C01-1 Sickle Cell Disease in Pregnancy:  A Case-Based Approach to Maternal and Fetal Challenges

 

Author: Nancy Watts RN, MN, PNC(C)

 

Presenter: Nancy Watts, Mount Sinai Hospital, Toronto ON

 

Purpose: To provide a specific case study to illustrate the challenges to prenatal, intrapartum, postpartum and neonatal care for a pregnancy complicated with sickle cell disease. Specific challenges such as pain management, immunizations, supports and mood disorders that can complicate these pregnancies will also be discussed. Nurses are critical to continuity of care both in the ambulatory and acute care setting as members of the interdisciplinary team.

 

Learning Objectives:

• Demonstrate understanding of the needs of a pregnant patient with sickle cell disease during the childbirth continuum.
• Understand the critical elements to care planning for a patient with sickle cell disease (antenatal, intrapartum and postpartum).
• Describe the physiology of sickle cell disease and how pregnancy affects the disease process.

 

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C01-2 Caring for a Pregnant Patient with Limb Girdle Muscular Dystrophy (LGMD)

 

Authors: Leigh Andrews RN, MN, PNC(C), CTDP; Mikyung (Elizabeth) Jung RN, MScN, CDE

 

Presenters: Leigh Andrews and Mikyung (Elizabeth) Jung, Sunnybrook Health Sciences Centre, Toronto ON

 

Purpose: To highlight the care of a medically complex pregnant patient with an extremely rare diagnosis, and how our team collaborated and adapted our standard practice to meet the needs of this unique family.

 

Learning Objectives:

• Apply the structure of an interprofessional, family-centred care team to one’s own practice.
• Recognize the importance of collaboration of disciplines in the care of a medically complex pregnant patient.
• Transform one’s current practice to include creative ways to exceed patients’ expectations and needs.

 

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C01-3 A Patient's Diabetes Care in Pregnancy: Leading the Change in Diabetes Management

 

Author: Fiona Thompson-Hutchison MN, RN, PNC(C), CDE

 

Presenter: Fiona Thompson-Hutchison, Sunnybrook Health Sciences Centre, Toronto ON

 

Purpose: To present some of the challenges that women and nurses face with managing diabetes in pregnancy. We will discuss some strategies that may be helpful, giving women an opportunity to actively manage their diabetes in hospital. A comparative case will outline the differences between a patient's primary and secondary pregnancy to understand what may be helpful at improving patient satisfaction, improving diabetes outcomes and simplifying diabetes care.

 

Learning Objectives:

• Identify the challenges that women and nurses face with diabetes management in pregnancy.
• Compare the diabetes management changes that may have helped improve a patient’s pregnancy outcomes.
• Evaluate the team changes used to assist pregnant women who manage their diabetes.