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Positional Plagiocephaly 

This is referring to babies developing a flat or asymmetrical head shape. This can be caused before or after birth. The cause for this before birth is a crowded uterine environment. A woman could have a crowded uterine environment from having multiple babies at one time, the baby is large, the pelvis is small, not enough amniotic fluid, or if the baby is in the breech position and is stuck under the mothers ribs. After birth this is mostly caused by babies spending too much time lying on their backs or in a position where their head is resting against a flat surface. In Island Parent Magazine they give some tips on how to minimize the effects of pressure on the back of babies heads.

Tips on Minimizing Effects 

  • “All fours” position – during pregnancy a mother should spend some time on all fours, allowing the baby to move freely and releiving stress
  • Tummy time – supervised belly time each day 
  • Counter Positioning – keep the baby in different positions while sleeping
  • Limited time in car seat or recliner – babies have constant pressure on the back of their heads while in a car seat or recliner
  • Reshaping Therapy – there are now some clinics in children’s hospital’s in Canada

Things to Keep in Mind – Conclusion

When a baby is born their skull is very soft and is made up of five different plates. Thus causing the head to be easily molded. The first few months of a babies life is the most critical time to keep positional plagiocephaly in mind. Keep babies active and don’t allow for them to be in the same position all the time, or in the same position everytime they sleep.

“KidsHealth.” Positional Plagiocephaly (Flattened Head). Ed. Joseph H. Piatt, MD. Nemours, May 2011. Web. 25 Feb. 2013
Miller, BScN, Susan. “Protecting Your Baby’s Head Shape.” Protecting Your Baby’s Head Shape. N.p., 2007. Web. 25 Feb. 2013.


Confidentiality in the Code of Ethics

This section of the code of ethics is related to the privacy section. The American Nurses Association states that, “the nurse has a duty to maintain confidentiality of all patient information,” (section 3.2, pg. 6). This section is impotant because it plays a huge role in the trust a patient has with their nurse. A breech of confidentiality can cause severe issues. It is breaking the HIPPA privacy rule. HIPPA stands for Health Insurance Portability and Accountability Act. Part of HIPPA requires the protection and confidential handling of protected health information.

Personal Experience

I have been through clinicals in hospitals and other health care facilities where I have seen and experienced many breeches of confidentiality and of the HIPPA laws. Many times I have passed by a provider or nurse and over heard patient information. Many healthcare providers make the mistake of conversing about patients and their information in the hallways where people walk right past them. I don’t think this code in the code of ethics is applied as strictly as it should. I believe this code is applied very well when dealing with written and electronic information but is often not thought of when dealing with distributing information orally. Nurses should only distribute patient information orally to the members of the health care team that have a need to know.

Consequences to a Breech of Confidentiality or Breaking the HIPPA Laws

– fine payable to state

                         – prison time ranging from 1 – 10 yrs

    – termination from job

                   – confiscation of nursing license

Consequences vary depending on the severity and the number of occurences that it had happens.