(1) I am most proud of the outcome from the senior presentation. I learned a lot about my topic and it made me more passionate about my topic. This entire project helped me make a definite decision as to where I go from here and what career I'll be pursuing. In addition I most proud of the way I delivered my information to make it easily understandable for my audience.
(2) (a) For my presentation I would give myself somewhere in between a P+ and an AE-. I feel that I did a good job explaining the various concepts in my presentation but I know I had some difficulty speaking and kind of slowing down. I think I could have done a better job in addressing some of my sources as well.
(b) Overall I would give myself an AE on my project because I did dedicate a lot of time to it and had solid research and did a good job in incorporating it all into my essential question and knew what path to follow to come up with answers for my essential question. Adding on to that since this something I was passionate I knew a lot of information from the top of my head and always kept researching in order to make my senior project all the better.
(3) What worked for me in my senior project was my research process and that was all thanks to my mentor Deborah Nakielski and Mrs. Ortega. They helped me come up with my essential question and gave me a lot of resources to help me answer that question and have a great senior presentation. All that support helped me do well in my exit interview and my final presentation.
(4) If I had a time machine I would go back in time to fix the time in which I started working with my mentor because it did take me a little time to find her and that prolonged the start of my research. I would also go back to my presentation to go more in depth about my best answer and address which books helped me the most with my answer.
(5) As I mentioned before the senior project helped me learn more about my topic and decide for sure that this is the career I want to go into. The project also helped me get in touch with a lot of people in the field that can help me with my education, with getting the proper experience for my residency, and actually obtaining a job. For example, my mentor Deborah Nakielski is someone who will actually be working with me through college to help me get my degree and certification.
Thursday, May 28, 2015
Monday, May 11, 2015
Mentorship
- Kaiser Permanente
- Deborah Nakielski, CNM
- (626)485-9344
- matt.fivesixteen@verizon.net
I think the most important thing I gained from mentorship was the first hand experience. Mentorship allowed me to be in the hospital environment with midwives and other medical professionals. It allowed me to see a lot of the concepts I was learning about in my research in real life. It gave me that hands on experience I wouldn't have been able to obtain else where, especially with a topic such as midwifery. It gave me a jump start as to what I'll be spending the rest of my life doing and provided me with knowledge I'm almost sure many nursing majors won't have in college.
Applied
My mentorship helped me answer my essential question because it allowed me to see a midwife's work ethic which helped greatly with my third answer. My third answer is, "If a midwife is empathetic and supportive, then she will build a strong relationship with her patients while making them feel comfortable and safe." Working closely with Deborah Nakielski allowed me to see that the manner in which you do things and the attitude you carry yourself with makes all the difference in whether the client will enjoy the service being provided to them. It allowed me to see that being a strong practitioner while having the right characteristics is very appealing to women and is what makes them lean towards a midwife led birth. Mentorship also pushed me farther to research more. Whenever I came across something I didn't know about it would make me curious and I would look into and 99% of the time it helped me add more to my answers. For example, during a labor I was able to see and hear a lot about C-section procedures and concepts. I didn't know about the things I was being shown so I went in to research on it and it helped me greatly with answering my essential question. That's how I came up with my first answer, "If a midwife has an extensive knowledge in maternity care, then she can prevent her patient from having a caesarean section." In addition, doing that extra research because of what I had seen with my mentor allowed me to find evidence to back up my first answer.
Wednesday, May 6, 2015
Exit Interview
(1) Essential Question: What knowledge most affects a midwife's ability to best serve her patients? Answers:
(2) To arrive to this answer I had to research thoroughly and work with trained professionals in the field. I interviewed and observed midwives to be able to understand that the characteristics a midwife holds are key to the service she will be providing. After doing my summer mentorship at a birth center with Simona Istrate and interviewing and working with Deborah Nakielski I concluded that being empathetic and supportive is like the cherry on top of the sundae. A midwife might be able to be very good at maternity care, primary care, and basic gynecological care but those characteristics are what will keep their patients, bring them more, and make their services more preferable. If they don't possess this women would just recruit to physicians, this is what ultimately differentiates the two.
(3) A problem I faced was that I couldn't find a path in which to aim my research towards. At the very beginning of my senior project I was all over the place, I didn't really have a main focus. I was able to resolve my issue by showing Mrs. Ortega the sort of research I was doing and sharing with her what I thought was an important key point in midwifery, she gave me a few tips and I went from there. Once talking with Mrs. Ortega I took what she told me and discussed it with my mentor, Deborah Nakielski. She then gave me a share of her information and gave me some books that I could use to guide my search and that's how I formulated my essential questions along with my answers.
(4) The two most significant sources I used were Varney's Midwifery and Deborah Nakielski. They are the most significant because that is the two places where I pulled most of my information from. Varney's Midwifery provided me with all the information from maternity care, primary care, gynecological care, to family planning services and Deborah provided me with first hand experiences and hands on learning that backed up the information I was learning.
- If a midwife has an extensive knowledge in maternity care, then she can prevent her patients from having a caesarean section.
- If a midwife is knowledgeable and experienced in primary care, then she can provide her patients with more cost effective health care.
- If a midwife knows how to be empathetic and supportive, then she will build a strong relationship with her patient and will make them feel comfortable and safe.
(2) To arrive to this answer I had to research thoroughly and work with trained professionals in the field. I interviewed and observed midwives to be able to understand that the characteristics a midwife holds are key to the service she will be providing. After doing my summer mentorship at a birth center with Simona Istrate and interviewing and working with Deborah Nakielski I concluded that being empathetic and supportive is like the cherry on top of the sundae. A midwife might be able to be very good at maternity care, primary care, and basic gynecological care but those characteristics are what will keep their patients, bring them more, and make their services more preferable. If they don't possess this women would just recruit to physicians, this is what ultimately differentiates the two.
(3) A problem I faced was that I couldn't find a path in which to aim my research towards. At the very beginning of my senior project I was all over the place, I didn't really have a main focus. I was able to resolve my issue by showing Mrs. Ortega the sort of research I was doing and sharing with her what I thought was an important key point in midwifery, she gave me a few tips and I went from there. Once talking with Mrs. Ortega I took what she told me and discussed it with my mentor, Deborah Nakielski. She then gave me a share of her information and gave me some books that I could use to guide my search and that's how I formulated my essential questions along with my answers.
(4) The two most significant sources I used were Varney's Midwifery and Deborah Nakielski. They are the most significant because that is the two places where I pulled most of my information from. Varney's Midwifery provided me with all the information from maternity care, primary care, gynecological care, to family planning services and Deborah provided me with first hand experiences and hands on learning that backed up the information I was learning.
Sunday, April 26, 2015
Independent Component 2
a) I, Ariami Garcia, affirm that I completed my independent component which represents 30 hours of work.
b) The person that helped me complete my second independent component is Mandi Woolery, who is a childbirth educator in the city of Upland. She owns the studio Peachy Keen.
d) I completed my 30 hours by taking another childbirth class. I did both Bradley and Lamaze this time around.
The independent component helped me answer my essential question because it aught me more about nutrition and exercise which play a huge role in keeping mothers low risk to prevent c-sections. It also helped with my third answer because I was able to see the characteristics needed to help an expectant mother.
b) The person that helped me complete my second independent component is Mandi Woolery, who is a childbirth educator in the city of Upland. She owns the studio Peachy Keen.
d) I completed my 30 hours by taking another childbirth class. I did both Bradley and Lamaze this time around.
The independent component helped me answer my essential question because it aught me more about nutrition and exercise which play a huge role in keeping mothers low risk to prevent c-sections. It also helped with my third answer because I was able to see the characteristics needed to help an expectant mother.
Tuesday, March 31, 2015
Preparing For Interview 4
Our fourth interview is twenty questions long and we weren't allowed to use the previous ten from interview three so I struggled with this one. I couldn't come up with any questions that weren't like the ones I had previously came up with. After staying up until 2am I finally came up with twenty new questions that I can use and were worthy for my fourth interview. The other difficult part was finding someone that I could interview because I had already interviewed my mentor twice so I couldn't interview her again. However, I talked to my mentor and she helped me get in contact with a recently certified midwife so that I can interview her. Thanks to my mentor I will be interviewing this CNM this upcoming week! (:
Wednesday, March 11, 2015
Fourth Interview Preparation
20 Questions:
1. What do you consider to be the most important aspect(s) of midwifery?
2. What knowledge most affects a midwife's ability to serve her patients?
3. Which prenatal diagnostic do you use? Why? Is this the best one?
4. How do you keep your patients low risk throughout their pregnancy?
5. What can a midwife do throughout a woman's pregnancy to prevent a c section?
6. What can a midwife do during labor to prevent her patient from having a c section?
7. How important is having an extensive knowledge in maternity care? Does it affect her ability to serve her patients?
8. How important is having an extensive knowledge in primary care? Does it affect the midwife's ability to serve her patients?
9. Which is more important to possess? A knowledge in maternity care or primary care? Are they equal?
10. What does a midwife need to do often to provide her patients with good health care?
11. What can midwives do to best improve the practice of midwifery?
12. What other things, that are out midwives hands, can be done to improve the practice of midwifery?
13. Which do you think is most cost effective? A midwife or physician?
14. What is done during an at home birth if a woman needs to undergo a c section?
15. What characteristics do you think a midwife should have?
16. What sort of personality is needed to be a midwife?
17. How do that personality and characteristics affect the relationships built between the midwife and her patients?
18. For you specifically, what affects the way you serve your patients?
19. What type of childbirth classes do you recommend expectant parents to take?
20. What books do you really enjoy and know of, that focuses on all aspects of midwifery?
1. What do you consider to be the most important aspect(s) of midwifery?
2. What knowledge most affects a midwife's ability to serve her patients?
3. Which prenatal diagnostic do you use? Why? Is this the best one?
4. How do you keep your patients low risk throughout their pregnancy?
5. What can a midwife do throughout a woman's pregnancy to prevent a c section?
6. What can a midwife do during labor to prevent her patient from having a c section?
7. How important is having an extensive knowledge in maternity care? Does it affect her ability to serve her patients?
8. How important is having an extensive knowledge in primary care? Does it affect the midwife's ability to serve her patients?
9. Which is more important to possess? A knowledge in maternity care or primary care? Are they equal?
10. What does a midwife need to do often to provide her patients with good health care?
11. What can midwives do to best improve the practice of midwifery?
12. What other things, that are out midwives hands, can be done to improve the practice of midwifery?
13. Which do you think is most cost effective? A midwife or physician?
14. What is done during an at home birth if a woman needs to undergo a c section?
15. What characteristics do you think a midwife should have?
16. What sort of personality is needed to be a midwife?
17. How do that personality and characteristics affect the relationships built between the midwife and her patients?
18. For you specifically, what affects the way you serve your patients?
19. What type of childbirth classes do you recommend expectant parents to take?
20. What books do you really enjoy and know of, that focuses on all aspects of midwifery?
Wednesday, March 4, 2015
Third Answer
EQ: What knowledge most affects a midwife's ability to best serve her patients?
Answer 3: If a midwife knows how to be empathetic and supportive, then she will build a strong relationship with her patients and will make them feel comfortable and safe.
Details: Being empathetic helps the patient feel closer to their care provider because they feel as if they can relate and truly care. For example, when a midwife is empathetic during a labor women often feel more calm and closely connected to the midwife. Providing all the support possible to women during this emotional intense in their life will help them feel like they are not alone. For example, a woman who has a supportive midwife will strive to stay healthy and fit to benefit herself and her baby during her pregnancy. Being a strong empathetic, supportive practitioner will make patients feel safe and they will put their trust in you. Patients want to feel like they are in good hands and when a good relationship between the care provider and patient is created things tend to go absolutely well. A midwife should be like a friend to her patient.
Research:
Answer 3: If a midwife knows how to be empathetic and supportive, then she will build a strong relationship with her patients and will make them feel comfortable and safe.
Details: Being empathetic helps the patient feel closer to their care provider because they feel as if they can relate and truly care. For example, when a midwife is empathetic during a labor women often feel more calm and closely connected to the midwife. Providing all the support possible to women during this emotional intense in their life will help them feel like they are not alone. For example, a woman who has a supportive midwife will strive to stay healthy and fit to benefit herself and her baby during her pregnancy. Being a strong empathetic, supportive practitioner will make patients feel safe and they will put their trust in you. Patients want to feel like they are in good hands and when a good relationship between the care provider and patient is created things tend to go absolutely well. A midwife should be like a friend to her patient.
Research:
- Lake, Ricki, and Abby Epstein. Your Best Birth: Know All Your Options, Discover the Natural Choices, and Take Back the Birth Experience. New York: Wellness Central, 2009. Print.
- Clift-Matthews, Victoria. "Providing High-quality Midwifery Care." British Journal of Midwifery, 17.7 (2009): 412.
- Halldorsdottir, Sigridur, and Sigfridur Inga Karlsdottir. "The Primacy Of The Good Midwife In Midwifery Services: An Evolving Theory Of Professionalism In Midwifery." Scandinavian Journal Of Caring Sciences 25.4 (2011): 806-817. Academic Search Premier. Web. 4 Sept. 2014.
Saturday, February 28, 2015
Interview 3
For my third interview I interviewed my mentor, Deborah Nakielski. I asked her questions that would help me answer my essential question. Her answers were very thorough and detailed which benefitted me a lot. One of my questions to her was "which do you think is the best prenatal diagnostic?" This question stood out to me a lot because its the one she was most thorough with. She went into detail about what each was, how they worked, their benefits, their drawbacks, and when they were presented to the medical field. I enjoyed interviewing her because she gave me her full and undivided attention and wasn't in a rush to get it over with. I had previously interviewed her for my second interview and she was just as thorough and provided in depth information about her background and midwifery's background. Whenever I interview her she shows me more and goes more in depth by doing something that involved the topic during mentorship. She shows me first hand and provides me with more insight to fully understand what she was talking about. She is very helpful and patient and is the ideal person to interview.
Thursday, February 19, 2015
Answer 2
1. What knowledge most affects a midwives ability to best serve her patients?
2. If a midwife has an extensive knowledge in maternity care, then she can prevent her patients from having a caesarean section.
3. If a midwife is knowledgeable and experienced in primary care, then she can provide her patients with cost effective health care.
4. My answer is real in the true world because generally midwives are cheaper than a physician, they recently because independent practitioners, and they specialize in women's primary care from adolescence through menopause.
5. - Rosenthal, Elisabeth. "Getting Insurance to Pay for Midwives." New York Times. N.p., 03 July 2013. Web. 22 Aug. 2014.
- Clift-Matthews, Victoria. "Providing High-quality Midwifery Care." British Journal of Midwifery, 17.7 (2009): 412.
-Walker, Deborah, Barbara Lannen, and Debra Rossie. "Midwifery Practice And Education: Current Challenges And Opportunities." Online Journal Of Issues In Nursing 19.2 (2014): 9. Academic Search Premier. Web. 4 Sept. 2014
6. Varney's Midwifery by Helen Varney
Your Best Birth by Rikki Lake
7. This is the second best answer to my essential question because it focuses on an aspect other than pregnancy and labor and delivery. It goes more into depth of what other things midwife's specialize in.
2. If a midwife has an extensive knowledge in maternity care, then she can prevent her patients from having a caesarean section.
3. If a midwife is knowledgeable and experienced in primary care, then she can provide her patients with cost effective health care.
4. My answer is real in the true world because generally midwives are cheaper than a physician, they recently because independent practitioners, and they specialize in women's primary care from adolescence through menopause.
5. - Rosenthal, Elisabeth. "Getting Insurance to Pay for Midwives." New York Times. N.p., 03 July 2013. Web. 22 Aug. 2014.
- Clift-Matthews, Victoria. "Providing High-quality Midwifery Care." British Journal of Midwifery, 17.7 (2009): 412.
-Walker, Deborah, Barbara Lannen, and Debra Rossie. "Midwifery Practice And Education: Current Challenges And Opportunities." Online Journal Of Issues In Nursing 19.2 (2014): 9. Academic Search Premier. Web. 4 Sept. 2014
6. Varney's Midwifery by Helen Varney
Your Best Birth by Rikki Lake
7. This is the second best answer to my essential question because it focuses on an aspect other than pregnancy and labor and delivery. It goes more into depth of what other things midwife's specialize in.
Thursday, February 12, 2015
Independent Component 2 Approval
1. For my independent component 2 I will be taking a series of childbirth classes to fulfill the 30 hour requirement such as lamaze, bradley, hypnobirthing, prenatal yoga, etc.
2. I will provide evidence for what I do by taking videos, photos, and if possible by brining in props.
3. Attending these classe will help me explore my topic more in depth because often times midwives are the ones who teach these types of classes.They will give me more of an insight on what full scope midwives do inside and outside of the hospital. Attending these classes will also help me better understand the different tasks midwives have such as counseling.
2. I will provide evidence for what I do by taking videos, photos, and if possible by brining in props.
3. Attending these classe will help me explore my topic more in depth because often times midwives are the ones who teach these types of classes.They will give me more of an insight on what full scope midwives do inside and outside of the hospital. Attending these classes will also help me better understand the different tasks midwives have such as counseling.
Thursday, February 5, 2015
Independent Component 1
(a) I, Ariami, affirm that I completed my independent component which represents 34 hours of work.
(b) Jennice Burris (909)342-0827
Amanda Woolery (909)609-7558
Deborah Nakielski (626)485-9344
(c) Updated
(d) For my first independent component I took two birthing classes. I took a prepared childbirth class which focused on what to expect during pregnancy and during the labor. I also took a Bradley class which focused more on natural birth, nutrition, exercise, and coaching. The Bradley class was more detailed and provided more in depth information because it had more sessions than the prepared childbirth course.
Applied: Taking these classes for my independent component further helped me understand the pregnancy aspect of midwifery because I was able to work closely with expectant mothers. I was able to see the sort of things midwife's advice their patients to do such as take childbirth classes to educate and prepare themselves for labor. These classes also helped me learn more in depth about pregnancy in an emotional,physical, and physiological way. These classes helped me work on my answer for my essential question as well because I learned more about the knowledge a midwife needs to possess in order to help their patients.
EVIDENCE:
(b) Jennice Burris (909)342-0827
Amanda Woolery (909)609-7558
Deborah Nakielski (626)485-9344
(c) Updated
(d) For my first independent component I took two birthing classes. I took a prepared childbirth class which focused on what to expect during pregnancy and during the labor. I also took a Bradley class which focused more on natural birth, nutrition, exercise, and coaching. The Bradley class was more detailed and provided more in depth information because it had more sessions than the prepared childbirth course.
Applied: Taking these classes for my independent component further helped me understand the pregnancy aspect of midwifery because I was able to work closely with expectant mothers. I was able to see the sort of things midwife's advice their patients to do such as take childbirth classes to educate and prepare themselves for labor. These classes also helped me learn more in depth about pregnancy in an emotional,physical, and physiological way. These classes helped me work on my answer for my essential question as well because I learned more about the knowledge a midwife needs to possess in order to help their patients.
EVIDENCE:
Saturday, January 31, 2015
Lesson 2
The month of January is coming to an end and along with that came our second lessons. This time around I was very proud of my quality of work. I was really happy and proud of all the research I gathered for my answer. I think that I was very thorough and detailed and did a great job presenting. I went into depth about my answer and then broke it up into tiny parts and explained it further. For this lesson I was definitely more calm which helped me greatly because during my first lesson I was really nervous and that affected me greatly. It was really noticeable that I was nervous which made me speak very very fast and in the end ended up affecting my grade. Despite all this I still got an AP+ because I was 45 seconds short of the 20 minute minimum. I didn't really take enough time to debrief so that affected me. Even though I didn't get the grade I desired, I'm still very proud of my work. The second lesson served to teach me what to do and what not to do on my final presentation. (:
Monday, January 26, 2015
Lesson 2 Reflection
1. What I am most proud of in my Lesson 2 was my ability to stay calm and speak calmly to deliver a great presentation. During my Lesson 1 thats something I struggled with greatly and I know it took away from me because I was highly nervous and it was noticeable. I think that this time around I did great and spoke well and delivered all my information nicely.
2. a) I'd give myself an AE
b) I believe I deserve and AE because as I mentioned before I stayed calm and presented very confidently. I was able to present without stuttering or having a trembly voice. I knew all my information from the top of my head and didn't rely on my powerpoint nor did I read off it directly. I also incorporated and referred back to my sources as I did my 10 mins of content rather then just listing them at the end which I feel not many people did. I also felt that my powerpoint was a good length because it didn't have too much information but it had the right amount to give people an idea. With all that being said, I maintain that I deserve an AE because I was very informative and I was able to answer my essential question and clearly provide evidence to back it up.
3. What worked well during my lesson was my activity. People seemed to be really into it and I was able to describe more about my answer as I had volunteers demonstrate the exercises.
4. What didn't work was that I didn't have many photos in my powerpoint and people critiqued me on it. I strayed away from photos because some of them can be very graphic due to my topic and thats why I focused solely on the information that I was putting on the slides. If i had a time machine I would definitely go back and try to find some pictures that would have been appropriate to enhance my powerpoint presentation.
5. I think my answer #2 is going to be, "In order for a a midwife to be able to serve her patients she needs to be knowledgeable and an expert in women's primary and gynecological care."
2. a) I'd give myself an AE
b) I believe I deserve and AE because as I mentioned before I stayed calm and presented very confidently. I was able to present without stuttering or having a trembly voice. I knew all my information from the top of my head and didn't rely on my powerpoint nor did I read off it directly. I also incorporated and referred back to my sources as I did my 10 mins of content rather then just listing them at the end which I feel not many people did. I also felt that my powerpoint was a good length because it didn't have too much information but it had the right amount to give people an idea. With all that being said, I maintain that I deserve an AE because I was very informative and I was able to answer my essential question and clearly provide evidence to back it up.
3. What worked well during my lesson was my activity. People seemed to be really into it and I was able to describe more about my answer as I had volunteers demonstrate the exercises.
4. What didn't work was that I didn't have many photos in my powerpoint and people critiqued me on it. I strayed away from photos because some of them can be very graphic due to my topic and thats why I focused solely on the information that I was putting on the slides. If i had a time machine I would definitely go back and try to find some pictures that would have been appropriate to enhance my powerpoint presentation.
5. I think my answer #2 is going to be, "In order for a a midwife to be able to serve her patients she needs to be knowledgeable and an expert in women's primary and gynecological care."
Thursday, January 8, 2015
Mentorship 10 Hours Check
1. I am doing my mentorship at Kaiser Permanente and working closely with my mentor at her home.
2. My contact is Deborah Nakielski who is a CNM at Kaiser.
3. I have 23 hours of mentorship in total without including the 10 hours I did over the summer.
4. For my service hours I was able to attend presentations relating to the job of a midwife, I was able to make visits to Kaiser to observe midwives in action, and I worked closely with my mentor in her home learning about the different jobs, characteristics, attributes, etc that a midwife needs/ does.
2. My contact is Deborah Nakielski who is a CNM at Kaiser.
3. I have 23 hours of mentorship in total without including the 10 hours I did over the summer.
4. For my service hours I was able to attend presentations relating to the job of a midwife, I was able to make visits to Kaiser to observe midwives in action, and I worked closely with my mentor in her home learning about the different jobs, characteristics, attributes, etc that a midwife needs/ does.
Monday, January 5, 2015
Holiday Project Update
1. Over the break I went to mentorship and worked on more hours for my senior project. I also worked on some assignments my mentor assigned me because tomorrow afternoon I'm starting a Bradley Method class.
2. The most important thing I learned from what I did was the difference between Lamaze method and the Bradley method. I researched both methods because I have already taken a Lamaze class and my mentor wanted me to find out the difference between both methods before I started my new birthing class.
3. I would talk to Deborah Nakielski, who is a midwife because I feel that she would be able to show me and discuss what attributes a midwife needs in order to serve all her patients. I also interviewed Mrs. Nakielski in the past and I really liked her responses and help so I feel that I would benefit from interviewing her again.
2. The most important thing I learned from what I did was the difference between Lamaze method and the Bradley method. I researched both methods because I have already taken a Lamaze class and my mentor wanted me to find out the difference between both methods before I started my new birthing class.
3. I would talk to Deborah Nakielski, who is a midwife because I feel that she would be able to show me and discuss what attributes a midwife needs in order to serve all her patients. I also interviewed Mrs. Nakielski in the past and I really liked her responses and help so I feel that I would benefit from interviewing her again.
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