CommunicationSkillsfor theHealth CareProfessio.docx

•Download as DOCX, PDF•

0 likes•2 views

This document discusses communicating with patients with low health literacy. It outlines that low health literacy is a problem in the US and is associated with poorer health outcomes. It describes assessing a patient's health literacy level and provides ways for healthcare providers to improve communication, such as using plain language, allowing extra time, and employing techniques like teach-back to ensure understanding. The document emphasizes that improving health literacy requires communication that helps patients understand providers and helps providers understand patients.

Education

Communication
Skills
for the
Health Care
Professional
Concepts, Practice, and Evidence
Gwen van Servellen
CHAPTER 13
© 2009 Jones and Bartlett Publishers
Chapter 13
Communicating with Patients of Low Literacy
© 2009 Jones and Bartlett Publishers
ObjectivesThe problem of low literacy in the United
StatesDifferences between literacy and functional health
literacyRelationship of education and functional health
literacyBarriers to health literacyRelationship of low health
literacy and poor health outcomes
© 2009 Jones and Bartlett Publishers

Objectives ContinuedPopulations at risk for health low health
literacyAssessing level of health literacy in patientsWays
providers can assess and enhance health literacyImportance of
using “plain language”Dealing with shame related to low
literacyWays systems of care deter or promote health literacy
© 2009 Jones and Bartlett Publishers
Health Literacy as a Foundation for Patient Safety and Quality
CareHealth literacy involves both patient and providers ability
to understand each otherMust be viewed in the context of
culture and health disparities
© 2009 Jones and Bartlett Publishers
Problem of Literacy in the U.S.Illiteracy as a national epidemic
(Young, 2004)Health illiteracy, the hidden handicap (Glassby,
2002)Illiterate patients frequently feel ashamed to reveal their
illiteracy and may not engage in dialogue
© 2009 Jones and Bartlett Publishers
Functional Health LiteracyRefers to the skills and knowledge
necessary to understand illness and treatment and to navigate
the health care systemLiterate patientsEmpower patients to be
active participantsMore likely to initiate and sustain important
self-management behaviorsReceive better quality health care
© 2009 Jones and Bartlett Publishers

Functional Health Literacy and Quality Care
OutcomesCumulative evidence that health literacy is associated
with Better health statusBetter treatment adherenceLower levels
of morbidity and mortalityLower use of hospitalizationBetter
use of preventive health servicesLower costs of health care
services
© 2009 Jones and Bartlett Publishers
Healthy People 2010Health literacy includes ability to
understandInstructions on prescription drug bottlesAppointment
slipsMedical education brochuresMedical directions and consent
formsHow to navigate complex health care systems
© 2009 Jones and Bartlett Publishers
Barriers to Health LiteracyIndividual level, e.g. education,
health statusPatient-provider factors, e.g. continuity of
relationship, trust and satisfaction with the relationship, shared
cultural understandingsSystem related factors, e.g. number,
length and quality of encounters, whether patient-centered care
delivery system
© 2009 Jones and Bartlett Publishers
Elements of Systems More Likely to Promote Health
LiteracyConstructs reading materials using plain language with
illustrationsTests and evaluates appropriateness of materials for
many different groupsProvider encounters exceed 6-10
minutesAdvocacy for health literacyProviders skills in
assessingOpportunities to conduct feedback loopPopulation-
based literacy best-practice program
© 2009 Jones and Bartlett Publishers

Assessing Health LiteracyREALM and REALM-RTOFLA and
S-TOFLASAHLSA-50NVS (Newest Vital Sign)
© 2009 Jones and Bartlett Publishers
Assessing Health Literacy (cont’d)Communication
assessmentsAvoids asking for help; quiet and
unassumingReserves questions until leaving the providerAsks
then withdraws the questionMisses appointmentsNon-adherence
to treatment planComes with companions to interpret Delays
making decisions and asks for things in writing
© 2009 Jones and Bartlett Publishers
Improving Patient Health LiteracyDevelop a “gestalt” of the
patientAssess health literacyAvoid shamingComprehension may
be even at 1st grade level; may not know how to readUse brief
and simple languageSlow the pace to the patientDeliver
messages in context known and valued by patient
© 2009 Jones and Bartlett Publishers
Improving Patient Health Literacy (cont’d)Repeat materialsUse
meaningful visuals; draw picturesUse patient’s concepts of
medical termsTell stories to embellish pointsUse feedback loop,
teach-back and close the loop
© 2009 Jones and Bartlett Publishers

Summary
Improving health care literacy requires first, communicating in
the language of the patients we serve but then helping them
adapt other means to describe their health and concerns. They
need to understand us and us, them.
© 2009 Jones and Bartlett Publishers

Similar to CommunicationSkillsfor theHealth CareProfessio.docx

Healthy thanks to communication . Belim & Vaz de Almeida

ISCSP

Risk Assessment In Antenatal Health Care Discussion Paper.docx

write22

Defining a Culturally Competent Organization Culturally competent health care, broadly defined as services that are respectful of and responsive to the cultural and linguistic needs of patients, is increasingly viewed as essential in reducing racial and ethnic disparities, improving health care quality, and controlling costs. The U.S. government considers cultural competence as a method of increasing access to quality care for all patients. The aim should be to develop systems more responsive to diverse populations. Managed care organizations view cultural competence as driving both quality and business. By embedding cultural competence strategies into quality improvement initiatives to make care more efficient and effective, clinical outcomes are improved while costs are controlled. Those in academic settings agree that cultural competency education is crucial for preparing future health care workers, although appropriate education on the topic is provided in only half of the medical schools in the United States (Betancourt, Green, Carrillo, & Park, 2005). According to the Office of Minority Health, cultural competence refers to the ability of health care providers and organizations to understand and respond effectively to the cultural and linguistic needs of patients (Office of Minority Health, 2001). Cultural competence encompasses a wide range of activities and considerations. It includes providing respectful care that is consistent with cultural health beliefs of the clients and family members. Competent interpreter services and programs to promote staff diversity are other ways in which health care organizations can increase cultural competence (Clancy & Stryer, 2001). Because communication is a cornerstone of patient safety and quality care, every patient has the right to receive information in a manner he or she understands. Effective communication allows patients to participate more fully in their care. Communicating effectively with patients is also critical to the informed consent process and helps practitioners and hospitals give the best possible care. For communication to be effective, the information provided must be complete, accurate, timely, unambiguous, and understood by the patient. Many patients of varying circumstances require alternative communication methods: patients who speak and/or read languages other than English; patients who have limited literacy in any language; patients who have visual or hearing impairments; patients on ventilators; patients with cognitive impairments; and children. The hospital has many options available to assist in communication with these individuals, such as interpreters, translated written materials, pen and paper, communication boards, and speech therapy. It is up to the hospital to determine which method is the best for each patient. Various laws, regulations, and guidelines are relevant to the use of interpreters. These include Title VI of the Civil Rights Act, 1964; Executive Order .

Defining a Culturally Competent Organization Culturally competent .docx

vickeryr87

"Stripping it Down, Mixing it Up, and Bringing it Home: Reducing the e Oral Literacy Burden of Medical Dialogue" was presented at the Center for Health Literacy Conference 2011: Plain Talk in Complex Times by Debra Roter, DrPH, Professor, Johns Hopkins Bloomberg School of Public Health. Description: The presenter will describe a framework for thinking about the oral literacy burden in medical dialogue, discuss the evidence that links oral literacy burden to patients’ satisfaction and comprehension of medical information, and propose practical ways to reduce the oral literacy burden of routine health communication with patients.

Debra Roter - Reducing the Oral Literacy Burden of Medical Dialogue

Plain Talk 2015

Adolescent Text Messaging Research Paper

Matt Byrd

AAA 2016 Poster2

Jennifer Gilligan

Educating Patients: Understanding Barriers, Learning Styles, and Teaching Techniques Linda Beagley, MS, BSN, RN, CPAN Health care delivery and education has become a challenge for providers. Linda Beagley, M cator, Swedish Cov Conflict of intere Address corresp nant Hospital, 51 e-mail address: lbe � 2011 by Ame 1089-9472/$36. doi:10.1016/j.jo Journal of PeriAnesth Nurses and other professionals are challenged daily to assure that the patient has the necessary information to make informed decisions. Patients and their families are given a multitude of information about their health and commonly must make important decisions from these facts. Obstacles that prevent easy delivery of health care information include literacy, culture, language, and physiological barriers. It is up to the nurse to assess and evaluate the patient’s learning needs and readiness to learn because everyone learns differently. This article will examine how each of these barriers impact care delivery along with teaching and learning strategies will be examined. Keywords: patient education, barriers, culture, literacy, perianesthesia nursing. � 2011 by American Society of PeriAnesthesia Nurses EDUCATING PATIENTS HAS become a challenge for health care providers because the patient length of stay has decreased and the need to deliver complex information has increased. A new version of the melting pot society requires special efforts by health care professionals to ensure that the patient understands the information given to him or her. Barriers that inhibit patient education are literacy, language, culture, and physiological obstacles. Assessing and evaluating the learning needs of the patient are essential before planning and implementation of an educational plan. Presenting a well-formulated plan will increase the likelihood of a successful recovery for the patient. In this article, barriers will be dissected and strategies examined to determine what will best suit the educational needs of the patient. S, BSN, RN, CPAN, is a PACU Clinical Edu- enant Hospital, Chicago, IL. st: None to report. ondence to Linda Beagley, Swedish Cove- 40 N. California Ave, Chicago, IL 60625; [email protected] rican Society of PeriAnesthesia Nurses 00 pan.2011.06.002 esia Nursing, Vol 26, No 5 (October), 2011: pp 331-337 Adult Learning To effectively educate patients, health care providers must have an understanding of the principles of adult learning. Malcolm Knowles, who began to study adult learners in the 1960s, is known as the father of adult learning principles because of his extensive writing on adult education. The term andragogy, the art and science of teaching adults, is synonymous with that of Knowles. He deduced that adults learn differently than children. His studies determined five assumptions on learning: self-concept, experience, readiness to learn, orientation to learning, and motivation to learn. 1 Acco ...

Educating Patients Understanding Barriers,Learning Styles, .docx

jack60216

Educating Patients Understanding Barriers,Learning Styles, .docx

toltonkendal

FINALPOSTER-2

Jennifer Gilligan

Low Functional health literacy is a problem affecting 90 million residents of the United States. Among the 90 million, 36% are adults who have “below basic” health literacy skills. Assessing health literacy is important in improving health behaviors, health outcomes, and perceived communication barriers related to health. The Patient Protection and Affordable Care Act enacted in 2010 brought about changes that demand a more coordinated approach to manage health care services. This research focused on the efforts being made to promote health literacy at Medicaid health homes such as Greater Buffalo United Accountable Healthcare Network (GBUAHN). This research consisted of observation of Patient Health Navigator interactions with patients in order to identify best practices of health literacy initiatives within GBUAHN. Results suggest best practices include promoting and establishing relationship to effectively enhance patients understanding of all their healthcare needs. This study suggests that GBUAHN should continue making use of recommendations related health literacy promotion while exploring areas of improvement as noted on scorecard. Patient Health Navigators are engaging patient in manner that will establish adherence within patients.

A Descriptive Study of Health Literacy Practices at GBUAHN

A.Yves Gnohoue, ACSM-CPT

student response 2.docx

write5

Achieving Health Equity: Closing The Gaps In Health Care Disparities, Interventions, And Research Purnell, Tanjala S; Calhoun, Elizabeth A; Golden, Sherita H; Halladay, Jacqueline R; Krok-Schoen, Jessica L; Appelhans, Bradley M; Cooper, Lisa A . Health Affairs ; Chevy Chase Vol. 35, Iss. 8, (Aug 2016): 1410- 1415. ProQuest document link ABSTRACT (ENGLISH) In the United States, racial/ethnic minority, rural, and low-income populations continue to experience suboptimal access to and quality of health care despite decades of recognition of health disparities and policy mandates to eliminate them. Many health care interventions that were designed to achieve health equity fall short because of gaps in knowledge and translation. We discuss these gaps and highlight innovative interventions that help address them, focusing on cardiovascular disease and cancer. We also provide recommendations for advancing the field of health equity and informing the implementation and evaluation of policies that target health disparities through improved access to care and quality of care. FULL TEXT Headnote ABSTRACT In the United States, racial/ethnic minority, rural, and low-income populations continue to experience suboptimal access to and quality of health care despite decades of recognition of health disparities and policy mandates to eliminate them. Many health care interventions that were designed to achieve health equity fall short because of gaps in knowledge and translation. We discuss these gaps and highlight innovative interventions that help address them, focusing on cardiovascular disease and cancer. We also provide recommendations for advancing the field of health equity and informing the implementation and evaluation of policies that target health disparities through improved access to care and quality of care. The need to eliminate disparities in health and health care has long been recognized. Nonetheless, populations such as racial/ethnic minority groups, rural residents, and adults with low incomes continue to experience suboptimal access to and quality of health care.1-7 Disparities in health and health care are especially pronounced in cardiovascular disease and cancer, which are the leading causes of death in the United States.1-7 In cardiovascular disease, for instance, compared to non-Hispanic whites, African Americans and Hispanics have a higher prevalence of hypertension and poorer blood pressure control, which contributes to greater morbidity and mortality.1,3 Similarly, lowincome adults are more likely to have at least one cardiovascular disease risk factor, compared to adults with higher incomes, and rural residents have poorer access to care and a greater burden of risk factors, compared to nonrural residents.5,6 (For an additional discussion of racial/ethnic disparities in cancer and cardiovascular disease in these populations, see online Appendix Exhibit 1.)8 Several intervention ...

Achieving Health Equity Closing The Gaps InHealth Care Di.docx

daniahendric

PLAIN Health Indicators from an intercultural study in Health Literacy & Adhe...

American Academy on Communication in Healthcare (AACH)

Hemsley cre cp presentation 4 may 2015

Bronwyn Hemsley

2-5_Health_Literacy

Jennifer Gilligan

Low Health Literacy in the Older Adult: Identification & Intervention power p...

Jeanne Baus

Dr. Obumneke Amadi-Onuoha Scripts-27

Discover Health Global Initiative

Hl ipe nov_4_2012

Susan Toth-Cohen

Health Literacy Va 2009

Mary Markland

The good patient meeting

Anne Madden

Similar to CommunicationSkillsfor theHealth CareProfessio.docx (20)

Healthy thanks to communication . Belim & Vaz de Almeida

Risk Assessment In Antenatal Health Care Discussion Paper.docx

Defining a Culturally Competent Organization Culturally competent .docx

Debra Roter - Reducing the Oral Literacy Burden of Medical Dialogue

Adolescent Text Messaging Research Paper

AAA 2016 Poster2

Educating Patients Understanding Barriers,Learning Styles, .docx

FINALPOSTER-2

A Descriptive Study of Health Literacy Practices at GBUAHN

student response 2.docx

Achieving Health Equity Closing The Gaps InHealth Care Di.docx

PLAIN Health Indicators from an intercultural study in Health Literacy & Adhe...

Hemsley cre cp presentation 4 may 2015

2-5_Health_Literacy

Low Health Literacy in the Older Adult: Identification & Intervention power p...

Dr. Obumneke Amadi-Onuoha Scripts-27

Hl ipe nov_4_2012

Health Literacy Va 2009

The good patient meeting

More from drandy1

COMM 166 Final Research Proposal Guidelines The proposal should contain well-developed sections (Put clear titles on the top of each section) of your outline that you submitted earlier. The proposal should have seven (7) major sections: 1. Introduction: A brief overview of all your sections. Approx. one page 2. A summary of the literature review. In this section you would summarize the previous research (summarize at least 8-10 scholarly research articles), and also your field data collection results (if it was connected to your proposal topic). Also indicate the gaps in the previous research, including your pilot study, and the need for your research study. Please devote around three pages in reviewing the previous research and finding the gaps. 3. Arising from the literature review, write the Purpose Statement of your research (purpose statement should have all its parts clearly written. Follow the examples from textbook). 4. Identify two to three main hypotheses or research questions (based on the quantitative/qualitative research design). Also give some of your supporting research questions. Follow the examples from textbook. 5. Describe the research strategy of inquiry and methods that you would use and why. The method part should be the substantial part of your paper, around three pages. Define your knowledge claims, strategies, and methods from the textbook (and cite), why you chose them, and how you will conduct the research in detail. 6. A page on the significance of your study. 7. A complete reference list of your sources in APA style. The total length of the paper should be between 8-10 pages (excluding the reference and cover pages). If you have further questions, please do not hesitate to contact me. Best wishes Dev mportant notes about grading: 1. Compiler errors: All code you submit must compile. Programs that do not compile will receive an automatic zero. If you run out of time, it is better to comment out the parts that do not compile, than hand in a more complete file that does not compile. 2. Late assignments: You must submit your code before the deadline. Verify on Sakai that you have submitted the correct version. If you submit the incorrect version before the deadline and realize that you have done so after the deadline, we will only grade the version received before the deadline. A Prolog interpreter In this project, you will implement a Prolog interpreter in OCaml. If you want to implement the project in Python, download the source code and follow the README file. Parsing functions and test-cases are provided. Pseudocode Your main task is to implement the non-deterministic abstract interpreter covered in the lecture Control in Prolog. The pseudocode of the abstract interpreter is in the lecture note. Bonus There is also a bonus task for implementing a deterministic Prolog interpreter with support for backtracking (recover from bad choices) and choice points (produce multiple results). Please refer to th.

COMM 166 Final Research Proposal GuidelinesThe proposal should.docx

drandy1

COMMENTS: You wrote an interesting essay; however, it is lacking the introduction and conclusion paragraphs (1/3 deduction.) Remove the notations from the Reference List. Not all of your sources came from the UOP library and are peer reviewed, so you need to locate additional. You need a minimum of three peer reviewed sources from the UOP library. Prove your arguments using academic sources. Some paragraphs are too short, every paragraph should be five to eight sentences. You received a five point deduction for not including the introduction or conclusion. SCORE: 10/15 Points (Deduction for not including an introduction or conclusion.) The Inappropriateness of the Death Sentence Add an introduction paragraph. Comment by Darlene Bennett: The introduction needs a topic sentence that describes the main idea of the paragraph, then provide background information and finally, include the thesis statement. The introduction should be five to eight sentences in length. Thesis Statement Comment by Darlene Bennett: The thesis statement cannot be isolated by itself. You need to insert it as the last sentence of the introductory paragraph. The death penalty, as practiced in some societies in the world, has had its positive aspects and negative aspects and my stand are that it should be abolished in any democratic state that seeks to ensure justice for both the victims of crime and the offenders. The death sentence is against the bible and other religious guidelines Comment by Darlene Bennett: Capitalize the word “Bible.” Death sentences against convicted criminals in the society go against the spirit and guidelines provided by religious faiths regarding our stay here in the universe. Comment by Darlene Bennett: Casual tone, stay formal and do not use first person pronouns. Religious laws quoted in religious books prohibited the execution of man whatsoever. According to these religious laws, there is no compromise or a reason big enough to necessitate the punishment of an offender through death. The ten commandments developed by God himself in the book of Deuteronomy, under commandment five, prohibits the killing of a man. Universal religious laws concur with the Christian teaching regarding the execution of man as a way of punishment (Goldman, 2017). Comment by Darlene Bennett: This is a generalization – do all religious books state this? By Old Testament law, people were stoned for certain infractions. Be specific and provide a source for your fact. Comment by Darlene Bennett: Religious teachings in all religion term human life as sacred and one that is not subject to limitation, in all circumstance. According to the various religions, it is God only who can terminate the life of a human being. They recommend the use of other means of justice for offenders to reform and revert back to their normal lives in the society (Goldman, 2017). Further, no method of executing criminals is humane, all the methods are painful, inhumane and disrespectful.

COMMENTS You wrote an interesting essay; however, it is lacking t.docx

drandy1

Commercial Space Travel There are about a half dozen commercial space entrepreneurs globally today. Pick one of those companies, and then provide a short history of their company, outline their current projects, and describe their future plans for space travel. Describe the biggest obstacles that they will have to overcome to achieve their goals. Your initial discussion post should be succinct (only about 200–300 words) and include references to your sources. .

Commercial Space TravelThere are about a half dozen commercial s.docx

drandy1

Comments: Price is the easiest way to make profit – all you do is raise the price – it costs nothing and you have to do no work – just send out a new price sheet. Distribution is the next easiest – sell the same stuff in different places – with minor changes. Questions 1. Define/explain: A. Supply chain B. Value delivery C. What/who are the distribution chain members: D. How does a distribution chain member add value to the consumer E. Vertical marketing system F. Horizontal marketing system J. Mutlichannel system G. Marketing logistics H. Supply chain management I. Major logistical functions J. Specialty stores K. Department stores L. Supermarkets M. Convenience stores N. Discount stores O. Off price stores P. Superstores Q. Corporate chain stores R. Voluntary chain S. Retailer Cooperative T Franchise organization U. Merchandising conglomerate v. Wholesalers w. Brokers X. Agents 2. Read (or look up if needed) “Zara – the technology giant of the fashion world” -- explain how technology drives this company – remember women’s fashion has 4 to 5 seasons. 3. What marketing mix decisions must retailers make: A. B. C. D. E. F. G. 4. Describe 4 distribution ideas/innovations you have witnessed: A. B. C. D. .

CommentsPrice is the easiest way to make profit – all you.docx

drandy1

COMM 1110 Library Research Assignment Objective: To ensure students begin library research in a timely manner, selecting worthwhile sources and justifying their inclusion. Assignment: Select five credible sources that can be used for your speech. For each source, provide a full APA citation, an explanation of where/how you found the source, a summary of the information the source contains, and an explanation of why it is relevant to your speech. Credible sources contain worthwhile and trustworthy information from reliable sources. Make sure you number each source and separate each component: citation, how source was discovered, summary, and relevance. Pay attention to all of the requirements in order to complete the assignment to the Satisfactory level. Specifications for Satisfactory Completion 1. Format: Submitted paper is/has: a. Double-spaced, with no extra spaces before or after paragraphs. b. Times New Roman font. c. 1-inch margins. d. 12-point font. e. Document is submitted with only the student’s name placed in the header and nothing in the footer, with NO date, class, or professor information on the document (this is tracked by Georgia View). f. Document is submitted in .docx format. g. Document is submitted by the due date in Georgia View. h. Citations are in proper APA format. 2. Content: a. At least five sources are presented, with each source containing all the required components listed above. b. Fewer than 5 grammar, punctuation, or spelling errors. c. All sources come from credible outlets, including and especially GALILEO. d. No more than two sources are in common with any group members. .

COMM 1110 Library Research Assignment Objective To ensu.docx

drandy1

COMM 1110 Persuasive Speech Evaluation Objective: To learn how to identify areas for improvement in public speaking and evaluate observations, inferences, and relationships in a speech. Assignment: Watch Dan Pink’s The Puzzle of Motivation at https://www.ted.com/talks/dan_pink_on_motivation/. Prepare a paper that answers the following questions: How would you rate the speaker’s delivery? What things did the speaker do well? What things need to be improved? What was the speaker trying to accomplish? How many steps of Monroe’s Motivated Sequence were covered by the speech, and were they in the correct order? When in the speech was each step of Monroe’s Motivated Sequence covered? Pay attention to all of the requirements in order to complete the assignment to the Satisfactory level. Specifications for Satisfactory Completion 1. Format: Submitted paper is/has: a. Double-spaced, with no extra spaces before or after paragraphs. b. Times New Roman font. c. 1-inch margins. d. 12-point font. e. Document is submitted with only the student’s name placed in the header and nothing in the footer, with NO date, class, or professor information on the document (this is tracked by Georgia View). f. Document is submitted in .docx format. g. Document is submitted by the due date in Georgia View. 2. Content: a. All questions are answered thoroughly. b. Fewer than 5 grammar, punctuation, or spelling errors. c. 300-600 words. COMM 1110 Persuasive Speech EvaluationObjective:Assignment:Specifications for Satisfactory Completion .

COMM 1110 Persuasive Speech Evaluation Objective To lea.docx

drandy1

Comment The ANA is such an astonishing association. They help with new enactment, state-of-the-art data on nursing issues, confirmations and proceeding with training, thus a lot increasingly significant nursing subjects. I turned into a part as an understudy, yet I didn't comprehend the significance of being associated with these associations. In the present changing social insurance framework, it is so imperative to be taught and included on the present issues. The ANA has been a promoter for profession improvement and improving the wellbeing for all Americans for more than 100 years. I need to turn into an individual from this long-standing association to keep awake to-date on issues, proceed with my training, and have any kind of effect in the nursing field. Comment Being an advocate means a lot, at many different levels. For instance, as LVN being an advocate is hands on, RN would be collaborating with many different discipling, BSN would be all the combination and take it to a management level. As working for hospice being a patient advocate is so important at the end of life. Working with dying patients and educating families about the medications needed for end of life comfort. For instance, Morphine 20mg/ml give 1 ml Po/SL q 2 hours PRN pain. (severe pain 7-10). With out this education on medication regimen patient would suffer in pain. .

Comment The ANA is such an astonishing association. They help .docx

drandy1

Comments: Excellent paper. It’s obvious that you put quite a bit of work into this. Unfortunately, your paper needs adequate citations in the body of the text to meet our standards on plagiarism. You need to cite each textbook from your bibliography whenever you quote or use some information from the textbook or other resource. For example, writing (Jones 285) after the quote or information used means that you got it from the book whose author was Jones and the info came from page 285. Laparoscopic cholecystectomy is a procedure in which laparoscopic techniques remove the gallbladder. It is the standard of care for symptomatic gallbladder disease, of which most are performed for symptomatic cholelithiasis. Other indications include acute cholecystitis, biliary dyskinesia, and gallstone pancreatitis. Describe the reasons a patient might have the selected surgical procedure The typical reason a cholecystectomy is a treatment of choice is inflammatory changes of gallbladder or blockage of bile flow by gallstones. Symptomatic cholelithiasis is the most common reason where gallstones in the gallbladder are blocking the bile flow and cause inflammation. The patient usually complains of episodic epigastric pain and right upper quadrant pain that radiates to the right shoulder. This pain is found to occur several hours after heavy meals and the patient experiences nausea, vomiting, bloating, fever, and right upper quadrant tenderness. Another condition is acute cholecystitis, where inflammation and symptoms are more prominent. The patient may have a fever, constant pain, positive Murphy's sign, or leukocytosis. Acute cholecystitis may be caused by calculous biliary tract disease with confirmed gallstones in the abdominal US. Acute acalculous cholecystitis usually occurs in critically ill patients, those with prolonged total parenteral nutrition, and some immunosuppressed patients. Patients with episodes of right upper quadrant pain (which are ‘classic' for biliary pain without evidence of cholelithiasis of US or ERCP) may also be referred for laparoscopic cholecystectomy. Gallstone pancreatitis (when small stones pass through the cystic duct) confirmed by cholangiography is another indication for laparoscopic cholecystectomy. Describe the reasons a patient might be disqualified for this surgery and the options for the patient if any A patient might be excluded for laparoscopic cholecystectomy due to acute general conditions that are a contraindication for any surgery such as an acute cardiac failure, uncontrolled hypertension, acute renal failure, pneumonia, etc. The condition should be treated by a primary care provider or specialist and the patient should be stable prior surgery. Additional contraindications may include the inability to tolerate general anesthesia, significant portal hypertension, uncorrectable coagulopathy, and multiple prior operations. List the diagnostic tests and lab work that an attending surgeon might order and desc.

Comments Excellent paper. It’s obvious that you put quite a bit of .docx

drandy1

Community Assessment and Analysis Presentation This assignment consists of both an interview and a PowerPoint (PPT) presentation. Assessment/Interview Select a community of interest in your region. Perform a physical assessment of the community. 1. Perform a direct assessment of a community of interest using the "Functional Health Patterns Community Assessment Guide." 2. Interview a community health and public health provider regarding that person's role and experiences within the community. Interview Guidelines Interviews can take place in-person, by phone, or by Skype. Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community. Complete the "Provider Interview Acknowledgement Form" prior to conducting the interview. Submit this document separately in its respective drop box. Compile key findings from the interview, including the interview questions used, and submit these with the presentation. PowerPoint Presentation Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest. Include the following in your presentation: 1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health. 2. Summary of community assessment: (a) funding sources and (b) partnerships. 3. Summary of interview with community health/public health provider. 4. Identification of an issue that is lacking or an opportunity for health promotion. 5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community. While APA style, and thesis is required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines. Functional Health Patterns Community Assessment Guide Functional Health Pattern (FHP) Template Directions: This FHP template is to be used for organizing community assessment data in preparation for completion of the topic assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community. Value/Belief Pattern Predominant ethnic and cultural groups along with beliefs related to health. Predominant spiritual beliefs in the community that may influence health. Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.). Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundrai.

Community Assessment and Analysis PresentationThis assignment co.docx

drandy1

Comment Commentonat least 3 Classmates’Posts (approximately 150 -300 words each)§ - comment must address the R2R prompt and your classmate’s response substantively; if you agree or disagree, provide reasoning and rational evidence from the readings to support your position - build on the ideas of what your classmate has written and dig deeper into the ideas - support your views through research you have read or through your personal and/or professional experiences§demonstrate a logical progression of ideas - comments need to be thoughtful and substantive; not gratuitous comments like “this was a good post” or simply that “you agree”. Simply congratulating the writer on their astute insights is insufficient. - cite the readings in your response by using proper APA Style format and conventions. classmate 1 Pragmatism is defined as a philosophical approach in which experience is the fundamental concept. Radu explains that in pragmatism, each experience is based on the interaction between subject and object, between self and its world and represents only the result of the integration of human beings into the environment (Radu, 2011). All in all, pragmatism promotes activity based learning. Pragmatism relates to Dewey’s work in many ways. The most significant being its rejection of traditional learning, and its emphasis on solving problems in a sensible way that suits conditions that really exist rather than obeying fixed theories, ideas, or rules (Cambridge, 2016). Progressivism is a philosophical concept belonging to ‘new education’, is ‘a Copernican revolution’ in pedagogy, promoting ‘a child-centered school’ (Radu, 2011). Radu states that Dewey’s pedagogic view is not based on his philosophical concept, but al on the social, economic and cultural realities of American society (pg. 87). Progressivism is featured around the learning capacity continuing into adulthood; Dewey called this “permanent education”. Learning is done by doing; this is because Dewey believed authentic knowledge is achieved only through direct experience. Although Dewey though some target methods were necessary when teaching, he did not believe in teachers being forced to stick to routines (Radu 2011). This idea leads to the problem-problem solving method which in short states that in order to solve problem, an individual must: define the problem, analyze the problem, determine possible solutions, propose solutions, evaluate and select a solution, and determine strategies to implement solution. The progressive theory encourages learning through discovery, this allows the learner to acquire knowledge through interest, rather than effort. Ragu also states that there are reactions against Dewey’s progressive education. Perennialism says that permanence is the fundamental feature of the world; not change. School is intended to promote the permanent values of the past and present. Essentialists believed the main purpose of school was to prepare th.

Comment Commentonat least 3 Classmates’Posts (approximately 150.docx

drandy1

Communication permeates all that we do, no matter who we are. In this discussion forum, we are going to explore this concept by looking at the changes in how we communicate through written and spoken formats with the introduction of new technologies. Begin by reading the following: Mobile telephony and democracy in Ghana: Interrogating the changing ecology of citizen engagement and political communication . Towards the Egyptian Revolution: Activists' Perceptions of Social Media for Mobilization Peacebuilding in a Networked World Clay Shirky interview: Social Media Acts as Catalyst for Policy Change Technologies enable people to connect by shared beliefs and social movements, rather than by just national or ethnic identification. There is no longer a location-bound or time element in global communication. We seek out those who share our beliefs, and this allows us to harness the power of ideas across borders. Conduct some research into the power of social media to effect political change and consider the following questions, sharing one recent example: Has the advent of “technology assisted communication” contributed to an expansion of the democratic process? If so, in what way(s)? Is this approach to democratic interaction workable for the future or just a unique event? How has social media contributed to political change? Examine this question using the example from your research. .

Communication permeates all that we do, no matter who we are. In thi.docx

drandy1

Combating Bribery In May 2011, the Commission for Eradication of Corruption in Indonesia (K.P.K.) and the Organization for Economic Cooperation and Development (O.E.C.D.) met to devise a treaty against international bribery practices. First, read the Conference Conclusions document. Then discuss how the twelve conclusions from the conference will help the international anti-corruption community forge ahead in fighting foreign bribery with a mutual understanding of how to achieve its goals. Respond to at least two of your classmates’ posts. Shell’s Values Review the Shell: Our Values page on Shell’s corporate website. To what major issues does Shell highlight its commitment? Do you think the organization’s statements are useful as a guide to ethical and socially responsible decision making? Why or why not? Respond to at least two of your classmates’ posts. .

Combating BriberyIn May 2011, the Commission for Eradication of .docx

drandy1

Comment using your own words but please provide at least one referen.docx

drandy1

Communicating and Collaborating: Family Involvement In this unit you will read about the importance of developing partnerships with families in the preschool classroom. You will learn about rights and responsibilities of parents of children with disabilities as well as how to act as an advocate for children with special needs. You will discuss challenges of being sensitive and responsive to children and families from a variety of cultural backgrounds. You will also explore strategies to help empower a family of a child with special needs .

Communicating and Collaborating Family InvolvementIn this uni.docx

drandy1

Community Health Assessment and Health Promotion-1000 words-due 9/23/2020 In 1000 words respond to each question below. Use the textbook and source to support statements 1. Elaborate on the effectiveness of children immunization program as a primary community health diseases prevention method within the Peoria Illinois community. 2. Identify at least 2 immunization health promotion program and initiatives within the Peoria Illinois community. 3. What are current population trends and attitudes regarding immunization? 4. Elaborate on the obesity epidemic and its public health impact. 5. Speak on at least two programs or initiative/programs that community and public health officials have taken to reduce the prevalence of obesity within the Peoria Illinois community. Cite all source with credible scholarly articles. Use at least 3 reference. Sources must be 5 years old or less. Use APA format 7th edition. Use statistical data to support each question. .

Community Health Assessment and Health Promotion-1000 words-due .docx

drandy1

COMMUNITY HEALTH ASSESSMENT/WINSHIELD SURVEY GUIDELINES: 1. Community description. 2. Community health status (can be obtain from the department of health). 3. The role of the community as a client. 4. Healthy people 2020, leading health indictors in your community. 5. Conclusion. Also, you must present a table as an appendix with the following topics and description; Housing Transportation Race and ethnicity Open space Service centers Religion and politics Requirements: APA style ( includes references, no less than 3 references not older than 2016 and intent citation). .

COMMUNITY HEALTH ASSESSMENTWINSHIELD SURVEYGUIDELINES1. C.docx

drandy1

COMMUNITY CORRECTIONS Prepared By: Date: PROBATION Description: Purpose(s) served: Advantages: 1. 2. 3. Drawbacks: 1. 2. 3. INTERMEDIATE SANCTIONS Name of punishment: COMMUNITY SERVICE Description: Purpose(s) served: Advantages: 1. 2. 3. Drawbacks: 1. 2. 3. Name of punishment: RESTITUTION Description: Purpose(s) served: Advantages: 1. 2. 3. Drawbacks: 1. 2. 3. Name of punishment: HOUSE ARREST Description: Purpose(s) served: Advantages: 1. 2. 3. Drawbacks: 1. 2. 3. REFERENCES 1 Day 08 ActivityFisher & HughesSeptember 21, 2018Study A study was conducted to determine the effects of alcohol on human reaction times. Fifty-seven adult individuals within two-age groups were recruited for this study and were randomly allocated into one of three alcohol treatment groups – a control where the subjects remain sober during the entire study, a moderate group were the subject is supplied alcohol but is limited in such a way that their blood alcohol content (BAC) remains under the legal limit to drive (BAC of 0.08) and a group that received a high amount of alcohol to which their BAC may exceed the legal limit for driving. Each subject was trained on a video game system and their reaction time (in milliseconds) to a visual stimulus was recorded at 7 time points 30 minutes apart (labeled T0=0, T1=30, T2=60 and so on). At time point T0, all subjects were sober and those in one of the alcohol consumption groups began drinking after the first measured reaction time (controlled within the specifications outlined). The researcher is interested in determining the influence alcohol and age (namely, is reaction time different for those in the 20s versus 30s) has on reaction times. The task for today is to do a complete analysis for this study and dig into the effects of alcohol, age and time have on reaction times.Data input and wrangling First read in the data:alcohol <- read.csv("alcoholReaction.csv") head(alcohol)## Subject Age Alcohol T0 T1 T2 T3 T4 T5 T6 ## 1 1 24 Control 255.3 254.8 256.4 255.1 257.0 256.1 257.0 ## 2 2 34 Control 250.1 249.2 249.0 248.0 248.0 248.9 248.1 ## 3 3 31 Control 248.2 247.1 246.9 246.7 246.0 246.0 247.0 ## 4 4 24 Control 253.9 253.8 254.9 254.1 253.2 254.1 255.0 ## 5 5 38 Control 250.0 251.0 250.0 249.9 248.8 249.1 249.9 ## 6 6 38 Control 246.0 248.0 247.0 248.1 248.1 246.9 244.0 Note, the Age variable is recorded as an actual age in years, not the category of 20s or 30s like we want – we need to dichotomize this variable. Also note the data is in wide format – the reaction times (the response variables) are spread over multiple columns. We need a way to gather these columns into a single column. So we need to do some data processing. First consider the below code:head(alcohol %>% mutate(Age = case_when(Age<31 ~ "20s", Age %in% 31:40 ~ "30s")))## Subject Age Alcohol .

COMMUNITY CORRECTIONSPrepared ByDatePROBATIONDescr.docx

drandy1

Community Concerns Please respond to the followingIn your.docx

drandy1

Community Engagement Instructions Part I: Plan Students will submit the Community Engagement Plan Form that includes a paragraph informing the instructor of the plan for the required 10-hour volunteer service in a community setting, including the supervising organization’s name and other pertinent information. Submit Part I: The Plan for Community Engagement by 11:59 p.m. (ET) on Sunday of Module/Week 3. .

Community Engagement InstructionsPart I PlanStudents wi.docx

drandy1

Community Career Development Read the following case study and in 700- to 1050-words (2-3 pages) answer the questions posed after the case study. Use headings to separate the responses to each question. Use at least two (2) resources. Frank is a 25-year-old veteran who has served two tours of duty in Iraq. While there, he lost his right arm while removing wounded soldiers from the combat zone. He is suffering from posttraumatic stress disorder. His military specialty is artillery maintenance specialist. Now he faces the need to get housing and a civilian job that provides enough income to support himself, his wife, and their two children. While he has been away, his wife and children have lived with her parents, but now Frank and his wife would like to have their own home. Frank has a high school diploma but has not pursued any education beyond that. Before entering the military, he drove a florist delivery truck. Linda, his wife, has completed an associate degree in paralegal studies at the local community college while Frank has been away. She is willing to work if they could find a way to acquire good child care services. Questions: What kinds of next steps would you investigate with Frank as you work with him on an action plan? To what agencies and resources might you refer Frank? What kinds of support services does this family need? .

Community Career DevelopmentRead the following case study an.docx

drandy1

More from drandy1 (20)