to Topic and Reference One Statistic. Identification of Risk Factors and/or Benefits. I need a side note on each slide, also don’t forget to put images to support the slides.
Supports ideas with scholarly literature.
NR327 Maternal Child Nursing
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Purpose
The purpose of this assignment is to provide the student an opportunity to practice patient teaching using information
required through the NR327 course.
Course outcomes
This assignment enables the student to meet the following course outcomes:
CO #1: Demonstrate understanding of developmental, cognitive, psychosocial, cultural, and physiological life
processes of the woman as she progresses from the onset of menses through the childbearing period, and
concluding with menopause. (PO #1)
CO #4: Initiate use of appropriate resources based on healthcare issues mutually identified with clients and their
family units. (PO #2)
CO #5: Employ communication and therapeutic relationship skills with childbearing clients and their families during
the perinatal period in acute care and outpatient settings. (PO #3)
CO #6: Demonstrate effective clinical decision-making concerning the nursing care of perinatal clients and their
families based on critical thinking skills; legal, ethical, and professional standards and principles; and nursing
research findings. (PO #4, #6, and #8)
CO #7: Develop a plan to meet personal, professional, and educational goals, including an investigation of
healthcare organizations relevant to these clients. (PO #5)
CO #8: Provide nursing care using multiple nursing roles as appropriate to perinatal clients and their families,
recognizing the holistic approach in facilitating healing. (PO #6)
Due date
Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this
assignment.
Total points possible: 10
0 points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
• Students can do this project either individually or in groups. Consult with your course instructor about the size of
the groups or the number of individual projects that can be accommodated.
• As part of this project, you will select a teaching topic of your choice related to the course topics (i.e., women’s
health, newborn, maternity). Consult with faculty for approval of your selected topic.
• Complete an outline and submit to dropbox.
• Construct your project using a software tool or application you are familiar with (i.e., Google Docs, Microsoft
Word 2010 or later, PowerPoint, Prezi, or a video platform).
These guidelines apply to each individual student and should be adjusted per size of the group. (For example, an
individual would do five slides, and if there are three members in the group, the group should create a 15-slide
presentation. Similarly, a three-member group would do a 4.5–6 minute video rather than a 2-minute video.)
2
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21
• PowerPoint or Prezi:
o Five slides maximum, excluding title and reference slides
o Follow 7-point rule for PowerPoint
• Brochure
o Front and back, trifold
o 12-point font
• Video (i.e., commercial, public service announcement)
o Content 1.5–2 minutes in length
o Reference list must be provided to instructor by the due date
• Trifold Poster Presentation
o Reference list attached to back of poster board
The project will be graded on quality of the teaching project, accuracy of information, use of citations, use of Standard
English grammar, sentence structure, creativity, and overall organization.
Follow the directions and grading criteria closely; your project will be graded on the criteria found in the rubric. Any
questions about your project should be directed to your faculty.
The individual or group will synthesize the research information and develop a teaching project of their choice, which
should include the following.
1. Topic – 5 points/5%
• Identification of selected topic presented to and approved by faculty, as advised (so other class members
can select a different topic and avoid repetition).
2. Peer Review – 5 points/5%
• Submit copy of graded rubric and student evaluations. Student evaluated:
3. Outline – 10 points/10%
• Complete outline with details under each section. Include references. Outline must be submitted to
dropbox.
4. Introduction to Topic and Reference One Statistic – 10 points/10%
• Describe the selected topic in the project and provide at least one statistic supporting the importance of
the topic. This statistic must be from an original source.
5. Identification of Risk Factors and/or Benefits – 10 points/10%
• Compile 4-5 risk factors and/or benefits related to the selected topic.
6. Referral to Professional and Community‐Based Resources – 10 points/10%
• Provide one referral to each of the following:
o A professional organization
o A community-based resource
o Include contact information for these resources (i.e., phone number, e-mail, website or link)
o Include a statement describing the role, resources, and/or services of the organizations or resources
and their potential impact on the selected topic
3 NR327 Discharge Teaching Guidelines Revised: May2020
31
7. Health Promotion Recommendations – 10 points/10%
• Report three evidence-based health promotion recommendations. Provide rationale from scholarly
sources to support your recommendations.
8. Audio/Visual Creativity – 10 points/10%
• Audio/visual effects and creativity
• Project is eye-catching, but graphics do not distract from the purpose of providing information.
• The font style and size are appropriate for the target audience.
• Information is logical, cohesive, and audience appropriate; appropriate use of terminology is shown.
• Audio must be clear and discernible.
9. Clarity of Writing – 10 points/10%
• Use of standard English grammar and sentence structure. No spelling errors or typographical errors.
Organized around the required components using
appropriate content.
• For writing assistance (APA formatting, or grammar) visit the Citation and Writing Assistance: Writing
Papers at CU page in the online library.
10. APA format, grammar, and punctuation – 10 points/10%
• All information taken from another source, even if summarized, must be appropriately cited in the
manuscript and listed on the Reference page using APA formatting. Citations must be in-text and on the
Reference page.
11. Final Presentation – 10 points/10%
• Speaker maintains good eye contact with the audience and is appropriately animated (e.g., gestures,
moving around, etc.).
• Speaker uses a clear, audible voice; delivery is poised, controlled, and smooth.
• Good language skills and pronunciation are used.
• Length of presentation is within the assigned time limits. Information was well communicated.
For writing assistance (APA formatting or grammar), visit the Citation and Writing Assistance: Writing Papers at CU page
in the online library.
https://library.chamberlain.edu/apa
NR327 Maternal Child Nursing
RUA: Discharge Teaching Guidelines
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Grading Rubric
Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.
Assignment Section and
Required Criteria
(Points possible/% of total points available)
Highest Level of
Performance
High Level of
Performance
Satisfactory
Level of
Performance
Unsatisfactory
Level of
Performance
Section not
present in
paper
Topic Selection
(5 points/5%)
5 points 0 points
Required criteria
Identification of selected topic presented to and
approved by faculty, as advised (so other class members
can select a different topic and avoid repetition).
Includes no fewer than 1 requirement for section.
No requirements for
this section
presented.
Peer Review
(5 points/5%)
5 points 0 points
Required criteria
Submit copy of graded rubric with student evaluations.
*Name of Student Evaluated:
Includes no fewer than 1 requirement for section.
No requirements for
this section
presented.
Outline
(10 points/10%)
10 points 6 points 0 points
Required criteria
1. Complete outline with details under each section.
2. Include references.
3. Outline must be submitted to dropbox.
Includes no fewer than 3 requirements for section. Includes 2 or fewer
requirements for
section.
No requirements for
this section
presented.
Introduction to Topic and Reference One
Statistic
(10 points/10%)
10 points 9 points
8 points
0 points
Required criteria
1. Describe the selected topic in the project.
2. Provide at least one statistic supporting the
importance of the topic.
3. This statistic must be from an original source.
Includes no fewer
than 3 requirements
for section.
Includes no fewer
than 2 requirements
for section.
Includes no less than 1 requirements for
section.
.
No requirements for
this section
presented.
NR327 Maternal Child Nursing
RUA: Discharge Teaching Guidelines
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Identification of Risk Factors and/or Benefits
(10 points/10%)
10 points 9 points 8 points 7 points 0 points
1. Compile 4-5 risk factors and/or benefits related to
the selected topic.
Includes no fewer
than 4-5
requirements for
section.
Includes no fewer
than 3 requirements
for section.
Includes no fewer
than 2 requirements
for section.
Includes 1 or fewer
requirements for
section.
No requirements for
this section
presented.
Referral to Professional and Community‐Based
Resources
(10 points/10%)
10 points 9 points 8 points 7 points 0 points
Required criteria
1. Provide a referral to a professional organization.
2. Provide a referral to a community-based resource.
3. Include contact information for these resources (i.e.,
phone number, e-mail, website or link).
4. Include a statement describing the role, resources,
and/or services of the organizations or resources and
their potential impact on the selected topic.
Includes no fewer
than 4
requirements for
section.
Includes no fewer
than 3 requirements
for section.
Includes no fewer
than 2 requirements
for section.
Includes 1 or less
requirement for
section.
No requirements for
this section
presented.
Health Promotion Recommendations
(10 points/10%)
10 points 9 points 8 points 7 points 0 points
Required criteria
1.Report three evidence-based health promotion
recommendations with rationale from scholarly
sources to support your recommendations.
Includes no fewer
than 3 requirements
for section.
Includes no fewer
than 2 requirements
for section.
Includes no less than
1 requirements for
section.
Section present, yet
includes no scholarly
sources.
No requirements for
this section
presented.
Audio/Visual Creativity
(10 points/10%)
10 points 9 points 8 points 7 points 0 points
Required criteria
1. Project is eye-catching, but graphics do not distract
from the purpose of providing information.
2. The font style and size are appropriate for the target
audience.
3. Information is logical, cohesive, and audience
appropriate.
Includes no fewer
than 4 requirements
for section.
Includes no fewer
than 3 requirements
for section.
Includes no fewer
than 2 requirements
for section.
Includes 1 or fewer
requirements for
section.
No requirements for
this section
presented.
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4. Audio must be clear and discernible.
Clarity of Writing
(10 points/10%)
10 points 9 points 7 points 0 points
Required criteria
1. Use of standard English grammar and sentence
structure.
2. No spelling errors or typographical errors.
3. Organized around the required components using
appropriate content.
Includes no fewer
than 3 requirements
for section.
Includes no fewer
than 2 requirements
for section.
Includes no less than 1 requirements for
section.
No requirements for
this section
presented.
APA: Current Edition, Format, Grammar, and
Punctuation
(10 points/10%)
10 points 5 points 0 points
Required criteria
1. All information taken from another source, even if
summarized, must be appropriately cited in the
manuscript.
2. Sources must be listed on the Reference page using
APA formatting.
Includes no fewer
than 2 requirements
for section.
Includes no less than 1 requirements for section. No requirements for
this section
presented.
Final Presentation
(10 points/10%)
10 points 9 points 8 points 7 points 0 points
Required criteria
1. Speaker maintains good eye contact with
the audience and is appropriately animated
(e.g., gestures, moving around, etc.).
2. Speaker uses a clear, audible voice.
3. Delivery is poised, controlled, and smooth.
4. Good language skills and pronunciation are
used.
5. Length of presentation is within the
assigned time limits.
6. Information is well communicated.
Includes no fewer
than 5 requirements
for section.
Includes no fewer
than 4 requirements
for section.
Includes no less than
3 requirements for
section.
Includes no less than
2 requirements for
section
No requirements for
this section
presented.
Total Points Possible = 100 points
Presented by:
Discharge Teaching: The Do’s & Don’t of Circumcision
Introduction and Purpose
To provide instructions of care
Purpose 3
To provide information of risk & benefits
Purpose 2
To Define Circumcision
Purpose 1
To provide resource information
Purpose 4
In this presentations we will define circumcision and give a statistical information on the importance of it.
We will provide information on the risk and benefits of circumcision
There will be information of the different techniques used to perform the circumcision procedure and who does them
We will give information on what to expect after the procedure, care instructions, and when to seek medical attention
We will provide resource information
And discuss the recommended health promotion of circumcision
Statistical Information
Circumcision reduces the risk of contracting HIV
Increase risk of UTI for uncircumcised infants
Circumcision is on the decline
Across the 32-year period from 1979 through 2010, the national rate of newborns circumcision declined 10% overall from 64.5% to 58.3% with and overall percentage of hospitalized infants there were 64.9% of males being circumcised in 1981 which again a decline to 55.4% by 2007
According to the World Health Organization (WHO), there is compelling evidence to suggest that circumcision reduces the risk of contracting HIV during vaginal sex by 60%. (Newman, 2020)
It is estimated that 10 of 1000 (1%) uncircumcised male infants will develop a UTI during the first year of life compared with 1 of 1000 (0.1%) circumcised male infants who do.
Reference:
Newman, T. (2020, April 24). Benefits and Risks of Circumcision:MedicalNewsToday.com. Retrieved (09/13/2021) from Circumcision: Possible benefits, recovery, and risks (medicalnewstoday.com)
Owings, M., Uddin, S., and Williams, S. (2015).Trends in Circumcision for Male Newborns in U.S. Hospitals: 1979-2020: Centers for Disease Control and Prevention. Retrieved (09/06/2021) from Products – Health E Stats – Trends in Circumcision Among Male Newborns Born in U.S. Hospitals: 1979–2010 (cdc.gov)
Shapiro E. (1999). American academy of pediatrics policy statements on circumcision and urinary tract infection. Reviews in urology, 1(3), 154–156. Retrieved (09/06/2021) from American Academy of Pediatrics Policy Statements on Circumcision and Urinary Tract Infection (nih.gov)
What is Circumcision?
Circumcision is an elective surgical procedure to remove the foreskin, also called the prepuce, from the head of the penis.
As I mentioned this procedure is elective and requires parental consent to be performed by the pediatrician or the obstetrician.
The foreskin is a double-layered fold of skin that protects the head (glans) of the penis from dryness and irritation that may be caused by contact with urine, feces, and clothing.
And according to Chamberlain University, (2021) “ it is noted that the benefits are not so great that procedure should be routinely recommended for all infants.”
Reference:
Chamberlain University. (2021). Module, Week 5: Diagnostic and Laboratory Tests for Newborn, NR327 – Maternal Child Nursing: Chamberlain University College of Nursing. Retrieved (09/27/2021) from https://chamberlain.instructure.com/courses/89158/pages/week-5-diagnostic-and-laboratory-tests-for-newborns?module_item_id=12699014
Miles, K. (2021, Feb. 5). Circumcision in newborn boys: babycenter.com. Retrieved (09/02/2021) from https://www.babycenter.com/baby/newborn-baby/circumcision-in-newborn-boys_10419911
Image Address: https://www.babycenter.com/ims/2020/01/bc-circumcision-logo-updated-2020_wide .pagespeed.ce.Ggz4Bq6Ubl
The Risk of Circumcision
Blood loss and Hemorrhage can occur
cut too short or left too long
Amputation of the head of the penis
wound doesn’t heal properly, septicemia develops
Foreskin
Blood Loss
Poor Healing
Amputation
Circumcision is normally a safe procedure and severe complications are rare, but there is still some risk to consider with circumcision.
Such as the foreskin being cut too short or left too long by the surgeon and the foreskin left behind might reattach to the penis and require further minor surgery
Damage can be done to the urethra which can make urination difficult.
The wound does not properly heal and Septicemia, which is a Blood infection or poisoning can develop
There may be excessive blood loss or hemorrhage
And in rare cases, there may be accidental amputation of the head of the penis
Reference:
Newman, T. (2020, April 24). Benefits and Risks of Circumcision:MedicalNewsToday.com. Retrieved (09/13/2021) from Circumcision: Possible benefits, recovery, and risks (medicalnewstoday.com)
Why Choose Newborn Circumcision
Muslims and Jews
Religion
Reduces the bacteria that can live under the foreskin
Hygiene
Decreased risk of STIs later in life
Health
Less risk of urinary tract infections
Lower Risk
Foreskin can be used to repair defects
Repair
Why some parents may choose to have their newborn circumcised?
Well for one, it may be for religious purposes. It is part of the Muslims and Jews cultural or religious practice to have their newborn males circumcised.
Another reason is for hygiene purposes, it will help to reduce the bacteria that can grow and live under the foreskin
Then to promote future sexual health, being circumcised will decrease the risk of sexually transmitted infections later in life
And lower the risk for urinary tract infections
Citation for above information (The American College of Obstetricians and Gynecologist (ACOG), 2019)
And lastly the foreskin can be used for defect repair such as the repair of hypospadias.
Hypospadias is when the urethra (the tube that carries urine from the bladder to outside the body) does not end at the tip of the penis but instead, it ends on the underside of the penis.
It is recommended that the baby is not circumcised right away after birth, but wait until he is about 6 months to 2 years of age and perform the procedure and uses the foreskin to repair the defect. (MedlinePlus Medical Encyclopedia, 2019)
Reference:
The American College of Obstetricians and Gynecologist. (2019). Newborn Male Circumcision: American College of Obstetricians and Gynecologist (ACOG). Retrieved (10/5/2021) from https://www.acog.org/womens-health/faqs/newborn-male-circumcision#:~:text=Circumcision%20reduces%20the%20bacteria%20that,the%20first%20year%20of%20life.
MedlinePlus. (2019). Hypospadias Repair: U.S. National Library of Medicine: MedlinePlus. Retrieved (10/05/2021) from https://medlineplus.gov/ency/article/003000.htm
There are three common circumcision methods, namely, Mogen clamp, Plastibell device and Gomco clamp (Razzaq et al., 2018).
Surgical procedure in babies circumcision
Parents must be very keen about where they take their newborns for circumcision. The operation is crucial just like any other surgical procedure. Therefore, it must be done by an expert to ensure it is done in the right way and avoid complications in future.
ØThe choice of technique used depends on the physicians’ experience and preference.
ØThe primary purpose of the operation regardless of the technique is to cut and remove the foreskin.
ØDuring the procedure, the child lays on the back, with legs and arms secured.
ØAn anesthetic is administered to the baby through cream or injection to numb the penis.
Gomco Clamp Circumcision Procedure
The Gomco clamp is a metal device with a bell-shaped end. During circumcision using a Gomco clamp, the baby’s foreskin is stretched over the bell, and the clamp is tightened over his foreskin. If the foreskin can’t be pulled back (is not retractable), it usually needs to be cut before the clamp is put in place. The foreskin is cut away and the clamp removed. According to Bawazir (2020), Gomco circumcision is the safer method and is accompanied with lowest rate of complication compared to the plastibell procedure
For video to view of procedure:
https://med.stanford.edu/newborns/professional-education/circumcision/gomco-clamp-technique.html
Mogen Clamp Circumcision Procedure
The Mogen clamp does not require a cut in the foreskin before its placement.During a circumcision using a Mogen clamp, the baby’s foreskin is pulled forward through the hinge of the clamp. The clamp is closed and locked in place for about 90 seconds, crushing the foreskin to decrease bleeding. The foreskin is removed surgically and the clamp taken off.
Reference:
https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.semanticscholar.org%2Fpaper%2FFeasibility-and-acceptability-of-early-infant-male-Mavhu%2F3e760180ad9354635c5105b77c841d47f21223b5%2Ffigure%2F19&psig=AOvVaw0H1PkXHxfVs6tb0FMA8pLN&ust=1632191825890000&source=images&cd=vfe&ved=0CAwQjhxqFwoTCNjxws_CjPMCFQAAAAAdAAAAABAQ
Plastibell Technique Circumcision
Above picture shows the step by step procedure for plastibell technique. The good thing about this technique is parent just have to keep the penis area clean, there is no need for vaseline or gaze because there is nothing exposing it as a raw wound, the wound is in between the string and the ring of the plastibell. The Plastibell has the advantage of continuing hemostasis after the procedure is over, as the suture remains in place for a few days. The disadvantage is that there is a foreign body at the site, which could become dislodged or infected.
Reference:
https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.obstetricexcellence.com.au%2Fbaby%2Fcircumcision%2F&psig=AOvVaw1sUZEs8NDGk2jSzc4r4ZaC&ust=1632192686219000&source=images&cd=vfe&ved=0CAwQjhxqFwoTCOiVlq3GjPMCFQAAAAAdAAAAABAE
Who Performs the Procedure
Obstetrician-gynecologist
Pediatrician
Urologist
Religious leader
Traditional practitioners
The procedure may be done by your obstetrician–gynecologist (ob-gyn) or by a pediatrician, a physician who takes care of the health of children. In some cases, a circumcision may be done in a non medical setting for religious or cultural reasons. If this is the case, the person doing the circumcision should be well trained in how to do the procedure, how to relieve pain, and how to prevent infection.
Reference:
Lawal, T. A., & Olapade-Olaopa, E. O. (2017). Circumcision and its effects in Africa. Translational andrology and urology, 6(2), 149–157.
https://doi.org/10.21037/tau.2016.12.02
The American College of Obstetricians and Gynecologist. (2019). Newborn Male Circumcision: American College of Obstetricians and Gynecologist (ACOG). Retrieved (10/5/2021) from https://www.acog.org/womens-health/faqs/newborn-male-circumcision#:~:text=Circumcision%20reduces%20the%20bacteria%20that,the%20first%20year%20of%20life.
What to expect after the circumcision procedure
After circumcision, the infant might be irritable and fussy.
The parent or caregiver must take caution in holding the infant.
The tip of the penis might be sore, with the entire penis looking swollen.
There might be a yellow crust at the tip of the penis.
After circumcision, the infant might be irritable and fussy (Lemyre et al., 2019).
The parent or caregiver must take caution to hold the infant carefully and not to press the penis, unless in the case of bleeding as explained earlier.
The tip of the penis might be sore, with the entire penis looking swollen.
Besides, there might be a yellow crust at the tip of the penis.
The parent or caregiver should keep washing the penis regularly and apply a petroleum jelly as directed. Keeping the penis clean helps to prevent infections.
All these signs are normal and should not make the parent or caregiver worried. Such symptoms are expected to go away after a few days on their own. However, the parent should seek medical attention of the symptoms become severe, or if they fail to go away after ten days.
Who should not be circumcised?
Preterm or sick infants should not be circumcised until they are healthy to tolerate the procedure.
Infants with clothing disorder.
Infants who has hypospadias or epispadias.
Things to avoid in infants circumcision
Infants should be circumcised within the first ten days after birth to avoid complications, such as excessive bleeding and pain.
Infants should not be circumcised at home. It is recommended to take the child to a hospital or any approved healthcare facility that offers circumcision services.
Remove the bandage after 48 hours and do not put it back.
Ensure that you do not pull on the plastibell because it can cause bleeding and soreness.
Avoid using diaper wipes because they may sting.
Putting the bandage back after 48 hours can lower the healing rate and cause complications. Instead of using diaper wipes when washing the healing penies, only use water and do it gently to avoid bleeding and other complications.
According to Morris et al. (2017), infants should be circumcised within the first ten days after birth to avoid complications, such as excessive bleeding and pain.
Infants should not be circumcised at home. It is recommended to take the child to a hospital or any approved healthcare facility that offers circumcision services.
Remove the bandage after 48 hours and do not put it back.
Ensure that you do not pull on the plastibell because it can cause bleeding and soreness (Razzaq et al., 2018).
Avoid using diaper wipes because they may sting.
When to consider re-circumcision
Sometimes the skin from the penis attaches at the edge of the penis and forms adhesions after circumcision.
The condition occurs usually if too much skin was left during the initial circumcision.
The extra skin covers the penis head causing mild adhesions or completely covering the head making the penis look uncircumcised.
In such a scenario, the parent should take the child back to the hospital so that the physician can determine whether re-doing the procedure is necessary.
The parent should not decide whether or not the child requires re-circumcision without consulting an expert. A revision is usually done if the redundant skin is uneven, or if it leads to infection or irritation.
When to see a doctor or seek medical attention
Always be keen to observe the healing process of the infant to detect when something goes wrong.
Go to the nearest hospital or emergency department if you notice that your child has excessive bleeding.
Slow down the bleeding before you get to the emergency department by using your index finger and thumb to create a ring around the edge of the penis and squeeze it for about five minutes (Malm-Buatsi et al., 2020).
Excessive bleeding can be indicated by the presence of blood spots on the diaper that are larger than a two-dollar coin or small blood pools. The parent should also seek medical attention if they observe any of the following signs in the infant.
•Vomiting or poor feeding
•Yellow fluid draining from the incision
•Fever
•Redness of skin extending to legs and abdomen
•Difficulties with urinating (diapers less wet than normal).
National Organization of Circumcision Information Resource Centers (NOCIRC)
Autonomy
NOCIRC believes that circumcision denies a male’s right/choice for his own body
Protection
NOCIRC points out that the foreskin is a normal and protective organ
Unnecessary
NOCIRC argues that circumcision has unnecessary risks and harms
National Organization of Circumcision Information Resource Centers Intactivists (nocirc.org)
Professional organization
The National organization of circumcision information resource centers (NOCIRC), is an organization by healthcare professionals to provide information to expectant parents, healthcare professionals, educators, lawyers, ethicists, and concerned individuals about circumcision and genital cutting of male, female, and intersex infants and children, genital integrity, and human rights.()
The NOCIRC believes that circumcision goes against the autonomy of the patient. They also believe that the foreskin is a vital protective organ for the penis and circumcision isn’t necessary because of the risk and harms and not benefits.
NOCIRC Main Resources
Young Man’s Circumcised Penis
Young Man’s Intact Penis
Infant circumcision
Retraction of foreskin
Circumcision & MRSA
Care Of the Circumcised
penis in Geriatric/Disabled population
Professional organization
The NOCIRC published pamphlets with the answers and information on the above topics.
Community Based Resource
Primary Care Physician/
Pediatrician
Community Health Clinics
Circumcision Clinics
Community Resource
Community based resources to help with circumcision is primary care physician, community health clinics, and circumcision clinics. All these resources is readily available to the patient for any discharge questions/help or if complications occur.
Community Resources
Above is a picture of the type of procedure that a circumcision clinic in the community does which is called the ring method. Houston Circumcision – Procedure
Resource Information
National Organization of Circumcision Information Resource Centers (NOCIRC)
National Organization of Circumcision Information Resource Centers Intactivists (nocirc.org)
Address: NOCIRC
PO Box 2512
San Anselmo, CA 94979-2512
Email: info@nocirc.org
Phone: 415-488-9883
Fax: 415-488-9660
Houston Circumcision Clinic
www.houstoncircumcisionclinic.com
Address: 7707 Fannin St Ste 107, Houston, TX 77054 ·
Phone: (713) 825-4009
-Obstetrician/ Pediatrician
-Community Health Clinics
These are contact information for the National Organization of Circumcision Information Resource center and houston Circumcision clinic. You can also contact you OB or pediatrician doctor for help along with your primary care provider if needed. The community health clinics are also readily available to assist if needed.
Health Promotion Recommendations
Health Promotion Defined:
– the process of enabling people to increase control over, and to improve, their health (WHO, n.d.).
– a behavioral social science that draws from the biological, environmental, psychological, physical and medical sciences to promote health and prevent disease, disability, and premature death through education-driven voluntary behavior change activities.
WHY IS HEALTH PROMOTION IMPORTANT?
WHY IS HEALTH PROMOTION IMPORTANT?
Health promotion improves the health status of individuals, families, communities, states, and the nation.
Health promotion enhances the quality of life for all people.
Health promotion reduces premature deaths.
By focusing on prevention, health promotion reduces the costs (both financial and human) that individuals, employers, families, insurance companies, medical facilities, communities, the state and the nation would spend on medical treatment.
Reference:
World Health Organization. (n.d.). Health promotion. World Health Organization. Retrieved October 4, 2021, from https://www.who.int/health-topics/health-promotion#tab=tab_1.
Health Promotion Benefits – Male
32% – 35%
HRHPV
Reduces the risk of developing genital ulceration by 47%
Reduces the risk of acquiring genital herpes by 28% – 34%
Reduces the risk of oncogenic high-risk human papillomavirus by 32% – 35%
Decreases human immunodeficiency virus acquisition in men by 51% – 60%
28% – 34%
100%
47%
GU
51% – 60%
HIV
HSV
Reference:
Tobian, A. A. R., & Gray, R. H. (2011, October 5). The medical benefits of male circumcision. JAMA. Retrieved October 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684945/.
Health Promotion Benefits – Female
28%
HRHPV
Reduces the risk of trichomoniasis vaginosis by 48%
Reduces the risk of bacterial vaginosis by 40%
Reduced the risk of oncogenic high-risk human papillomavirus in women by 28%
No data available on reduction of male to female transmission of HIV-1
40%
100%
48%
trich
%
HIV
BV
Reference:
Tobian, A. A. R., & Gray, R. H. (2011, October 5). The medical benefits of male circumcision. JAMA. Retrieved October 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684945/.
Health Promotion Concerns
– pain due to the operation (this can be extreme where the right type of pain medication is not used)
– bleeding
-infection
-loss of some function of the penis due to complications
-in some cases psychological harm for the child
-the ‘violation’ of individual rights – as the child is unable to decide for themselves in regards to their body
Reference:
Tobian, A. A. R., & Gray, R. H. (2011, October 5). The medical benefits of male circumcision. JAMA. Retrieved October 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684945/.
Tobian, A. A. R., Gray, R. H., & Quinn, T. C. (2010, January). Male circumcision for the prevention of acquisition and transmission of sexually transmitted infections: The case for neonatal circumcision. Archives of pediatrics & adolescent medicine. Retrieved October 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907642/.
Health Promotion Conclusion
– In conclusion, benefits and risks have been identified concerning male circumcision. Circumcision is usually elected for the three broad reasons of; health, hygiene and appearance, and religion or culture.
– The choice of circumcision remains with the parents of the male child in present society. As opposed to being mandated like the Hib vaccine and/or Hep B vaccines.
– The American Academy of Pediatrics (AAP) acknowledges the potential medical benefits of newborn male circumcision, but caveats that “data are insufficient to recommend ‘mandate universal’ routine neonatal circumcision ((Tobian et al., 2010))”.
Pros
Choice
Cons
Reference:
Tobian, A. A. R., Gray, R. H., & Quinn, T. C. (2010, January). Male circumcision for the prevention of acquisition and transmission of sexually transmitted infections: The case for neonatal circumcision. Archives of pediatrics & adolescent medicine. Retrieved October 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907642/.
References
Chamberlain University. (2021). Module, Week 5: Diagnostic and Laboratory Tests for Newborn, NR327 – Maternal Child Nursing: Chamberlain University College of Nursing. Retrieved (09/27/2021) from https://chamberlain.instructure.com/courses/89158/pages/week-5-diagnostic-and-laboratory-tests-for-newborns?module_item_id=12699014
Malm-Buatsi, E., Anderson, A. G., Gubbins, E., Page Phillips, E., Maizels, M., & Washington, K. T. (2020). A qualitative study of parental preferences for post circumcision care education. Journal of pediatric urology, 16(1), 46-e1.
Many, B. T., Rizeq, Y. K., Vacek, J., Cheon, E. C., Johnson, E., Hu, Y. Y., … & Goldstein, S. D. (2020). A contemporary snapshot of circumcision in US children’s hospitals. Journal of pediatric surgery, 55(6), 1134-1138.
MedlinePlus. (2019). Hypospadias Repair: U.S. National Library of Medicine: MedlinePlus. Retrieved (10/05/2021) from https://medlineplus.gov/ency/article/003000.htm
Miles, K. (2021, Feb. 5). Circumcision in newborn boys: babycenter.com. Retrieved (09/02/2021) from https://www.babycenter.com/baby/newborn-baby/circumcision-in-newborn-boys_10419911
Morris, B. J., Kennedy, S. E., Wodak, A. D., Mindel, A., Golovsky, D., Schrieber, L., … & Ziegler, J. B. (2017). Early infant male circumcision: systematic review, risk-benefit analysis, and progress in policy. World journal of clinical pediatrics, 6(1), 89.
National Organization of Circumcision Information Resource Centers Intactivists. (2019, January 24). ©2001-2011 NOCIRC. http://www.nocirc.org/
Newman, T. (2020, April 24). Benefits and Risks of Circumcision:MedicalNewsToday.com. Retrieved (09/13/2021) from Circumcision: Possible benefits, recovery, and risks (medicalnewstoday.com)
References Cont’
Owings, M., Uddin, S., and Williams, S. (2015).Trends in Circumcision for Male Newborns in U.S. Hospitals: 1979-2020: Centers for Disease Control and Prevention. Retrieved (09/06/2021) from Products – Health E Stats – Trends in Circumcision Among Male Newborns Born in U.S. Hospitals: 1979–2010 (cdc.gov)
Shapiro E. (1999). American academy of pediatrics policy statements on circumcision and urinary tract infection. Reviews in urology, 1(3), 154–156. Retrieved (09/06/2021) from American Academy of Pediatrics Policy Statements on Circumcision and Urinary Tract Infection (nih.gov).
The American College of Obstetricians and Gynecologist. (2019). Newborn Male Circumcision: American College of Obstetricians and Gynecologist (ACOG). Retrieved (10/5/2021) from https://www.acog.org/womens-health/faqs/newborn-male-circumcision#:~:text=Circumcision%20reduces%20the%20bacteria%20that,the%20first%20year%20of%20life.
Tobian, A. A. R., & Gray, R. H. (2011, October 5). The medical benefits of male circumcision. JAMA. Retrieved October 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684945/.
Tobian, A. A. R., Gray, R. H., & Quinn, T. C. (2010, January). Male circumcision for the prevention of acquisition and transmission of sexually transmitted infections: The case for neonatal circumcision. Archives of pediatrics & adolescent medicine. Retrieved October 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907642/.
Tobian, A. A. R., Gray, R. H., & Quinn, T. C. (2010, January). Male circumcision for the prevention of acquisition and
transmission of sexually transmitted infections: The case for neonatal circumcision. Archives of pediatrics & adolescent medicine. Retrieved October 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907642/.